I. OVERVIEW
The Holmes County Service Coordination Mechanism is a response to the statutory requirement that each county is required to have a Service Coordination Mechanism. The Service Coordination Mechanism must incorporate certain provisions found in the Ohio Revised Code (ORC) 121.37 (C)(D) and 121.38. All Holmes County Family and Children First Council members continue to work together to provide a venue for families requiring services where their needs may not have been adequately addressed in traditional agency systems. Each system has areas of responsibility, and the Service Coordination Mechanism is not intended to override current agency systems, but to supplement and enhance what currently exists. Service coordination builds upon the strength of services in the community that are already working for families. The service coordination process provides access to existing services and supports, both formal and informal, and when appropriate propose new services, supports, and/or strategies to be added in order to address unmet needs.
This county service coordination mechanism shall serve as the guiding document for coordination of services in the county. For children who also receive services under the Help Me Grow program, the service coordination mechanism is consistent with rules adopted by the Department of Health under ORC 3701.61. All family service coordination plans shall be developed in accordance with the county service coordination mechanism.
Council member organizations include schools, programs, agencies, juvenile court, county officials and service systems (such as the Mental Health and Recovery Board which represents both the mental health and substance abuse recovery systems). These member organizations have a long history of working closely together to provide appropriate, effective services to infants, children and adolescents and their families with a special emphasis on serving those at risk and those with multiple needs. Organizational members share a common philosophy of respect for the family and for the importance of the family, and/or the importance of the family and service provider partnership.
Holmes County Family and Children First Council member organizations are:
Holmes County Health Department
Holmes County Commissioners
Holmes County Department of Job & Family Services
Holmes County Juvenile Court
Mental Health & Recovery Board of Wayne-Holmes Counties
East Holmes Local Schools
West Holmes Local Schools
Tri-County Educational Services Center
Holmes County Board of DD
Holmes County District Library
Holmes County Head Start
The Counseling Center
Every Woman's House
Your Human Resource Center
OSU Extension
Big Brothers Big Sisters of East Central Ohio
Parents
Early Intervention/Help Me Grow
All members of Holmes County Family & Children First Council are involved in development and/or review of the county Service Coordination Mechanism.
The Holmes County Service Coordination Mechanism is a response to the statutory requirement that each county is required to have a Service Coordination Mechanism. The Service Coordination Mechanism must incorporate certain provisions found in the Ohio Revised Code (ORC) 121.37 (C)(D) and 121.38. All Holmes County Family and Children First Council members continue to work together to provide a venue for families requiring services where their needs may not have been adequately addressed in traditional agency systems. Each system has areas of responsibility, and the Service Coordination Mechanism is not intended to override current agency systems, but to supplement and enhance what currently exists. Service coordination builds upon the strength of services in the community that are already working for families. The service coordination process provides access to existing services and supports, both formal and informal, and when appropriate propose new services, supports, and/or strategies to be added in order to address unmet needs.
This county service coordination mechanism shall serve as the guiding document for coordination of services in the county. For children who also receive services under the Help Me Grow program, the service coordination mechanism is consistent with rules adopted by the Department of Health under ORC 3701.61. All family service coordination plans shall be developed in accordance with the county service coordination mechanism.
Council member organizations include schools, programs, agencies, juvenile court, county officials and service systems (such as the Mental Health and Recovery Board which represents both the mental health and substance abuse recovery systems). These member organizations have a long history of working closely together to provide appropriate, effective services to infants, children and adolescents and their families with a special emphasis on serving those at risk and those with multiple needs. Organizational members share a common philosophy of respect for the family and for the importance of the family, and/or the importance of the family and service provider partnership.
Holmes County Family and Children First Council member organizations are:
Holmes County Health Department
Holmes County Commissioners
Holmes County Department of Job & Family Services
Holmes County Juvenile Court
Mental Health & Recovery Board of Wayne-Holmes Counties
East Holmes Local Schools
West Holmes Local Schools
Tri-County Educational Services Center
Holmes County Board of DD
Holmes County District Library
Holmes County Head Start
The Counseling Center
Every Woman's House
Your Human Resource Center
OSU Extension
Big Brothers Big Sisters of East Central Ohio
Parents
Early Intervention/Help Me Grow
All members of Holmes County Family & Children First Council are involved in development and/or review of the county Service Coordination Mechanism.
HOLMES COUNTY
SERVICE COORDINATION MECHANISM
SERVICE COORDINATION MECHANISM
The Service Coordination Mechanism process proceeds in three stages:
1. Identification of the strengths of present cooperative efforts among member organizations.
2. Identification of areas of service coordination in need of change and strengthening.
3. Development of agreed upon strategies for creating a coordinated, comprehensive continuum of family
strengthening and child development enhancing services.
The service coordination mechanism employed through this plan will create solutions based on Ohio’s Commitments to Child Well-Being, which are:
1. Expectant parents and newborns thrive
2. Infants and toddlers thrive
3. Children are ready for school
4. Children and youth succeed in school
5. Youth choose healthy behaviors
6. Youth successfully transition into adulthood
In addition, these underlying values of service coordination will be at the forefront of case planning and implementation:
1. Children have the right to live with their own family.
2. Children have the right to be nurtured and protected in a stable family environment.
3. When children are at risk of harm, the community has the responsibility to intervene.
4. Families are our community’s most important resource and must be respected, valued, and encouraged to build upon their strengths.
