Service Coordination & Wraparound Forms Family & Children First Council 414 Superior St, 2nd. Floor, Sandusky, OH 44870 Phone 419-624-6355  -  Fax 419-624-6357

Welcome Family & Children First Home What's New About Us The Council's History Projects & Programs Council Meetings Care-A-Van General Info. Calendar Help Me Grow Service Coordination/ Wraparound Service Coordination Summary What Is Wraparound Team Meetings FAQ's Forms ABC/FAST ABC Initiative FAST Program Funding Request Resources           One Family One Focus One Plan

Service Coordination/Wraparound Brochure (PDF, 170KB)   SERVICE COORDINATION FORMS   Erie County Service Coordination Flow Chart (PDF, 20KB) Service Coordination Mechanism (PDF, 185KB) (Full version) Dispute Resolution Process (PDF, 83KB)     WRAPAROUND FORMS   Family Team Meeting Invitation (PDF, 1.85MB) Handouts Flyer (PDF, 154KB) What is a Family Team Meeting (PDF, 107KB) Family Team Meeting Information (PDF, 116KB) Rights and Responsibilities (PDF, 65KB) Family Team Meeting Agenda (PDF, 262KB) Family Team Meeting Agenda1 (PDF, 162KB) Team Notes (PDF, 962KB) Evaluations Family Evaluation Form - Family Team Meeting (PDF, 1.02MB) FT Facilitator Evaluation Checklist (PDF, 996KB) Provider Evaluation Form - Family Team Meeting (PDF, 1.37MB) Attachments Attachment A - Family Team Meeting Referral Form (PDF, 65KB) Attachment B - Family Team Meeting Participants (PDF, 341KB) Attachment C - Family Team Meeting Contact Summary Notes (PDF, 231KB) Attachment D - Erie County Family Team Meeting Invitation (PDF, 273KB) Attachment E - Monthly Placement/Clinical Committee Review (PDF, 210KB) Attachment F - Funding Request (PDF, 418KB) Attachment G - Client Authorization for Information Sharing (PDF, 397KB) Attachment H - Agreement on Confidentiality & Participant List (PDF, 243KB) Attachment  I  - Help Me Grow Early Intervention Collaborative (PDF, 230KB) Attachment J - Child Strength Assessment Form (PDF, 266KB) Attachment K - Parent Strength Assessment (PDF, 394KB) Attachment M - Family Team Meeting Plan (PDF, 396KB) Attachment N - Safety and Crisis Planning (PDF, 6.91MB) Family Matrix Adult Education & Employment (PDF, 108KB) Children's Care and Safety (PDF, 115KB) Children's Education & Development (PDF, 116KB) Community Relations (PDF, 116KB) Family Development Matrix Report - 2006 (PDF, 673KB) Family Relations (PDF, 116KB) Finances (PDF, 122KB) Food and Clothing (PDF, 114KB) Health and Safety (PDF, 118KB) How The Matrix Works (PDF, 108KB) Immigration and Resettlement (114KB) Shelter (PDF, 107KB) Social and Emotional Health (PDF, 108KB) The Erie County Family Development Matrix Map (PDF, 224KB) Transportation and Mobility (PDF, 113KB) Youth Assets/Social Skills (PDF, 110KB)

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Last modified: March 21, 2008