ONGOING SERVICES
Mental Health Services (MHS)
Members of Family Centered Service teams provide a full range of treatment and intervention services in the office, home, community and schools which are made available to all children and adolescents, no matter which agency door they entered through, who suffer from moderate to severe emotional or behavioral problems.
Family Centered Support Teams may enhance these services or CSOC may purchase mental health services through a network or organizational or private provider. Medication evaluation, monitoring and support services are also available, as needed.
Services may include assessment, individual, group, family, crisis, and therapeutic behavioral and case management services. Mental health services are generally provided in collaboration or integrated with other child and family services.

Some of these collaborative services include:

Special Education/Mental Health Services
School Based Intervention Programs for Special Education Students who are Emotionally Disturbed
TBS - Therapeutic Behavioral Services
Family Connections



Child Welfare Services (CWS):
The CWS related services provide a full range intervention, support, treatment and placement services to children and their families who are either at risk or have been abused and neglected
CSOC staff work in conjunction with Law Enforcement agencies and Juvenile Courts to provide services, which ensure safety and adequate supervision in the least restrictive and most home-like settings possible. In addition, Placer County CSOC emphasizes reunification or unification to family members whenever possible. When family ties cannot be maintained CSOC seeks to attain permanency through adoption or guardianship.

CSOC CWS services include the following:

Voluntary Family Maintenance
Reunification Services
Family Preservation Services
Children’s Receiving Home
Shelter Homes
Family Maintenance
Court Ordered Reunification
Permanent Plan Services
Adoption Services
Placer Kids
R.A.F.T. - Rallying Around Families Together
Supervised Visits
Dependency Drug Court
Foster Care Nursing
Foster Youth Services
ILP and Transitional Aged Youth Services
Family Connections



Juvenile Probation Services:

The Juvenile Division of the Placer County Probation Department is bifurcated with some services provided within the Probation Department and some services provided within the Children’s System of Care. All services and programs operate under the oversight of the Chief Probation Officer who is also a member of the SMART governing board. Within the Probation Department, probation officers provide field supervision to youth on formal probation, operate a 70-bed Juvenile Detention Facility, and operate a Court Unit and a Placement Unit.

Below is a comprehensive list of the services and programs provided through the Children’s System of Care:

Youth and Family Diversion Services
Youthful Offender Program
Peer Court
Citation Hearing
Informal Probation
Crisis Resolution Center (CRC)
Intensive Services Caseload
Youth Resource Center (YRC)
Juvenile Drug Court
Formal Juvenile Probation (Section 602 California W & I Code)
Enhanced Services to the Juvenile Detention Facility



Other Services:

Parent Involvement Family Advocacy Program
SMART Management Team (SMT)
Placement Review Team (PRT)
Quality Improvement Committee (QIC)
The Client-Family Relations Committee
The Behavior Health Network Committee
The Cultural Competency Committee




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EMERGENCY SERVICES:
ACCESS - Child, and Community Emergency Services System:

Information and Referral: Within ACCESS, the intake staffs are trained to provide information and referral to all of our clients upon request. Each intake unit has a resource binder that is constantly updated with all known Placer County resources and many resources and services that are available in our surrounding counties.

Intake: Within the ACCESS team, intake staff provides 24-hour phone coverage, ensuring that all calls requesting service, emergency or routine services issues, as well are triaged in a timely and appropriate manner.

Crisis Intervention: The ACCESS Response team provides telephone and one-on-one mental health crisis intervention services.

5150 Mental Health Assessments: ACCESS Response team has been certified to assess persons for involuntary hospitalizations as a danger to self, danger to others, or gravely disabled due to a mental disorder (California Welfare and Institutions Code 5150). These staff then consults with designated psychiatrists who have the authority to admit patients to certified or licensed psychiatric facilities.

Mental Health Assessments: Assessments for ongoing Mental Health Services are provided by Masters level professional staff in Auburn, Roseville and King’s Beach (Tahoe area) for all of Placer County. In the Tahoe area these services are provided through Sierra Family Services, a contract provider. Self referred individuals or families will either have an appointment scheduled with ACCESS or Sierra Family Services or they will be linked to an appropriate provider depending on needs and insurance coverage. (Note: Public Agency referrals for mental health services are not triaged for CSOC Team Assignment through ACCESS, but are assigned through the CSOC Case Assignment Meeting and/or a SMT Family Conference.)

After each assessment is completed, persons requiring additional mental health services will be referred into their Children’s System of Care (CSOC), the Adult System of Care (ASOC) or to one of the 180 certified network providers. A supervisor, who screens the referral for level of intensity, makes this determination.

