• Adult Mental Health Services
• Child and Family Services
  • Community Service Agency
  • Early Intervention
  • Emergency Services Treatment Program
  • Family Stabilization Treatment Program
  • Outpatient Counseling
• Developmental Disabilities
• Elder Services
• Substance Abuse Services
• Outpatient Services
• Emergency Services
• Homeless Outreach
• Youth Programming

The Eliot Community Service Agency offers Intensive Care Coordination and Family Support and Training to MassHealth youth with serious emotional disturbance (SED), who are under the age of 21 and enrolled in MassHealth Standard or CommonHealth and meet the medical necessity criteria for this service.

Intensive Care Coordination (ICC)

ICC is a service that uses the Wraparound care planning process to coordinate multiple services and supports for youth with Serious Emotional Disturbance (SED). Involvement and participation in ICC is voluntary. A Care Coordinator is assigned to work with each youth and family enrolled in ICC. The Care Coordinator is responsible for working with the youth and family to:

• Complete a risk management and safety plan
• Conduct a comprehensive home-based assessment of the youth's and family's strengths and needs
• Assemble a Care Planning Team of the family's preference, made up of formal (e.g. teachers, state agency workers) and natural supports (e.g. friends, neighbors) to help support the youth and family
• Facilitate development of an Individual Care Plan (ICP) that guides the family and team in pursuing goals identified by the Care Planning Team
• Make sure services and supports on the ICP are in place and coordinated

What Is Wraparound ?

Wraparound is not a service but a process used to create, put in place and monitor an individual plan that is created specifically to address the needs of a youth and builds on the strengths of the youth, family, team and community.

Wraparound puts the family at the center of the planning process and builds a team around the family's vision for their child's future.

Family Support and Training

Persons delivering this service are known as Family Partners. A Family Partner has experience as a caregiver of a youth with special needs. The Family Partner works closely with the Care Coordinator to help the parents or caregivers of youth by:

• Helping the parent/caregiver to navigate the child serving systems
• Identifying available services and supports in the community
• Developing connections with self-help and support groups
• Supporting and coaching the parent/caregiver in reaching goals for the child as identified in the ICP

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