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Backgrounders

New model of care for children and youth with complex needs

The Ministry of Children and Family Development has a new provincial system of services designed to support children and youth with complex needs who are in the care of the ministry.

The Children and Youth with Complex Care Needs (CYCCN) model of care provides a comprehensive and co-ordinated network of services that are culturally appropriate for children and youth, aged five to 18 years, who have a variety of special and complex needs such as a lack of interpersonal and communications skills, severe behavioural challenges such as frequent outbursts or causing physical harm to others as well as difficulty managing their own behaviour in a variety of situations. The model of care’s overall goal is to enhance a child’s or youth’s ability to cope while reducing the behaviours that compromise the safety of the child or youth,  as well as the safety of other children, youth and adults. The CYCCN model of care includes four separate components that support the basis of the model.

Complex Care and Intervention

The Complex Care and Intervention (CCI) program, a service run by the ministry, treats children and youth in their community and is designed to support local care teams, ministry staff and service providers in B.C. communities who work directly with children and youth, aged five to 15 years, who have complex needs. The CCI program staff work with the care teams to facilitate a child’s or youth’s developmental assessment, and work to create and monitor a child-specific care plan.

The program emphasizes the importance of learning from a youth’s past trauma and experiences to help assess and treat them, and also provides insight and direction that can be used by all caregivers and ministry support staff. The CCI is currently available in six Service Delivery Areas (SDAs) throughout the province, including South Island, Thompson Cariboo, Okanagan, Kootenays, North Central and Fraser East, with the potential for expansion to the remaining six SDAs.

Provincial Outreach Team

The outreach team, which is based out of the Complex Care Unit (CCU) in Burnaby, consists of six workers, including three Aboriginal outreach clinicians. After a child or youth (aged seven to 18 years) receives services in the CCU, the outreach team plays a key role in providing additional specialized care and support to the child and their family, both during and after their transition to their home community

The team also supports staff and clients at both of the Community Complex Care Residential Resources (CCCRRs) in Vernon and Prince George by providing direct specialized support and resources for coaching, training, mentoring and clinical oversight in working with children and youth with complex needs. The team also participates in the referral, screening and assessment processes. To be eligible to receive support from the outreach team, a child or youth must have a care plan in place that includes a placement for the child to return to his or her home community.

Community Complex Care Residential Resources

The Community Complex Care Residential Resources (CCCRRs) are locally based five-bed resources in Vernon and Prince George that stabilize, assess and support children and youth who are seven to 18 years old. Earlier this year, the ministry completed a robust and timely procurement process in order to select two qualified service providers – North Okanagan Youth and Family Services Society in Vernon, and Milieu Family Services in Prince George – to create and operate these resources.

The CCCRRs operate with a strong emphasis on community reintegration and are actively supported by the Provincial Outreach Team. The length of time that a youth stays at a CCCRR varies depending on their circumstances. The resource provides more intensive care and support than foster care, but less than what is offered at the Complex Care Unit (CCU). Both contractors are planning cultural training options for their staff. To access this service, a child or youth must have a care plan in place that includes a placement for the child to return to his or her home community.

Complex Care Unit

The Complex Care Unit (CCU) is a six-bed resource in Burnaby run by the ministry that opened in March 2014 at the same facility as the Maples Adolescent Treatment Centre. It provides short-term, intensive residential treatment that ensures a co-ordinated, planned and supported transition process for children and youth when they are ready to return to their home communities.

The site has access a full suite of therapeutic services that are not provided at the CCCRRs, including psychology, occupational therapy, nursing and dietary support, as well as ancillary health services like speech therapy. Staff at the unit plan to contract an Aboriginal knowledge keeper to further ensure that the supports being provided are culturally appropriate and to educate staff on implementing culturally safe practices for Aboriginal children and youth when they return back to their communities. To access this service, a child or youth must have a care plan in place that includes a placement for the child to return to his or her home community.