Private Psychiatric Inpatient Services: Placer currently has multiple contracts with Children and Adolescent facilities with easy driving distance for families. Placer ensures indigent, under insured, as well as Medi-Cal children and adolescents have access to inpatient care. Placer provides immediate case management services.

CWS – Child Welfare Services: The ACCESS Response team has been designated to provide emergency response investigations and services to children and families who are at risk or have suffered from abuse or neglect. CSOC staff partner with key community agencies to provide prevention and early intervention services to families who may not be experiencing abuse or neglect of children, but who are experiencing related high risk.

Family Team/Family Conferencing Pilot: The ACCESS Response team has begun to use Family Conferencing with at-risk families to develop, whenever possible, an agreed upon family based alternative to court intervention to assure children are kept safe and not at risk to abuse or neglect. A specially trained mediator joins the Family Team to develop a plan. All staff receive trainings and supervision in the family conferencing model. The Court Officers including Judges, County Counsel, and Minor’s Attorney’s, the District Attorney and the Public Defender are in support of this approach.

MDIC: Multi-Disciplinary Interview Center: The Multi-Disciplinary Interview Center is a child friendly office where a specially trained social worker and a supporting team of specially trained law enforcement and legal professionals are able to interview and videotape a child regarding suspected child abuse, usually sexual abuse. This interview is used in the criminal prosecution of the perpetrator and/or in the dependency hearing process. The many benefits of this interview include reducing the number of times the victim must be interviewed and avoiding the interrogation of cross-examination in court.

Court Unit: A specialized unit to assure that in all situations where children must be legally detained, or the Department files a petition to request that the juvenile Court intervene in the family, the child abuse and neglect investigation and submission of court reports occur in a timely fashion. The staff complete a detailed and thorough investigation of the issues which brought the family to the attention of the Department, the results of their investigation, along with a presentation of the family strengths and issues which may have led to the abuse or neglect.

Family Support Counselor Team: Short Term: Support Counselors assure those families entering the court process receive the services needed and required from the outset. Services may include transportation, supervised visits, scheduling specialized intervention services and placement of the children with relatives or in foster care.

Behavioral Health Service: Case Management Less Intensive: Placer County has organized a network of 180 private sector practitioners (i.e. Licensed Marriage Family Therapists, Licensed Clinical Social Workers, Psychologists and Psychiatrist) who are available to provide behavioral health/mental health services to children, families and adults. Under direction from CSOC/ACCESS teams Placer County Services Authorization Unit staff are able to match the need of each individual with a practitioner in this network and authorize services for up to six (6) months. The needs of individuals served by these network providers fall in the “less intensive” end of the continuum. In other words, these individuals appear to be able to benefit from a single categorical service (e.g. behavioral health intervention). The Service Authorization Unit may also link a child or adult with medication evaluation and management services (as a stand alone service) with either a County or a community-based provider.

Should any individual in this “less intensive” track need a referral to additional therapeutic and support services the Less Intensive Case Manager, who is a member of the Services Authorization Unit, merely completes the appropriate paperwork and the referral is placed into the case assignment process for either the Adult System of Care or the Children’s System of Care. SMART Management Team is available for a Family Conference if the complexity of needs require. Only individuals who appear to be making progress toward their outcomes remain in the “less intensive” track for services. All other individuals are reassessed for additional services and supports and whenever appropriate opened in the ongoing multi service intensive track in the System of Care.

ONGOING SERVICES
Mental Health Services (MHS):

Special Education/Mental Health Services:Treatment and placement services are provided through an Individual Educational Plans (IEP), pursuant to California Education Code, Section 26.5. Treatment Services may include individual, family or group therapy, medication support and monitoring, Intensive Day Treatment, Day Rehabilitation Services or Residential Placement. If Residential Placement is approved by the IEP team case management Services will be provided.

School Based Intervention Programs for Special Education Students who are Emotionally Disturbed: collaboration between CSOC, Placer Union High School District, Placer County Office of Education, Rocklin Unified School District and Equinox Residential Treatment Center. Treatment and placement services are provided through an Individual Educational Plans (IEP), pursuant to California Education Code, Section 26.5.

Sierra Vista School – Intensive Day Treatment for Junior High and High School
Vista Creek School – Day Treatment Rehabilitative Grades 6-12
Secret Ravine School – Day Treatment Rehabilitative Services for Grades K-8
Del Oro High School – Intensive Outpatient Counseling Grades 9-12
Rocklin High School – Intensive Outpatient Counseling Grades 9-12
Rocklin Elementary – Outpatient Services for Grades 4-6

TBS - Therapeutic Behavioral Services: Specially trained family support counselors and other professional staff will provide one-on-one assessment and intervention services to children whose behaviors put them at risk for school or placement failure. These intensive services are individualized to meet the unique needs of each child.