5. The racial, cultural and ethnic heritage of children and the neighborhoods where they live are respected and supported as strengths. Ethnic and racial
child-rearing practices are valued.
6. Families have the right and responsibility to participate in identifying their concerns, priorities, and needed resources.
7. Families have a right to individualized service provision that addresses the multiple needs of their children.
II. TARGET POPULATION AND ENTRY INTO COORDINATED CARE
The total population of Holmes County is over 41,000 based on estimates from the Ohio Department of Development.. About 40% of the families are Amish. Holmes County is designated as an Appalachian county. This creates unique service needs and opportunities for Holmes County. The Service Coordination Plan embraces a multi-cultural approach to serving the target population of families and children, and recognizes that strengths and needs must be assessed from a culture sensitive perspective. The Holmes County Family and Children First Service Coordination Mechanism serves children from ages 0 through 21 who have multi-systemic needs. All components of the service coordination mechanism shall be responsive to family strengths, needs, and cultural diversity, and shall be delivered in the least restrictive environment. This is monitored by the Service Funding Committee, which oversees service coordination activities for Holmes County Family and Children First Council. Each system has areas of responsibility, and the collaborative approach is not intended to replace or usurp the primary role of any one of those systems.
Holmes County utilizes pooled dollars to fund service coordination. The Community Care funders have designated and appointed individuals to serve as members of the Service Funding Committee. The Holmes County Family & Children First Council Coordinator serves as Chair of this committee. The Service Funding Committee, which is representative of the child-placing systems, meets twice each month, with special meetings called as needed. Funding requests are submitted to the Council Coordinator, who sets the agenda for the Service Funding Committee. Services identified in a Family service coordination plan are addressed and approved in this manner. School representatives and the Director of Project STAY are also invited to Service Funding Committee meetings. Holmes County Family and Children First Council shall approve a process to utilize both Children’s Community Behavioral Health funds and Family Centered Services and Supports funds for children and their families in service coordination.
1. Identification of the strengths of present cooperative efforts among member organizations.
2. Identification of areas of service coordination in need of change and strengthening.
3. Development of agreed upon strategies for creating a coordinated, comprehensive continuum of family
strengthening and child development enhancing services.
The service coordination mechanism employed through this plan will create solutions based on Ohio’s Commitments to Child Well-Being, which are:
1. Expectant parents and newborns thrive
2. Infants and toddlers thrive
3. Children are ready for school
4. Children and youth succeed in school
5. Youth choose healthy behaviors
6. Youth successfully transition into adulthood
In addition, these underlying values of service coordination will be at the forefront of case planning and implementation:
1. Children have the right to live with their own family.
2. Children have the right to be nurtured and protected in a stable family environment.
3. When children are at risk of harm, the community has the responsibility to intervene.
4. Families are our community’s most important resource and must be respected, valued, and encouraged to build upon their strengths.
5. The racial, cultural and ethnic heritage of children and the neighborhoods where they live are respected and supported as strengths. Ethnic and racial
child-rearing practices are valued.
6. Families have the right and responsibility to participate in identifying their concerns, priorities, and needed resources.
7. Families have a right to individualized service provision that addresses the multiple needs of their children.
II. TARGET POPULATION AND ENTRY INTO COORDINATED CARE
The total population of Holmes County is over 41,000 based on estimates from the Ohio Department of Development.. About 40% of the families are Amish. Holmes County is designated as an Appalachian county. This creates unique service needs and opportunities for Holmes County. The Service Coordination Plan embraces a multi-cultural approach to serving the target population of families and children, and recognizes that strengths and needs must be assessed from a culture sensitive perspective. The Holmes County Family and Children First Service Coordination Mechanism serves children from ages 0 through 21 who have multi-systemic needs. All components of the service coordination mechanism shall be responsive to family strengths, needs, and cultural diversity, and shall be delivered in the least restrictive environment. This is monitored by the Service Funding Committee, which oversees service coordination activities for Holmes County Family and Children First Council. Each system has areas of responsibility, and the collaborative approach is not intended to replace or usurp the primary role of any one of those systems.
Holmes County utilizes pooled dollars to fund service coordination. The Community Care funders have designated and appointed individuals to serve as members of the Service Funding Committee. The Holmes County Family & Children First Council Coordinator serves as Chair of this committee. The Service Funding Committee, which is representative of the child-placing systems, meets twice each month, with special meetings called as needed. Funding requests are submitted to the Council Coordinator, who sets the agenda for the Service Funding Committee. Services identified in a Family service coordination plan are addressed and approved in this manner. School representatives and the Director of Project STAY are also invited to Service Funding Committee meetings. Holmes County Family and Children First Council shall approve a process to utilize both Children’s Community Behavioral Health funds and Family Centered Services and Supports funds for children and their families in service coordination.
