Service Coordination

The primary agency involved may have a role in service coordination. Parents/caregivers can assume the responsibility of service coordinator at any time and they can also relinquish this role at any time. In this instance, a service provider could then take the role of facilitator to assist the family in understanding the bureaucracy of the system to facilitate the process as needs arise.

Service Coordination could include:

  • Identification and coordination of services in a timely and organized manner
  • Clarification of information and processes
  • Sharing of new information
  • Advocacy
  • Ongoing support
  • Other needed support during critical transition periods
  • Jointly develop a care plan with current service providers, family and child
  • 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 facilitate 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 entry to school plan.

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 coordination of services to best meet the needs of the child and effective teamwork to successfully navigate the obstacles that children with special needs and their families will face.

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
  • 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, 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 time. Assignment of a new Service Coordinator may be decided, with the person and/or family being able to assume this role if desired.