R.A.F.T. - Rallying Around Families Together: RAFT is a program for providing intensive in-home support services to 22 families in Placer County where children are at risk of out-of–home placement or they have been put in placement and cannot return home successfully without extra support. The R.A.F.T. pilot program uses the “whatever it takes” approach as it focuses on building upon family and individual strengths to reach successful outcomes. Success lessons learned from R.A.F.T. will be applied to all other CSOC services.

Family Connections: Family Connections is a Foster Family Agency. It is the only such agency run by a public entity in California. Family Connections staff recruit, train, and support foster families who provide therapeutic foster care services for children who have special needs. Mental Health services are provided in the home weekly or as needed by Family Connections Practitioners who are county employees.



Child Welfare Services (CWS):

Voluntary Family Maintenance: CSOC staff develop and coordinate a voluntary comprehensive integrated single service plan to provide support, intervention, and treatment to the child and family as needed, to eliminate the risk of abuse and/or neglect. Family Conferencing is emphasized to engage appropriate families in creating their own individualized plan to ameliorate risk factors and achieve sustainable outcomes.

Reunification Services: CSOC Staff develop and coordinate a voluntary comprehensive integrated single service plan to provide support intervention and treatment including voluntary out-of-home placement for the child to eliminate the risk of abuse and neglect. Family Conferencing is emphasized to engage appropriate families in creating their own individualized plan to ameliorate risk factors and achieve sustainable outcomes.

Family Preservation Services: A service designed to provide intensive in-home services to children and their families. This service is available to any child and family enrolled in CSOC. This service may include, but is not limited to, in-home family therapy, behavior modification, parenting skills, modeling behavior, house-keeping techniques, obtaining transportation, or employment. CSOC staff as well as private provider partners co-located at CSOC provides this service.

Children’s Receiving Home: A 25-bed receiving home provides a safe emergency shelter for children whom must be removed immediately from their homes due to abuse or neglect. (This also includes children and youth whose emotional/behavioral disturbance put them at “serious risk” and as result of this emotional problem the parent is unable to meet their needs.) This facility also serves as a transitional facility for children and youth awaiting placement. This would include first time placement or re-placement as a result of current placement failures. This home operates 24/7 and provides a full range of supervision, support, health and education services. Full day school programs are provided in collaboration with Placer County Office of Education. For all children health and on-site mental health screenings and resources are provided as needed.

Shelter Homes: Specialized licensed county foster homes for children 0-5 who are diverted from the Receiving Home or who are identified by staff where respite care need. Children placed in these homes receive the individualized services appropriate to their needs. For all children health and mental health screenings and resources are provided as needed.

Family Maintenance: When Family Conferencing or Voluntary Family Maintenance is not adequate; a child (ren) may be detained by the Court and placed in the family home with Court orders and strict oversight. CSOC staff will work with the family to develop and coordinate a comprehensive individualized services plan to address safety, neglect and abuse issues. If not successful, a petition will be filed with the court to remove the child(ren) from the risk and place in foster care.

Court Ordered Reunification: CSOC staff develops and coordinate a comprehensive individualized and integrated service plan to support the success of the child’s reunification with the family. Services include placement, intervention, treatment and family support.

Permanent Plan Services: When, after appropriate services have been delivered/offered, returning home is not possible, a comprehensive service plan is developed to address the child’s needs for permanency. Services may include placement, treatment, and independent living skill development. Foster Care is not acceptable as a permanent plan for minors. Guardianship, Kinship and adoption will be sought whenever possible.

Adoption Services: CSOC is a State Licensed Public Adoptions Agency. CSOC provides social worker specialists who provide home studies for families wishing to adopt, identifying children ready to be freed for adoption and/or parents wishing to voluntarily relinquish their children for adoption. Placement and Post adoption services are provided.

Placer Kids: Placer Kids is collaboration between CSOC and Sierra Adoption Services. This Program specializes in assessing and matching children with potential adoptive families. Potential adoptive families receive training and support throughout the legal process and as long as needed after the adoption is final.

Supervised Visits: A team of client service assistants provides supervised visits between children and their families whenever there is an on-going risk of abuse by families, especially early on in the reunification process. Transportation may also be provided as needed.

Dependency Drug Court: This is a voluntary program for parents of children involved in the Dependency Court process. This program is designed to provide a structured treatment program, which may include drug testing, outpatient and residential treatment services.

Foster Care Nursing: Children's System of Care is home to specialized Foster Care Nurs