The Service Funding Committee will oversee this process. In addition, pooled funds are used for out of home placements in those cases where community-based services are not appropriate. The identified lead case manager and the Care Team of a multi-need case, in coordination with the Service Funding Committee, will pursue all other appropriate sources of funds/reimbursements applicable to the case, including, but not limited to, parental support, insurance, Title IV-E, Social Security, Supplemental Social Security Income (SSI), fees and other local funds. Any reimbursement of costs recovered from any one or more sources will be paid into the Pooled Fund. It is further agreed that the origination of the referral of any family or individual to the Service Funding Committee shall not prejudice the outcome of any decision regarding authorization for funding, including the outcome of formal dispute resolution process as outlined in the Holmes County Community Care Plan, and regardless of the adjudicated or voluntary status of the family or individual case.
III. SYSTEM ACCESS
There will be access through any member organization, area agency or service provider, or the Family & Children First Council Coordinator by any family referred to or seeking services. Referrals to HCFCFC service coordination may be made by any agency (not just HCFCFC member agencies), juvenile court, and any family voluntarily seeking services. Member organizations agree to serve as entry service providers and will share responsibility for forming a multi-discipline, multi-system service team to determine the most appropriate method of accessing services and addressing the needs of the youths or families. The Service Funding Committee, Help Me Grow, Family Centered Services and Supports, and Children’s Community Behavioral Health will be incorporated into this process. Member agencies who are not direct service providers will nonetheless support service coordination and give cooperative credit. Notification of a service coordination plan meeting is sent by the lead case manager. Family members are also informed that they may invite a support person, and may request a PAC advocate or mentor from an area agency. The meeting notification includes a representative form the child’s school district representatives from those agencies involved with or seen as possible resources to the child and family. Families may have approval over the participants and facilitator of the service coordination process. In addition, as service coordination is child-centered and family-focused, this mechanism will describe a plan of care for families identified by systems. It also allows for families to refer themselves into this level of service planning. Criteria for self-referral includes any child from birth to age 21 with multi-systemic needs whose service and support needs may not be adequately met while working outside the Service Coordination Mechanism. It is not intended to override current agency systems, but to supplement and enhance what currently exists.
IV. FAMILY AND CHILD INFORMATION AND ASSESSMENT
Information and Application
It is expected that each member organization will provide staff that will assist in the application process, explain the service coordination mechanism to the family, provide a verbal explanation of the dispute resolution process, serve families in his/her own member organization and ensure the transition of multiple need families to a lead case manager. Written notices and explanation are provided as part of entry level services. Families voluntarily seeking services are referred to the Holmes County Family & Children First Council Coordinator, who facilitates the referral process for them.
All member organizations are required to protect client rights, and families will be encouraged to permit sharing of necessary information among member organizations, including the family service plan developed by a multi-disciplinary, multi-system service team. This authorization will facilitate the provision of coordinated, outcome based services to families including those with severe and/or multiple needs and includes use of the HIPAA Notice of Privacy Practices and Holmes County Family & Children First Release of Information form. Agreements to protect and respect confidentiality are signed by the family and among members of the service coordination team.
A county-wide referral procedure includes documentation of:
1. Referral receipt date
2. Referral source contact information
III. SYSTEM ACCESS
There will be access through any member organization, area agency or service provider, or the Family & Children First Council Coordinator by any family referred to or seeking services. Referrals to HCFCFC service coordination may be made by any agency (not just HCFCFC member agencies), juvenile court, and any family voluntarily seeking services. Member organizations agree to serve as entry service providers and will share responsibility for forming a multi-discipline, multi-system service team to determine the most appropriate method of accessing services and addressing the needs of the youths or families. The Service Funding Committee, Help Me Grow, Family Centered Services and Supports, and Children’s Community Behavioral Health will be incorporated into this process. Member agencies who are not direct service providers will nonetheless support service coordination and give cooperative credit. Notification of a service coordination plan meeting is sent by the lead case manager. Family members are also informed that they may invite a support person, and may request a PAC advocate or mentor from an area agency. The meeting notification includes a representative form the child’s school district representatives from those agencies involved with or seen as possible resources to the child and family. Families may have approval over the participants and facilitator of the service coordination process. In addition, as service coordination is child-centered and family-focused, this mechanism will describe a plan of care for families identified by systems. It also allows for families to refer themselves into this level of service planning. Criteria for self-referral includes any child from birth to age 21 with multi-systemic needs whose service and support needs may not be adequately met while working outside the Service Coordination Mechanism. It is not intended to override current agency systems, but to supplement and enhance what currently exists.
IV. FAMILY AND CHILD INFORMATION AND ASSESSMENT
Information and Application
It is expected that each member organization will provide staff that will assist in the application process, explain the service coordination mechanism to the family, provide a verbal explanation of the dispute resolution process, serve families in his/her own member organization and ensure the transition of multiple need families to a lead case manager. Written notices and explanation are provided as part of entry level services. Families voluntarily seeking services are referred to the Holmes County Family & Children First Council Coordinator, who facilitates the referral process for them.
All member organizations are required to protect client rights, and families will be encouraged to permit sharing of necessary information among member organizations, including the family service plan developed by a multi-disciplinary, multi-system service team. This authorization will facilitate the provision of coordinated, outcome based services to families including those with severe and/or multiple needs and includes use of the HIPAA Notice of Privacy Practices and Holmes County Family & Children First Release of Information form. Agreements to protect and respect confidentiality are signed by the family and among members of the service coordination team.
