What is COACT?

COACT Colorado is a system of care for children and youth with behavioral health challenges and their families. It uses an evidence-based and effective process called high-fidelity wraparound to manage care for families with complex needs who are involved in multiple systems. High-fidelity wraparound implements a collaborative plan for the child and the family, as well as service providers and professionals working with the family. The process utilizes the individual strengths, needs, and culture of the family to achieve desired goals. High-fidelity wraparound often makes case work easier and more efficient for providers and professionals while generating positive outcomes.

There are 10 principles of high-fidelity wraparound that serve as a starting point and guide for understanding the process.

1. Family Voice and Choice

Family and youth perspectives and opinions are asked for often, and prioritized during all phases of the process. Planning is built on family members’ perspectives, and the team aims to build a plan that reflects a family’s values.

2. Team-based

The wraparound team consists of individuals providing services to the family as well as the family’s natural supports.

3. Natural supports

The team actively seeks out and encourages the full participation of team members drawn from family members’ own networks of interpersonal and community relationships. The plan reflects activities and interventions that draw on these individuals as sources of natural support.

4. Collaboration

Team members work together and share responsibility for developing, implementing, monitoring and evaluating a single high-fidelity wraparound plan. The plan is a collaboration of all team members’ ideas, opinions and resources and guides each team member toward meeting the team’s goals.

5. Community-based

The team implements a plan that offers services and supports that take place in the most inclusive, responsive and accessible settings possible; and that safely promote child and family integration into home and community life.

6. Culturally competent

The process respects and builds on the values, preferences, beliefs, culture, and identity of the family, child, and their community.

7. Individualized

The team will develop and implement a customized set of strategies, supports, and services to achieve goals laid out in its plan.

8. Strengths-based

The high-fidelity wraparound process and plan identify, build on, and enhance the capabilities, knowledge, skills, and assets of the child and family, their community, and other team members.

9. Persistence

Challenges can and will come up throughout this process. However, the team will persist in working toward the goals laid out in the plan until the team reaches an agreement that the goals have been met and the formal process is no longer needed.

10. Outcome-based

The team ties the goals and strategies of the high-fidelity wraparound plan to measurable indicators of success and monitors progress by checking in on these indicators. If something isn’t working, the team will revise the plan.

High-Fidelity Wraparound Roles

When you become a part of a high-fidelity wraparound team, you will be working with other professionals. They have different roles and responsibilities, but they all have one thing in common – working toward a stronger future for the young person and their family.

Wraparound Facilitator

This is a person who is trained to coordinate the high-fidelity wraparound process for the family and entire team. This person could also be called a Care Coordinator, or have a similar title. This person is there to set up meetings, oversee the plan, and make sure all members of the team are participating in achieving the goals established in the plan. In most cases, coordination by this individual reduces workloads for other professionals and providers. The facilitator or coordinator maintains strong contact with providers and professionals to provide progress updates.

Family Advocate

This is a person who will provide critical peer support to parents and caregivers of youth receiving services. Family Advocates may also be called Parent Partners, Family Partners, or Family Navigators. Family advocates are individuals who have been through the service system themselves, or with their families, and can relate to parents or caregivers without judgment or bias.

How to get involved

As a caseworker, educator, probation officer, counselor, doctor, or other provider, you may often deal with families with children with emotional or behavioral challenges. You may have been asked to be a part of a high-fidelity wraparound team because of your professional role or personal background, or you may simply be interested in better understanding this process.

As a team member in the high-fidelity wraparound process, you and other team members will implement the following four-phased process to develop an actionable plan for youth and their families.

Phase One: Engagement & Team Preparation

A Wraparound Facilitator or Coordinator will meet with the family to discuss the wraparound process and learn about each of the family members. The emphasis here is to discover the concerns, needs, hopes, and strengths of each family member. Further meetings with family members will be planned out in this first meeting.

Phase Two: Initial Plan Development

The family will meet with you and other members of its high-fidelity wraparound team to identify the family’s needs and how those needs can be met. The family will come up with a vision statement focused on solidarity among the family. The strengths, needs, and culture of the family will be discussed, and different family members and team members will take on tasks to accomplish goals. The result is the development of a plan of care.

Phase Three: Plan Implementation

Family members implement tasks. The family will meet regularly with the wraparound team. These meetings focus on four main objectives:

  • A general review of the family’s accomplishments
  • An assessment of how the family’s plan of care is working.
  • Making an adjustment to the plan of care if necessary to better help each family member accomplish his or her tasks.
  • An assignment of new tasks to the family.

Phase Four: Plan Completion & Transition

Throughout the first three phases, the family will meet with the wraparound team on a fairly regularly basis. The final phase begins when the family, Wraparound Facilitator(s), and team members feel that the family has made enough of a transition to not need to meet regularly anymore. At this point the family will be given a record of the actions each member took to help the family, which will include a list of what specifically worked for the family. A plan for the future will also be created to assist the family in sustaining its positive outcomes.

