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1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />s <br />9 <br />10' <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />collaborative partners to provide Comprehensive Case Management Team services <br />for families with children ages birth through eighteen (0-18) years, <br />hereinafter referred to as "PARTICIPANTS" for purposes of Subparagraph 5.1 of <br />this Exhibit. <br />5. 1,2 Children's Bureau shall coordinate with other <br />collaborative partners to provide Comprehensive Case Management Team services <br />for a minimum of one hundred (100) unduplicated PARTICIPANTS. Comprehensive <br />Case Management Team services shall include, but not be limited to, the <br />following components: <br />5.1.2.1 Assessment: The .assigned FRC staff shall <br />complete a comprehensive assessment of PARTICIPANTS' strengths and needs and <br />of the community resources available to PARTICIPANT. The assigned FRC staff <br />shall complete a FaCT registration form, FaCT consent forms, Case Management <br />Team Outcomes & Tracking Log, and a referral form. <br />5.1.2.2 Individualized Service Plan: On the basis of the <br />assessment, the assigned FRC staff, with the Comprehensive Case Management <br />Team, under the supervision of the FRC Program Coordinator and/or license <br />eligible clinician, shall develop an individualized service plan with the <br />PARTICIPANT that identifies priorities, desired outcomes, and the strategies <br />and resources to be used in attaining the outcomes. <br />6.1.2.3 Service Plan Implementation: The assigned FRC <br />staff, in conjunction with the appropriate providers, shall implement the <br />service plan aimed at mobilizing the community resources and services needed <br />to maximize the PARTICIPANT's physical, social, and emotional well-being; and <br />coordinate and monitor service delivery. The assigned FRC staff shall refer <br />PARTICIPANT, as appropriate, to other collaborative partners for services. <br />The assigned FRC staff shall track the referral on a referral form. Reporting <br />of referral outcomes shall be returned to the centralized data location. <br />(FNH0209) 17 of 42 (3/18/09) <br />