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Program Overview

For Children & Adolescents Ages 5–17 in Baltimore City

Our Youth Care Coordination services are designed to support children and adolescents (ages 5–17 at enrollment, once enrolled you are eligible for the services until age 21) in Baltimore City who are experiencing behavioral health challenges or have a psychiatric diagnosis. We partner closely with families to ensure youth and the family are connected to the care, trusted resources, and opportunities they need to thrive at home, in school, and in their communities.

Care Coordination helps families navigate the often overwhelming landscape of medical, mental health, educational, and social support systems by providing a central point of contact and consistent, compassionate guidance.

What Our Program Includes

Our services follow a holistic, wraparound model that is youth-guided and family-driven, meaning care plans are designed around the unique strengths, needs, and goals of each youth and family.

Key areas of focus include:

  • Comprehensive psychosocial assessment to identify needs and strengths
  • Individualized care plans created in collaboration with the family
  • Child and family team meetings to coordinate services and adjust plans as needed
  • Warm handoffs to trusted community providers
  • Ongoing case management and progress monitoring
  • Crisis intervention and prevention support

  • Connections to services for the whole family, such as:

    • Behavioral health treatment (therapy, psychiatry)
    • School and IEP/504 advocacy
    • Housing, food, and transportation resources
    • Mentorship and recreational programs
    • Entitlement support (e.g., Medicaid, SSI, SNAP)
A child sitting with arms wrapped around their knees, being comforted by a person with a clipboard.

Who Is Eligible

Minors (Ages 5–17)

  • Must be aged 5–17 at enrollment (once enrolled you are eligible for the services until 21 years old)
  • Must have demonstrated behavioral/emotional needs or have a behavioral health diagnosis
  • Must reside in Baltimore City

Program Goals

  • Improve access to critical services and supports
  • Enhance youth stability and family functioning
  • Reduce behavioral health crises and avoid hospitalizations
  • Empower caregivers to advocate and coordinate care
  • Support long-term success in school, home, and the community

Why It Matters

Navigating the behavioral health system can be daunting.

Navigating the behavioral health system can be overwhelming – when families are already under stress. Youth Care Coordination is designed to bridge gaps in care, break down systemic barriers, and ensure families have the consistent support they need.

With the help of a dedicated Care Coordinator, families don’t have to go it alone. We walk alongside youth and caregivers to create clear pathways toward wellness, growth, and lasting change.

Youth Care Coordination Service Request Form

Please fill out the form below if the eligibility requirements above have been met.