Benefits to Professionals/Providers

Recommending your cases for participation in high-fidelity wraparound through COACT Colorado can greatly simplify your workload and case management. If the families you work with choose to participate, they will work with a dedicated facilitator. The facilitator will set up meetings with all the key players, coordinate logistics and be the main day to day contact for the family members from your cases. This streamlines the process and reduces your coordination duties as the facilitator will also work directly with you – almost becoming your assistant for that family. High-fidelity wraparound has shown to be extremely successful in resolving open cases and moving families toward independence and success. See how COACT Colorado’s high-fidelity wraparound model has produced positive results.

Testimonials

There are great benefits of participating in the high-fidelity wraparound program. Not only is better communication created between you and your clients through this program, but it creates a more manageable case load for providers like you. The videos below show real life providers sharing their experience collaborating with the high-fidelity wraparound program.

The current Communities of Excellence are shown in green. Two out of three children in Colorado live in these counties. Please click on your county for more information.

COACT Service map

Montrose County

Michelle Gottlieb
Montrose County Hilltop Community Resources
michelleg@htop.org
970 252 7445

Garfield County

Andie Scott
Garfield County CMP
ascott@youthzone.com

970 456 1188

Lake County

Gloria Perez
Lake County Department of Human Services
gloria.perez@state.co.us
719 293 5272

Montezuma County

Michael Barnes
The Pinon Project
mbarnes@pinonproject.org
970 564 1195 x125

Dolores County

Kelli Unrein
The Pinon Project, CMP Coordinator
kunrein@pinonproject.org
970 564 1195 x125

Rio Grande County

Clarissa Woodworth
San Luis Valley Behavioral Health Group
clarissa@slvbhg.org
719 587 6967

Gunnison County

Meghan Dougherty
Gunnison County Collaborative Management Program
mdougherty@gunnisoncounty.org
970 641 7665

Alamosa County

Clarissa Woodworth
San Luis Valley Behavioral Health Group
clarissa@slvbhg.org
719 587 6967

Conejos County

Clarissa Woodworth
San Luis Valley Behavioral Health Group
clarissa@slvbhg.org
719 587 6967

Pueblo County

Maureen White
Health Solutions
info@health.solutions
719 423 1255

El Paso County

Terri Anderson
Joint Initiatives for Youth and Families
terri@jointinitiatives.org
719 635 7814

Douglas County

Chris Meyer
Douglas County Youth Initiative
cmeyer@admhn.org
720 951 0217

Boulder County

Susan Caskey
Boulder Count IMPACT
scaskey@bouldercounty.org
303 441 1151

Weld County

Kelly Schramm
Youth and Family Connections
kschramm@youthandfamilyconnections.org
970 351 5475

City and County of Denver

Serena Gonzales-Gutierrez
Denver Collaborative Partnership
sgonzales.gutierrez@saviogroup.org

720 913 4280


Mesa County

Sarah Heffner
Mesa County Hilltop Community Resources
sarahh@htop.org
970 244 0602

Teller County

Maren Fuller
Teller County Collaborative Management Program
maren.fuller@state.co.us
719 650 2457

Huerfano County

Terri Patrick
Huerfano Family Resource Center
terrimpatrick1961@gmail.com
719-738-2378

Directory of Providers in Communities of Excellence

Boulder County
Susan Caskey
Boulder County IMPACT
scaskey@bouldercounty.org
303 441 1151

City and County of Denver
Serena Gonzales-Gutierrez
Denver Collaborative Partnership
sgonzales-gutierrez@saviogroup.org
720 913 4280

Douglas County
Katy O'Connor Smith
Douglas County Youth Initiative
kosmith@douglas.co.us
720 814 5340

El Paso County

Terri Anderson
Joint Initiatives for Youth and Families
terri@jointinitiatives.org
719 635 7814

Garfield County
Andie Scott
Garfield County Youthzone
ascott@youthzone.com
970 456 1188

Gunnison County
Meghan Dougherty
Gunnison County Collaborative Management Program (CMP)
mdougherty@
gunnisoncounty.org

970 641 7665

Huerfano County
Nichole Dickinson
Huerfano Family Resource Center
huerfanocoact@gmail.com
719 738 2378

Lake County
Gloria Perez
Lake County Department of Human Services
gloria.perez@state.co.us
719 293 5272

Mesa County
Sarah Heffner
Mesa County Hilltop Community Center
sarahh@htop.org
970 244 0602

Montezuma/Dolores Counties
Michael Barnes
The Pinon Project
mbarnes@pinonproject.org
970 564 1195

