About Collaborative Systems of Care: The Coordinated Services Team Initiative
To implement a practice change and system transformation in Wisconsin by having a strength-based coordinated system of care, driven by a shared set of core values, that is reflected and measured in the way we interact with and deliver supports and services for families involved in multiple systems of care, such as: substance abuse, mental health, child welfare, juvenile justice, and special education.
Principles of the Wraparound Process for Wisconsin Children's System of Care
Family Voice and Choice
Family and youth/child perspectives are intentionally elicited and prioritized during all phases of the wraparound process. Planning is grounded in family members’ perspectives and the team strives to provide options and choices that reflect the family’s values and preferences.
The wraparound team consists of individuals agreed upon by the family and committed to the family through informal, formal, and community support and service relationships.
The team actively seeks out and encourages the full participation of team members drawn from family members’ networks of interpersonal and community relationships. The wraparound plan reflects activities and interventions that draw on sources of natural support.
Team members work cooperatively and share responsibility for developing, implementing, monitoring, and evaluating a single wraparound plan. The plan reflects a blending of team members’ perspectives, mandates, and resources. The plan guides and coordinates each team member’s work towards meeting the team’s goals.
The wraparound team implements service and support strategies that take place in the most inclusive, most responsive, most accessible, and least restrictive settings possible and that safely promote child and family integration into home and community life.
Cultural and Linguistic responsiveness
The wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the child, youth, family, and their community.
Individualized and Developmentally Informed
To achieve the goals laid out in the wraparound plan, the team develops and implements a customized set of strategies, supports, and services.
The wraparound process and the wraparound plan identify, build on, and enhance the capabilities, knowledge, skills, and assets of the child and family, their community, and other team members.
The wraparound team does not give up on, blame, or reject children, youth, and their families. When faced with challenges or setbacks, the team continues working toward meeting the needs of the youth and family and achieving the goals in the wraparound plan until the team reaches agreement that a formal wraparound process is no longer necessary.
The team ties the goals and strategies of the plan to observable or measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly.
Wisconsin Department of Health Services
The Wisconsin Department of Health Services (DHS) provides funding and support for counties and tribes in Wisconsin to develop and sustain Coordinated Services Team (CST) Initiatives. The CST page on the DHS website includes information on core values, CST statewide expansion, and Governor Walker's CST Mental Health Reform Package.
Wisconsin has been developing collaborative systems of care since 1989. The original initiatives, Integrated Services Projects (ISP), focused on supporting families with children with Severe Emotional Disabilities (SED) in their homes and communities. In 2002, the collaborative process used by ISP was expanded with the development of the Coordinated Services Team Initiative. While CST uses the same wraparound process as ISP, the target group is broader. Although children with SED continue to be a priority target group, children and families who do not have an SED diagnosis, but do have complex needs and are involved in at least two systems of care are also eligible for involvement. In 2010, WI State Statute 46.56 that governed ISP initiatives was updated to reflect CST.
Download the full Statute (updated 2010): State Statute 46.56.
History of the CST Initiative in Wisconsin
Following is a brief summary of the history of the CST Initiative in Wisconsin: