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The San Francisco Children’s System of Care seeks to keep children at home, in school, and out of trouble. CSOC is part of a national movement for family-driven, youth-guided care. Services are coordinated, culturally competent, child-centered/youth-guided, family-driven and community-based. CSOC partners with public and private child-serving agencies that target children, youth and their families in a multi-agency, multi-disciplinary system of services. In addition to improving service planning, delivery and evaluation across departments, CSOC aims to redirect resources from institutional care to lower levels of care. In order to keep children and youth out of residential placement, mental health dollars are used for home and school-based services including in-home therapies, respite care, and tutoring services. A key component of the CSOC reform effort is the role of caregivers and youth as equal partners in the decision-making and treatment process.
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CSOC policy and program administration is governed by the CSOC Steering Committee, a collaborative of child serving agencies, community providers, caregivers, and youth. The CSOC Steering Committee provides guidance on incorporating the values and principles of CSOC into the broader child serving system and tackles interagency challenges to achieving the overall goal of family-driven services. Funding for CSOC is through a combination of Federal, State, and local funds which flow through Community Behavioral Health Services (CBHS), but have been used collaboratively to develop programs. Funding sources include a six-year Substance Abuse and Mental Health Services Administration System of Care Grant, County General Fund, Medi-Cal billing, EPSDT reimbursement, and in-kind contributions. As a sustainability strategy, the CSOC Intensive Care Management Team has been integrated into the Family Mosaic Project, a Medi-Cal Managed Care Plan.
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