Montrose County
Michelle Gottlieb
Montrose County Hilltop Community Resources
michelleg@htop.org
970 252 7445

Pueblo County
Lindsay Reeves
Health Solutions
lindsayr@health.solutions
719 251 6819

San Luis Valley
Clarissa Woodworth
San Luis Valley Behavioral Health Group
clarissa@slvbhg.org
719 587 6967

Teller County
Maren Fuller
Teller County Collaborative Management Program (CMP)
maren.fuller@state.co.us
719-650-2457

Weld County
Kelly Schramm
Youth and Family Connections
kschramm@
youthandfamilyconnections.org

970 351 5475

Downloads and Links

Our resource files are in Adobe PDF format. Adobe Reader is required to view downloaded files. If you don’t already have Adobe Reader installed on your computer click the badge below to download it.

Cultural and Linguistic Competency

CLAS Standards
download

CLC Policy Assessment
download

Cultural and Linguistic Competence Checklist
download

Cultural Competence in Healthcare Emerging Frameworks and Practical Approaches
download

Evidence Based Practice with Diverse Populations
download

Losing Ground e-book
download

Practical Guide to Implementing the CLAS Standards
download

System of Care Guide to Implementing CLC
download


Family Engagement

Colorado Combined Core Competencies for Peer Specialists
download

Family Advocate Training Description
download

Family and Youth Engagement Compensation Practices
download

Family Involvement Task Group Policy Recommendations July 2012
download

Family Roles in System of Care
download

Indicators of Family Involvement
download


LGBTQ Youth

Clinical Issues Working with LGBTQ Youth
download

Out Safe and Respected
download

Resources for LGBTQ Youth
download

Suicide Risk and Prevention for LGBT Youth
download

Tools to Support LGBTQ Youth in Care
download

System of Care Basics and System Infrastructure

Care Management Entity Pilot 2014 Report

download

Youth with High Behavioral Health Needs in Colorado: Cross-System Utilization Patterns

download

Blending and Braiding Funding Guide

download

Building a System of Care: A Primer
download

Child Mental Health Treatment Act
download

CMCS SAMHSA Bulletin Coverage of Behavioral Health Services CIB-05-07-2013
download

Juvenile Justice Mental Health Primer
download

SOC Brief - Framework for System Reform in Children's Mental Health
download

Tips for Talking with a Child After a Traumatic Event
download

Mental Health High Utilizers Supplement Evaluation Report

download

Developmental and Intellectual Disabilities Overlap Supplement Evaluation Report

download



Transition Age Youth

Becoming an Adult
download

Community Based Approaches for Youth and Young Adults
download

Transition Age Youth Crossing the Divide
download

Transition Age Youth Provider Core Competencies
download



Youth Engagement

Best Practices in Youth Participation in Collaborative Team Planning
download

Integrating Youth Guided and CLC Values
download

Youth Adult Partnerships in Systems of Care
download

Youth Bill of Rights
download

Youth Involvement in Systems of Care
download

Youth Involvement Self Assessment
download



Substance Use

Linking Care

is a Colorado referral resource that provides statewide access to information and services for prevention, treatment and recovery from substance use and mental health conditions.

Center for Substance Abuse Research (CESAR) has a mission to inform policymakers, practitioners, and the general public about substance abuse—its nature and extent, its prevention and treatment, and its relation to other problems. You can also subscribe to a weekly email, CESAR FAX, a one-page publication on a timely substance abuse issue.

System of Care Overview Training Modules

The Office of Behavioral Health, through the COACT Colorado system of care initiative, has developed ten training modules that each present an introduction to a topic relevant to systems of care for children and youth with behavioral health challenges. The trainings share best practices and/or guidelines for systems of care and provide opportunities to plan and strategize on next steps for integration and implementation. The trainings vary in length from 1 to 4 hours. See the list for the training module topics and contact information to request training in your community. Some trainings are available via webinar.

ashley.brock-baca@state.co.us
Trauma Informed Care Ashley Brock-Baca: ashley.brock-baca@state.co.us
Youth Engagement Kippi Clausen: kippi@unfoldingdirections.com
Family Engagement Libby Stoddard: estod42003@aol.com
Cultural and Linguistic Competency Deborah Ward-White: dwardwhite.fac@gmail.com
Working with LGBTQ Youth Cory Barrett: corymbarrett@gmail.com
Transition Age Youth Kippi Clausen: kippi@unfoldingdirections.com
Co-Occurring Disorders: Mental Health and Substance Abuse Ashley Brock-Baca: ashley.brock-baca@state.co.us
Early Childhood Systems of Care Ashley Brock-Baca: ashley.brock-baca@state.co.us
Dual Diagnosis: Mental Health and Developmental Disabilities Ashley Brock-Baca: ashley.brock-baca@state.co.us


Colorado Translation & Interpreter Service Resources

Colorado Alliance For Health Equity Programs (CAHEP)
303-954-0058
Serving Adams, Arapahoe, Weld, Boulder, Denver, Arvada, Westminster, El-Paso, Pueblo, Grand Junction, etc.

