Local Care Team Administration (Caroline County) Annual

Story Behind the Curve


   It is important to note that the lack of community based resources (partial-day, respite homes that are appropriate, accessible therapists and access to psychiatrists) remain barriers to providing comprehensive services for children, youth and families struggling with behavioral health issues.  For families with children with significant developmental or physical disabilities, the resources are also limited.


Additionally, for those youth who need residential treatment the process for identifying a facility that will accept the youth is a tremendous obstacle for families who are struggling to meet the needs of their child.


Youth who are both DJS and DSS involved are sometimes held in detention awaiting a more appropriate placement.


Acute beds seem to be difficult to access for local hospitals and youth are sent home with parents/caregivers.


Staffing at agencies is stretched.  Caroline County has new staff from the director position to new social workers. 


The pandemic has increased the need and also increased the barriers to meeting the need.

Program Summary

Under Maryland Code (Human Services §8-407) a Local Care Team shall: 

1) be a forum for: 

    a) families of children with intensive needs to receive assistance with the identification of individual needs and potential resources to meet identified                 needs; and 

    b) interagency discussions and problem solving for individual child and family needs and systemic needs; 

2) refer children and families to: 

    a) care management entities when appropriate; and 

    b) available local and community resources; 

3) provide training and technical assistance to local agency and community partners; 

4) identify and share resource development needs and communicate with the care management entity, local core service agencies, provider networks, local management boards, and other local care teams in surrounding jurisdictions; and 

5) discuss a request for a voluntary placement agreement for a child with a developmental disability or a mental illness under § 5-525 of the Family Law Article. 

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Data Discussion

Having an LCT Coordinator has been a turning point for the LCT.  Through the education provided by the Coordinator to not only the LCT members but, the school guidance counselors and special education departments has increased awareness and the purpose of the LCT.  This has led to more referrals for resources for intensive needs youth.  The LCT Coordinator does a follow-up with the family in 2 weeks to determine if the Plan Of Care is moving forward, this has led to more accountability on the referring agencies to follow up with referrals identified in the Plan Of Care.

Caroline County is seeing an increase in intensive behavioral health needs.  It is becoming more difficult to provide community based resources for these families and more so to find appropriate in State placement.  This has increased the referrals for VPAs and has led to 2 out of state placements in FY19.


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