A county-wide referral procedure includes documentation of:
1. Referral receipt date
2. Referral source contact information
Member Organization Disputes
Disputes may arise involving the services provided through the service coordination process by a member organization or organizations. These disputes are likely to involve those areas in which a member organization's traditional way of doing business, fiscal constraints, job descriptions or service eligibility mandates conflict with a family's need and with a Family Service Team's service recommendations. At any time an agency may dispute the content and services identified in a family service coordination plan. This will be initially addressed at a team meeting. Necessary services will continue while any dispute is being resolved. Written determination of findings will be made within 60 days. Assessment or treatment information will be provided to the court when disputes reach this level. Agencies have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution.
In the event of Family & Children First Council member organization disputes, the following processes will occur:
1. Disputes between or among organizational members may be referred by written petition to the Council Chair at anytime.
2. The Chair will notify all members of receipt of a dispute petition and appoint a neutral Council member to act as a mediator in the dispute.
3. The mediator will hold mediation sessions. The mediator will submit a written summary of the mediation to the Council within 60 working days.
The dispute will be considered resolved if the parties to the dispute agree.
4. If the mediation process does not result in a resolution the Council may resolve the dispute through a two-thirds (2/3) vote of the voting members.
Prior to any such resolution the Council may request that the parties participate in an arbitration process.
5. When arbitration is used, the arbitration panel shall consist of one Family & Children First Council member selected by each of the disputants and a
third Family & Children First Council member chosen by these two panel members. The arbitration panel, may receive the best settlement offers from
each of the disputants and recommend one or the other of these offers to the Council for its consideration. The arbitration panel may also hear the
facts and arguments of each disputant and make a non-binding decision to be forwarded to the Council. This arbitration process and vote of the
Council shall be completed within 30 days of the date the mediator issues his/her report to the Council. A two-thirds (2/3) vote of the voting Council
members will be required to make a binding decision.
6. If any party to the dispute fails to abide by the decision of Council, the Council may access the State Cabinet Council appeal process following a
majority vote of the voting Council member organizations. Cabinet Council decisions may result in a redirection of state funds to the county.
Help Me Grow Procedural Safeguards
An individual or an organization may file a complaint with the county FCFC regarding the provision of early intervention services within the county. Efforts will be made to ensure that services to the family continue while the complaint is being investigated. The FCFC shall notify ODH of the complaint in writing (via e-mail or fax) within seven calendar days of receipt of the complaint and investigate the complaint in accordance with procedures that meet the following minimum requirements:
a. The alleged violation must have occurred not more than one year before the date that the complaint is received unless a longer period is reasonable
because the alleged violation continues for that child or other children, or the complainant is requesting reimbursement or corrective action for a
violation that occurred not more than three years before the date on which the complaint was received.
b. The alleged violation must be submitted to the FCFC in writing and shall include the facts alleged in the complaint. FCFC’s written procedures must
include the address where the complaint is to be mailed.
c. The FCFC shall assign one or more individuals to investigate the complaint. The assigned individuals must not have a direct interest in the matter
and shall investigate the complaint by doing at least the following:
d. The FCFC shall issue a written decision to the complainant within thirty (30) calendar days from receipt of the complaint. The decision shall
address each allegation in the complaint and shall include the findings of fact and conclusions and the reasons for the FCFC’s decision. A copy of
the decision shall be provided to the complainant and the ODH.
e. If the FCFC determines there was a violation, the FCFC must ensure that corrective actions are implemented within 45 days or sooner of the written
final decision. The corrective action plan may include the following:
f. The ODH will monitor the corrective action plan to ensure that corrective actions are implemented.
g. If the complainant is not satisfied with FCFC’s findings or corrective action plan, the complainant may file a complaint with ODH in accordance with
the procedures set forth by ODH. ODH will investigate the complaint and issue a written decision within thirty (30) days from receipt of the
complaint.
If a written complaint is received above that is also the subject of an administrative hearing, or contains multiple issues, of which one or more are part of the administrative hearing, the complaint investigation or any part of the complaint investigation that is being addressed in the administrative hearing must be set aside until the conclusion of the hearing. However, any part of the complaint that is not part of the administrative hearing must be resolved within the established timelines.
If an issue is raised in a complaint filed under this procedure that has previously been decided in an administrative hearing process involving the same parties, the hearing decision is binding and the ODH will notify the complainant of such.
VII. QUALITY ASSURANCE, IMPROVEMENT AND EVALUATION
The Council Chair appoints a work group to develop an evaluation plan to evaluate how effectively and efficiently the service coordination process is being followed. The Family & Children First Council Coordinator will offer training to agencies, staff and direct care personnel about the county’s Service Coordination Plan. The work group reports its recommendations to the Council. Amendments may be made through the process described in Section X. Holmes County Family & Children First Council places quality assurance as a high priority in its mission of promoting safe, healthy, and stable children and families. The work group develops a plan and process for the regular annual evaluation of the Service Coordination Mechanism and reports its recommendations to the Council. Agencies and direct care personnel inform families about the County’s Service Coordination Mechanism. Upon request, service coordination data will be submitted to the state for the purpose of evaluation.
