The need for on going service coordination is recognized as being a very important component for successful transition. As a result, the Timmins Transition Committee partners have voiced together the need for the assignment of a case manager for a child diagnosed with a physical disability. Although different service coordinators may be assigned over the years, the Timmins Transition Committee partners recognize that service coordination is an on-going need.
Service Coordination could include:
- Identification and coordination of services in a timely and organized manner
- Clarification of information and processes
- Sharing of new information
- Ongoing support
- Other needed support during critical transition periods
- Jointly develop a care plan with current service providers, family and child
- Organizing of case conferences when needed
- Communicate with other service providers to make sure the child and family receive the support / services needed
0 – School Entry
The Timmins Transition Committee partners recognize the importance of all services/resources working together to best meet the needs of the child.
Parents are encouraged to begin to seek assistance should they have any concerns regarding their child’s development. The initial service provider can determine with the child or family which community resources would be available and appropriate and then faciliate the referrals to the appropriate agencies. This person will also initiate a case conference with service providers to discuss the needs of the child and family and develop an initial plan of action. Case conferences should continue to occur in order to update the service plan and plan for school entry. The service coordinator can assist with ensuring that all assessments required to support the child is referred, taking into consideration wait lists. The Service Coordinator can also support that all assessments are available in January 1 of the year the child is to begin school in September to ensure child will be properly supported.
Some serivces tend to end by ages 5 – 6 years and others begin. At the time of the meeting, a group decision can be made to determine the ongoing assignment of the Service Coordinator role, which parents/caregivers may assume if desired. Throughout this process, the Timmins Transition Committee partners message continues to be the need for coordination of services to best meet the needs of the child and effective collaboration of teamwork to successfully navigate the obstacles that children with special needs and their families will face as issues arise.
Junior Kindergarten – High School
Service Coordination continues to be necessary during this age range. Case conferences should focus on:
- Service agency transition according to mandate
- Facilitation of appropriate referrals to meet ongoing and new needs as they develop
- Advocacy for needs that may not be met by any service
- On-going support
- Transition to high school plan
High School – Adulthood
Most children’s services continue to provide support up to the age of 18, or to the age of 21 if the child remains in school. The specific needs of the child during this transition period will dictate the need for service coordination and case conferences. Depending upon the child’s needs and the plan of action. The Timmins Transition Committee agencies agree for the purpose of transitioning that service providers from both children’s and adult agencies could be invited to the case conference to ensure the continuum of services during this transition process time. Assignment of a new service coordinator may be decided, with the person and/or family being able to assume this role if desired.
Relocation to Timmins
For families who are relocating to Timmins, it is hoped that they have advised their current service providers of their move in order to ensure that proper referrals have been made to the new location. This provides the new community an opportunity to plan for resources to meet the needs of the child and family. The initial Timmins agency involved with the family will ensure that the appropriate referrals were made. They will also facilitate an initial community case conference to support this endeavor.