Youth-Guided, Family-Driven, Strength-Based, Individualized, Collaborative and Culturally Proficient Care for At-Risk Children

NNEDLearn 2013 Participant: Lookout Mountain Care Management Entity

Description: The program is a youth-guided, family-driven, strength-based, individualized, collaborative and culturally proficient approach known as wraparound, coordinated across agencies and providers. Intensive home and community-based services, and peer support provide an alternative to costly out-of-home placements. Children and families have access to timely and appropriate interventions and supports that help children while being a part of their families and communities.

The program serves kids that:

  • Have a primary mental health diagnosis (may co-exist with substance-related disorder and/ or mental retardation/ developmental disabilities)
  • Are at eminent risk of out of home placement
  • Have a CAFAS score of >= 100 and home scale >= 30
  • Are at risk of harm in the past 90 days
  • Have documented history of multiple admissions to crisis stabilization programs or psychiatric hospitals in the past 12 months
  • Have been unable to successfully follow resiliency / recovery plan

The program improved youth functioning by 25%, and decreased caregiver strain.

Population of focus: Vulnerable and at-risk children and youth (ages 6-21), and caregivers

Setting: Community health center, Home

Level of focus: Individual

Background: Lookout Mountain Care Management Entity is an organization funded by the Georgia Department of Behavioral Health and Developmental Disabilities, to coordinate care for youth with complex behavioral health challenges, and who are involved with multiple systems.


Ken Parks, Director