VIII. FISCAL IMPLICATIONS OF SERVICE COORDINATION
To ensure effective implementation of the Service Coordination Mechanism, the Holmes County Family & Children First Council and Community Care Board will each develop a budget designed to allocate resources and designate an equitable sharing of costs.
Disputes may arise involving the services provided through the service coordination process by a member organization or organizations. These disputes are likely to involve those areas in which a member organization's traditional way of doing business, fiscal constraints, job descriptions or service eligibility mandates conflict with a family's need and with a Family Service Team's service recommendations. At any time an agency may dispute the content and services identified in a family service coordination plan. This will be initially addressed at a team meeting. Necessary services will continue while any dispute is being resolved. Written determination of findings will be made within 60 days. Assessment or treatment information will be provided to the court when disputes reach this level. Agencies have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution.
In the event of Family & Children First Council member organization disputes, the following processes will occur:
1. Disputes between or among organizational members may be referred by written petition to the Council Chair at anytime.
2. The Chair will notify all members of receipt of a dispute petition and appoint a neutral Council member to act as a mediator in the dispute.
3. The mediator will hold mediation sessions. The mediator will submit a written summary of the mediation to the Council within 60 working days.
The dispute will be considered resolved if the parties to the dispute agree.
4. If the mediation process does not result in a resolution the Council may resolve the dispute through a two-thirds (2/3) vote of the voting members.
Prior to any such resolution the Council may request that the parties participate in an arbitration process.
5. When arbitration is used, the arbitration panel shall consist of one Family & Children First Council member selected by each of the disputants and a
third Family & Children First Council member chosen by these two panel members. The arbitration panel, may receive the best settlement offers from
each of the disputants and recommend one or the other of these offers to the Council for its consideration. The arbitration panel may also hear the
facts and arguments of each disputant and make a non-binding decision to be forwarded to the Council. This arbitration process and vote of the
Council shall be completed within 30 days of the date the mediator issues his/her report to the Council. A two-thirds (2/3) vote of the voting Council
members will be required to make a binding decision.
6. If any party to the dispute fails to abide by the decision of Council, the Council may access the State Cabinet Council appeal process following a
majority vote of the voting Council member organizations. Cabinet Council decisions may result in a redirection of state funds to the county.
Help Me Grow Procedural Safeguards
An individual or an organization may file a complaint with the county FCFC regarding the provision of early intervention services within the county. Efforts will be made to ensure that services to the family continue while the complaint is being investigated. The FCFC shall notify ODH of the complaint in writing (via e-mail or fax) within seven calendar days of receipt of the complaint and investigate the complaint in accordance with procedures that meet the following minimum requirements:
a. The alleged violation must have occurred not more than one year before the date that the complaint is received unless a longer period is reasonable
because the alleged violation continues for that child or other children, or the complainant is requesting reimbursement or corrective action for a
violation that occurred not more than three years before the date on which the complaint was received.
b. The alleged violation must be submitted to the FCFC in writing and shall include the facts alleged in the complaint. FCFC’s written procedures must
include the address where the complaint is to be mailed.
c. The FCFC shall assign one or more individuals to investigate the complaint. The assigned individuals must not have a direct interest in the matter
and shall investigate the complaint by doing at least the following:
d. The FCFC shall issue a written decision to the complainant within thirty (30) calendar days from receipt of the complaint. The decision shall
address each allegation in the complaint and shall include the findings of fact and conclusions and the reasons for the FCFC’s decision. A copy of
the decision shall be provided to the complainant and the ODH.
e. If the FCFC determines there was a violation, the FCFC must ensure that corrective actions are implemented within 45 days or sooner of the written
final decision. The corrective action plan may include the following:
f. The ODH will monitor the corrective action plan to ensure that corrective actions are implemented.
g. If the complainant is not satisfied with FCFC’s findings or corrective action plan, the complainant may file a complaint with ODH in accordance with
the procedures set forth by ODH. ODH will investigate the complaint and issue a written decision within thirty (30) days from receipt of the
complaint.
If a written complaint is received above that is also the subject of an administrative hearing, or contains multiple issues, of which one or more are part of the administrative hearing, the complaint investigation or any part of the complaint investigation that is being addressed in the administrative hearing must be set aside until the conclusion of the hearing. However, any part of the complaint that is not part of the administrative hearing must be resolved within the established timelines.
If an issue is raised in a complaint filed under this procedure that has previously been decided in an administrative hearing process involving the same parties, the hearing decision is binding and the ODH will notify the complainant of such.
VII. QUALITY ASSURANCE, IMPROVEMENT AND EVALUATION
The Council Chair appoints a work group to develop an evaluation plan to evaluate how effectively and efficiently the service coordination process is being followed. The Family & Children First Council Coordinator will offer training to agencies, staff and direct care personnel about the county’s Service Coordination Plan. The work group reports its recommendations to the Council. Amendments may be made through the process described in Section X. Holmes County Family & Children First Council places quality assurance as a high priority in its mission of promoting safe, healthy, and stable children and families. The work group develops a plan and process for the regular annual evaluation of the Service Coordination Mechanism and reports its recommendations to the Council. Agencies and direct care personnel inform families about the County’s Service Coordination Mechanism. Upon request, service coordination data will be submitted to the state for the purpose of evaluation.
