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Coordinated Family Focused Care (CFFC)
at Worcester Communities of Care

WCC is proud to be one of five pilot sites in the Commonwealth for the Coordinated Family-Focused Care (CFFC) initiative.  CFFC is a model of care jointly funded by Mass. Health Behavioral Health and the Departments of Mental Health, Social Services, Youth Services, and Education.  The program is managed by the Massachusetts Behavioral Health Partnership.

The goal of CFFC is to better coordinate the care of children and adolescents who are at risk of hospitalization or residential placement because of their serious emotional disturbance.  The CFFC program builds on family strengths and available support systems to help children remain or return to the community.

CFFC CAN HELP FAMILIES:

  • Apply positive approaches to their child's behavioral issues so that the child is more successful at home and in school.

  • Understand the behavioral health system and receive more appropriate services.

  • Resolve crises that could result in hospitalization by making CFFC staff available 24 hours a day, seven days a week for crisis support.

  • Connect with other families through peer support groups to share their experiences and concerns.

WHO IS ELIGIBLE?
A child may be eligible if he or she has a serious emotional disturbance that significantly affects functioning at home, school, or in the community.  The child must also be:

  • Between the ages of 3 to 18 years old (inclusive).  The child can be up to age 22 if he or she is receiving special education services and has a serious emotional disturbance.

  • At risk of psychiatric hospitalization or residential care.

  • A MassHealth member and enrolled or eligible to be enrolled in the Massachusetts Behavioral Health Partnership.

  • A resident within one of the following cities or towns:  Brockton, Lawrence, New Bedford, Springfield, or Worcester.

  • Other eligibility criteria apply and will be explained by CFFC program staff.

REFERRALS:

Referrals are accepted from any source, including families.

HOW CFFC WORKS:

A two-person team works closely with a small group of children and their families:

The care manager is a licensed mental health clinician, who coordinates services and supports offered to the child and family

The family partner is a parent of a child with a history of mental health needs who has been hired to be part of the professional staff and who provides support and advocacy services to the family.

After the child is accepted into CFFC, the program staff meets with the child and family to explain the model and to conduct a thorough strengths-based assessment of the child's and family's needs.

The CFFC staff then works with the family to develop the child's Care Planning Team (CPT), which consists of the child, family, people invited by the family, CFFC staff, and appropriate state agency and school staff.

The Care Planning Team develops an Individual Care Plan, a plan that focuses on the child's needs and proposes ways to improve the child's well-being in all settings, including at home, at school, and in the community.  The Individual Care Plan serves as the roadmap for the child, family and other Care Planning Team members and helps them to work together to better support the child and family in the achievement of their goals.

For more information about the CFFC program at Worcester Communities of Care or to make a referral, please contact either:

Rosa Hernandez at (508) 856-5182 or email.

Yvette Rodriquez at (508) 856-5223 or email.