Certified Interpreter Services for 40 Languages, including Languages in Northern Africa, Somali, Ethiopian, Bengali, Basque, Middle East, Latin, Spanish Costillian, Mexican Spanish, Burmese, including Persian, Kurdish, Vietnamese, Japanese, Cantonese, Mandarin, Lao, Punjabi, Pashto, etc. Also Certified Documents Translation. Translation Bank.

Sisters of Color United for Education
303-446-8800
Translation Services, Interpretation Services

Denver, San Luis Valley, Walsenburg, Greeley, Eagle, Adams, Aurora, Arapahoe. Spanish- Central American, South American, Mexican, Costilian Spanish, Portugese, Also Certified Translation of Documents

Translation and Interpreting Center of Denver Metro
303-996-0976
Professional Certified Interpreters and Language Translators

Medical, Social Sciences, Education, Legal
Over 150 languages
Albanian, Arabic, Bosnian, Croation, Serbian, Lao, Korean, Japanes, Cantonese, Mandarin, Chechen, Dari, Polish, Russian, Farsi, French, Hatian, Hindi, Somali, Swahili, Tagalog, Thai, Urdu, Turkish, Vietnamese, Portugese (Brazilian), Spanish (Mexican), Costillian Spanish, Mongolian, Punjabi, Pashto, Oromo, Hmong, Russian, etc.

Colorado Translation Services: Online Translation Services; Medical, Legal, Educational; Interpreters in Colorado.
Serving Aurora, Colorado Springs, Greeley, Ft Collins, Pueblo, Boulder, Westminster: 150 Languages.

Afrikaana, Amharic, Arabic, Albanian, Armania, Assaamese, Baluchi, Bengali, Basque, Bhojpuri, Bosnia, Burmese, Croation, Serbian, Chechen, Mexican Spanish, Cebuana, Romanian, Russian, Estonian, Filipino, Farsi, Finnish, Hindhi, Telugu, Latin, Costillian Spanish, Latvian, Lao, Somali, Zulu, Lingala, Bengali, Burmese, Kurdish, Mongolian, Cantonese, Mandarin, Nepali, Persian, Portugese, Sindhi, Sinhalese, Slovak, Punjabi, Tamil, Tartar, French, German, Hungarian, Bulgarian , etc..

Interpreters Network of Colorado
303-831-4151 or 888-499-7996
Medical, Mental Health, Social Sciences, Legal, Education. Certified Interpreters; Legal Communication Skills for Advocacy as well.

September 8-12, 2014- Registration Deadline August 8th, 2014
December 4,5,6,12-13, 2014- Registration Deadline October 31st, 2014
Medical Translation for Amharic, Arabic, Bengali, Bosnian, Burmese,/ Karen, Chinese (Cantonese), Cambodian, Lao, Khmer, Portugese, Somali, Spanish, Urdu, Tigrigna, Korean, etc.

Metro State University
Department of Modern Languages
303-455-4588
Certified / Licensed Interpreters and Translators Training Medical, Social Sciences, Legal, Education

University of Denver
Translation Studies Certificate
303-871-2291
Spanish to English- English to Spanish

Other Specialized Concentrations
Classes start September 8th, 2014

Children’s Hospital Colorado
Anschutz Campus
720-777-1234
Interpreter services provided for all patients

Blue Phone Interpretation Instrument:
Equipped in each patient’s room and Information Desk

Translation Services for children and families

Aurora, Littleton, Broomfield, Centennial, Colorado Springs, Pueblo, Denver, Parker, Wheat Ridge

University of Colorado -
Colorado Springs (UCCS)
719-255-3498
Spanish/ English Medical Interpreter Training Program
Classes from 11/13/14-12/13/14

University of Northern Colorado
1-866-885-6087
Extended Studies
Interpreter Training Center

Educational Interpreter Professional Development Series
Sponsored in partnership by Colorado Dept of Education
Part of National Consortium of Interpreters
Online Training UNC, Greeley
ASL American Sign Language

Colorado State University Global
B.S. in Communication
Spanish Interpreter Certification

Colorado Mountain College
719-486-4292
Partners : Lake County Build A Generation and Live Well Colorado

Interpreters and translations training
English-Spanish/Spanish–English

Aprendi Translation/ Interpretation Services
800-876-9395

Western Slope
Glenwood Springs to Grand Junction
Verbal Interpretation Written Translation
Medical, Education, Legal, Schools, Govt. FacilitiesAlso ASL Interpretation