VIII. FISCAL IMPLICATIONS OF SERVICE COORDINATION
To ensure effective implementation of the Service Coordination Mechanism, the Holmes County Family & Children First Council and Community Care Board will each develop a budget designed to allocate resources and designate an equitable sharing of costs.
X. AMENDMENTS TO THE SERVICE COORDINATION MECHANISM
The Council may amend this Service Coordination Mechanism at any of its regular meetings provided that written notice of the proposed amendment has been given to each member organization's Council representative not less than thirty days prior to the date of the meeting. Other than editorial changes, no change may be made in any proposed amendment after notice of the proposed change has been provided to Council members. Approval of any amendment to this plan shall require a two thirds (2/3) vote of all voting members.
ATTACHMENTS:
Attachment A: Service Coordination Intake-Referral Form
Attachment B: Crisis/Safety Plan
Attachment C : Parent/Family Strength Assessment
Attachment D: PAC Contact Sheet
Attachment E: Service Coordination Team Signature/Confidentiality
Attachment F: Explanation of Service Coordination
Attachment G: Family Service Plan
First Plan: December 10, 1998
Revised: November 9, 2000
Revised: August 14, 2002
Revised: February 6, 2004
Revised: December 2, 2005
Revised: June 4, 2010
The Council may amend this Service Coordination Mechanism at any of its regular meetings provided that written notice of the proposed amendment has been given to each member organization's Council representative not less than thirty days prior to the date of the meeting. Other than editorial changes, no change may be made in any proposed amendment after notice of the proposed change has been provided to Council members. Approval of any amendment to this plan shall require a two thirds (2/3) vote of all voting members.
ATTACHMENTS:
Attachment A: Service Coordination Intake-Referral Form
Attachment B: Crisis/Safety Plan
Attachment C : Parent/Family Strength Assessment
Attachment D: PAC Contact Sheet
Attachment E: Service Coordination Team Signature/Confidentiality
Attachment F: Explanation of Service Coordination
Attachment G: Family Service Plan
First Plan: December 10, 1998
Revised: November 9, 2000
Revised: August 14, 2002
Revised: February 6, 2004
Revised: December 2, 2005
Revised: June 4, 2010
3. Contact information for referred family/child
4. Description of the issues
5. Response/outcome of referral
6. Timelines for each referral process step
7. Explanation of the Dispute Resolution process to the Family at the beginning of service coordination
It is the expectation of the Holmes County Family & Children First Council that a member’s intake process will focus on the child or youth in the context of the family unit and environment. In all instances the family is encouraged to express and define strengths and needs and to identify positive outcomes rather than to try to fit the child and themselves into existing services. The primary method of strengthening the family will be to wrap supportive services around the family unit in partnership with the parents/caretakers. The intent of the service coordination mechanism is to provide services in the least restrictive environment; ensure confidentiality, facilitate family input; review case plans and develop timelines for monitoring progress toward identified goals; develop plans for dealing with short-term crisis situations and safety concerns.
Diverting Unruly Youth
Youth alleged to be unruly are dealt with at Holmes County Juvenile Court. Cases are referred to an Intake Probation Officer. Diversion is a 90-day program and creates a contract with the youth and family that is overseen by a Intake/Diversion Officer employed by the Juvenile Court. If the youth satisfies terms contracted upon in a three month time frame, including no new charges, the case can be closed. Depending on the needs of the child/family, the case may remain open longer than 90 days. However, if the youth receives new charges during the diversion program or fails to cooperate with the established contract, then the Juvenile Court can file charges on the original and/or new charges. The Diversion program can be denied at any time and the case would then be sent before the Court. The diversion officer will conduct a meeting with the child and parents, and other interested parties to determine the appropriate methods to divert the child from the juvenile court system. A contract is constructed that the child and parents sign, outlining specific responsibilities for each. Counseling, parental support, and mentoring through the Juvenile Court’s Connections Program are offered. Specific prevention needs are identified to prevent further court involvement. A child typically participates in the Diversion program once, although children 12 years of age and under may go through the program a second time.
Family Strengths/Needs Based Assessment
The Holmes County Family and Children First Council has experience in implementing a family strengths/needs based model in working with the target population. The family strengths/needs based model will be integrated into all member organizations' service delivery. This improves service planning
and delivery county-wide.
Every Council member organization and local systems of care has their own criteria for levels of intervention that Council will access and utilize. Member organization designees collect and contribute information as part of the procedure for assessing the needs and strengths of any child and family accessing the Service Coordination process. Information is collected from the child, family/caregiver, agencies/providers and others. A standardized tool or approach to guide assessment of needs and strengths in a culturally sensitive manner is utilized. The child and family are involved in all aspects of this process. The Family Strength Assessment is utilized as a tool for both families and agencies working to develop a family service plan. Family members contribute information and may ask for input from agency representatives or an advocate or mentor. The information is part of their HCFCFC service coordination record and retained by the HCFCFC Coordinator. The Family Strength Assessment is also utilized as the standardized culturally sensitive assessment tool.
