Transforming Together: Implementation Guide
Closing What success looks like: A new Ecosystem of Care is emerging Current state structures and reform efforts provide a robust foundation for transforming how counties serve children and youth. By expanding and aligning existing AB 2083 leadership structures and functions, counties can build a resilient, inclusive Ecosystem of Care that unites, maximizes and sustains the impact of Community Schools, CYBHI, and additional California child and youth initiatives, and that supports all children and families, not just those in foster care. In counties across California, local leaders are successfully working together to build a more coordinated Ecosystem that ensures children and families can access the services and supports they need when they need them. For example, acting via their ILT and EAC groups, county leaders have committed to expanding school-based behavioral health services. These professionals deliver early intervention, prevention-focused supports, and short-term services, often using multi-tiered systems of support to identify and respond to student needs. In some counties, this includes establishing closed-loop referral systems between schools and behavioral health departments, reducing the likelihood that children fall through the cracks. Other counties are strengthening coordination between education, child welfare, behavioral health, and probation systems to align care pathways and improve access across all levels of need.
Some county leadership structures are enhancing and expanding their Interagency Placement Committee (IPC) processes to more efficiently identify youth-specific, needs- based situations where additional resources or supports could prevent institutional placements. At the same time, other counties are strengthening and tailoring community- based programs, such as Enhanced Intensive Services Foster Care and Wraparound, to serve youth with complex needs who often require individualized care settings. In addition, many counties are building and sustaining data and communication linkages with their Managed Care Plan partners to ensure youth and families have timely access to Enhanced Care Management and Community Supports through CalAIM. In addition, Community Schools are working to realize schools that better serve the whole child, including school based and school linked integrated services, in order to more effectively realize the conditions for student success. These efforts reflect a growing capacity to deliver child and youth services and supports in the settings where children and youth already are and to ensure those supports are part of a broader, connected continuum of care.
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