Children's Targeted Case Management (TCM) serves case children with intellectual or developmental disabilities, mental health disability, autism, pervasive developmental disorder, or in mental health crisis. We connect children and their families with resources and skills to improve quality of life by using the following strength-based approach:
- Natural supports: The child/adolescent and family chooses their support team
- Customized planning for discovering and using skills and available resources
- Ongoing support is provided as needed
We encourage referrals from individuals, family members, medical community, case managers, DHHS, service providers, schools and local hospitals.
Once referrals are received, a CWC staff member schedules an appointment for the initial intake. The intake procedure involves gathering all the data necessary to determine eligibility, such as previous evaluations and test results.
At present our service network extends to Piscataquis, Penobscot, Hancock, Franklin, Somerset, and Waldo Counties.
Eligibility (Behavioral Diagnosis)
- 20 years old or younger
- MaineCare Eligible
- Diagnosed with mental health disability, behavioral disorder, or emotional disturbance
- At risk of mental impairment, emotional, or behavioral disorder due to recognized environmental or biological risks
- Functional impairment: Intellectual, Cognitive & Developmental
Eligibility (Developmental Disability)
- 20 years old or younger
- MaineCare Eligible
- Evidence of developmental delays from birth to five years of age
- Diagnosis of intellectual or developmental disability or Axis I mental disorder from ages six to twenty
- Child/adolescent at risk, recent assessment & screened for cognitive, mental, emotional, or behavioral disorder
We encourage referrals from individuals, family members, medical providers, case managers, DHHS, service providers, schools & hospitals
Contact the Director of Case Management at (207) 564-2464
Behavioral Health Home Services provide a team-based approach to the integration of physical and behavioral services. It supports children with behavioral health challenges to improve their physical health and to provide coordination among all their service providers. It also has a *Family or Youth Support Specialist component to assist individuals and their families to develop natural and peer supports in the community. Service recipients may live in their own home, in a group home setting or be homeless. A Behavioral Health Home is not an actual building, rather a service that helps coordinate services.
A. Clients Served under Children’s Behavioral Health Home Services:
- Must be at least 2 years of age to 21 years of age
- Must be eligible for MaineCare Services
- Must have a mental health diagnosis under the Diagnostic and Statistical Manual of Mental Disorders 5, or a diagnosis described in the current version of the Diagnostic Classification of Mental Health and Developmental Disabilities of Infancy and Early Childhood, except that the following diagnoses are not eligible for services in this section:
- Learning Disabilities in reading, mathematics, written expression;
- Motor Skills Disorder;
- Learning Disabilities Not Otherwise Specified;
- Communication Disorders (Expressive Language Disorders, Mixed Receptive Expressive Language Disorder, Phonological Disorder, Stuttering, and Communication Disorder Not Otherwise Specified;
Members must also have a significant impairment or limitation in adaptive behavior or
functioning according to a standardized tool:
- CANS: if assessment scores indicate a 2 or higher in both of the following sections: “Child Behavioral/Emotional Needs” AND “Life Domain Functioning”.
B. Services Provided
The Behavioral Health Home Services team consists of a Coordinator who acts in a case management capacity, a Family or Youth Support Specialist, a clinician and a Nurse Care Manager. The team consults with primary care and psychiatric providers. Through an assessment and treatment plan, supports can include:
- Identifying needs related to physical and behavioral care, housing, education, vocation, finance, socialization and development of natural and peer supports
- Coordination of care among physical and behavioral health services
- Crisis planning and management
- Inclusion of family, cultural and religious supports
- Identifying, obtaining and maintaining resources and benefits in the community as they relate to identified needs
- One-on-one and group peer support
C. Waiting List:
Clients placed on the waiting list are prioritized by the urgency of services and needs. Individuals who are currently in a hospital or are at risk of being hospitalized are the highest priority. The waiting list is updated at least every 30 days.
1. Individual reached all of his/her goals
2. Voluntarily withdrew from services
3. Moved out of the area
4. No longer needed services
5. Required a higher level of services
6. Refused to work on his/her goals
7. Was referred to another provider
8. Passed away
Prior to any client being discharged, a discharge meeting will be scheduled, unless there are extenuating circumstances. At this meeting, the client’s team will discuss what his/her needs continue to be, needed Releases of Information forms are signed in order for the team to make appropriate referrals or release information to other agencies. CWC will not discontinue or otherwise interrupt services of a class member without obtaining prior written approval from DHHS.
* A Family or Youth Support Specialist is an individual who has completed a designated Maine Office of Child and Family Services (OCFS) curriculum for peer supports and receives and maintains that certification.