V. SERVICE RESPONSIBILITY AND SERVICE PROVISION
Member organizations provide entry services to families. This includes notifying the family that a service coordination meeting can be requested; setting a date, time and meeting location acceptable to the family; assuring that the meeting takes place before a non-emergency out-of-home placement occurs, or within ten days of an emergency placement. This does not over-ride or affect decisions of a juvenile court or children’s services regarding an out-of-home placement. Families are told that they may bring an advocate, mentor or support person to meetings. Written notice of a meeting, those invited, and the purpose of the meeting is distributed to all invited.
If the child-family unit only requires help which can be provided or arranged by one member organization, that member takes the responsibility for Case Care Coordination. In such cases the service coordination mechanism is not utilized, although the case may be referred in the future if circumstances warrant. If the child-family unit has needs which can be met only through the assistance of multiple service providers, the staff designated to provide entry care coordination serves the family long enough (a) to secure agreement for a lead case manager from a fellow member organization and/or (b) to establish a Family Service Team which selects a lead case manager and develop a Family Service Plan. All multi-need families have a lead case manager and a team of helpers, referred to herein as a Family Service Team, who are likely to be able to help the child-family unit successfully complete their outcome based plan.
A Family Service Team approves or designates a lead case manager that is agreed upon by the family.
The lead case manager:
1. Tracks progress of the family Service Coordination Plan and reports of team members
2. Assists in scheduling family Service Coordination Plan reviews as necessary
3. Facilitates family Service Coordination Plan meetings
It is understood that member organizations provide staff designated to provide entry care coordination and lead case managers who have up-to-date knowledge of the child-family strengthening services of every member organization and of other service providers which might be needed by families. It is expected that case managers are responsible for coordination of the family service plan and monitoring the outcomes. The lead case manager is responsible for:
1. Coordinating the arrangement of specialized assessments and the services identified as necessary as a result of those assessments.
2. Expediting the designation of a Family Service Team and the development of the family service plan.
3. Overseeing the measurement/observation of outcomes and evaluation of key indicators of progress.
4. Surveying service satisfaction of the child-family unit.
5. Arranging for transitional services when appropriate.
6. Coordinating the sharing of appropriate information among all service team members and families
Service Funding Committee meetings serve as the venue for setting timelines for service completion, reviewing family Service Coordination Plans and monitoring progress toward identified goals. The Service Coordination Plan for short-term crisis situations may revert to procedures utilized by the appropriate system of care for the particular crisis situation. The service coordination team develops a crisis and safety plan that is included as part of the family service plan.
Family Service Plans
A family service plan is the individualized blueprint for addressing the needs/strengths of the child-family unit. Each Family Service Plan includes signature lines for providers of a service to formally acknowledge responsibility and agreement to meet that responsibility. In addition, family strengths, needs, and cultural diversity are integral components of the family Service Plan. Regular Team meetings are held with each child-family unit to assess progress mutually and to evaluate compliance of all parties with the terms of the Plan. Protocol is followed regarding informing families and other attendees of meeting date, location, purpose and other pertinent information. The Family Service team determines when, if ever, the family should be referred to the Service Funding Committee for services beyond the Team's ability to provide or secure. Crisis and Safety Plans are developed for all families who have individuals service coordination plans.
When a Family Service Plan includes service needs not available through member organizations, Service Team Members are responsible for:
1. Searching for existing providers outside of the Holmes County Family & Children First Council network.
2. Presenting a request for services to the Service Funding Committee of the Community Care Board when unable to secure them by the above
processes.
The Family Service Plan format is user friendly, both for the family and the service providers. Services identified in the Family Service Plan are provided in a timely manner. Throughout every stage of service planning family input is sought and services designed in a manner respectful of family strengths, needs and cultural issues. Family Service Plans are reviewed with families and all involved parties n a regular basis, giving time for assessment of progress while keeping those involved on track as to difficulties experienced and adjustments needed in the plan. Families are typically involved in service coordination for approximately six months. Service coordination ends upon completion of goals, when the family no longer wishes to participate or when all parties agree that no progress is being made.
VI. DISPUTE RESOLUTION
In some dispute situations which may arise involving implementation of this Service Coordination Mechanism, judicial processes already are in place. It is understood by all member organizations that judicial processes take precedence over those developed by Council for these disputes. Furthermore, it is understood that the Juvenile Court can only resolve cases for which it has been given legal jurisdiction and over which it has no inherent conflict of interest as a member of Council. Families and agencies have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution and assessment or treatment information will be provided to the court when disputes reach this level. The Juvenile Court Judge is the final arbitrator in this process.
While it is acknowledged that disputes may interrupt aspects of service delivery, each agency represented on Council that is providing services or funding for services that are the subject of the dispute initiated by a parent shall continue to provide those services and the funding for those services during the dispute process, whenever possible. Given the primary goal of service coordination which is to strengthen families in the target population so that they are able to nurture the development of their children and their family unit.
Families will be informed about the dispute resolution process as well as client rights pertinent to each involved agency. The lead case manager will review the dispute resolution information with each family at the time of the initial team meeting and when the family service plan is developed. In order to access the dispute resolution process, either the family or their lead case manager on their behalf can submit a written petition to the Council Chair stating the facts of the dispute. Families may choose to have legal representation in the dispute process should a court become involved. Necessary services will continue while any type of dispute is being resolved.
The dispute resolution process covers the following types of disputes: agency to agency, child/family to agency, child/family to their Service Coordination Plan.
Child/Family to their Service Coordination Plan
At any time a child/family may dispute the content and services identified in their service coordination plan. This will be initially addressed at a team meeting. Necessary services will continue while any dispute is being resolved. Written determination of findings will be made within 60 days. Assessment or treatment information will be provided to the court when disputes reach this level. Families have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution.
Child/Family to Agency Case Disputes
Member organizations recognize that complaints, disagreements and disputes may arise involving children and families. Every effort will be made to develop such strong partnerships between families and service providers that virtually all disputes can be resolved informally. However, if the dispute cannot be resolved informally and it involves a specific member organization, the service coordination dispute resolution process may be used only after:
1. The member organization's dispute resolution process has been used but has failed to resolve the dispute, or
2. The member organization involved has waived its own process
The following Case Dispute Resolution Process will be used in the event a case dispute cannot be resolved by the member organization's process or the member organization has waived its own process:
1. A written petition stating the facts of the dispute will be presented to the Family and Children First Council Chair by (a) the family, (b) the lead case
manager on behalf of the family, or (c) any other Council member who is involved in the provision of services to the family within five working days of
the time it has been determined by them that the dispute cannot be resolved less formally.
2. The Council Chair will review the petition and contact a mediator within three working days of receipt of the written dispute petition. The mediator
will make every effort to schedule mediation within one week of receipt of the petition. The date will be agreeable to all parties to the dispute. The
mediator will submit a written summary of the mediation to the Council Chair. The Chair will provide copies of same to the family, the lead case
manager and the Council Coordinator.
3. If the parties to the case reach an agreement the dispute will be considered resolved.
4. Should one or more of the parties disagree then the full Council membership will meet within five working days of notice of disagreement to the
Chair. In a single meeting format, Council member organizations will attempt to resolve the dispute through discussion and negotiation. The parties
to the dispute may be asked to agree to additional time for the resolution process. A two thirds (2/3) majority of the voting members will be required
to achieve resolution. Such a resolution will be issued to the family and the lead case manager within three working days of the vote. Written
determination of findings will be made within sixty days.
5. Any Council party affected by a decision of the Council pursuant to step #4 of this process may appeal to the Juvenile Court, which shall retain the
authority granted to it in ORC Section 121.38 to issue an order to bring about a final disposition of the dispute. The appeal will be filed with Juvenile
Court within seven days following a failed dispute resolution. An interagency assessment or treatment information will be submitted to the court.
6. Should Council members be unable to resolve the case dispute through the above process, the case together with all information relevant to it will
be referred to the Juvenile Court (per ORC 121.38) for a binding resolution.
7. Written determination of findings will be made within 60 days.
4. Description of the issues
5. Response/outcome of referral
6. Timelines for each referral process step
7. Explanation of the Dispute Resolution process to the Family at the beginning of service coordination
It is the expectation of the Holmes County Family & Children First Council that a member’s intake process will focus on the child or youth in the context of the family unit and environment. In all instances the family is encouraged to express and define strengths and needs and to identify positive outcomes rather than to try to fit the child and themselves into existing services. The primary method of strengthening the family will be to wrap supportive services around the family unit in partnership with the parents/caretakers. The intent of the service coordination mechanism is to provide services in the least restrictive environment; ensure confidentiality, facilitate family input; review case plans and develop timelines for monitoring progress toward identified goals; develop plans for dealing with short-term crisis situations and safety concerns.
Diverting Unruly Youth
Youth alleged to be unruly are dealt with at Holmes County Juvenile Court. Cases are referred to an Intake Probation Officer. Diversion is a 90-day program and creates a contract with the youth and family that is overseen by a Intake/Diversion Officer employed by the Juvenile Court. If the youth satisfies terms contracted upon in a three month time frame, including no new charges, the case can be closed. Depending on the needs of the child/family, the case may remain open longer than 90 days. However, if the youth receives new charges during the diversion program or fails to cooperate with the established contract, then the Juvenile Court can file charges on the original and/or new charges. The Diversion program can be denied at any time and the case would then be sent before the Court. The diversion officer will conduct a meeting with the child and parents, and other interested parties to determine the appropriate methods to divert the child from the juvenile court system. A contract is constructed that the child and parents sign, outlining specific responsibilities for each. Counseling, parental support, and mentoring through the Juvenile Court’s Connections Program are offered. Specific prevention needs are identified to prevent further court involvement. A child typically participates in the Diversion program once, although children 12 years of age and under may go through the program a second time.
Family Strengths/Needs Based Assessment
The Holmes County Family and Children First Council has experience in implementing a family strengths/needs based model in working with the target population. The family strengths/needs based model will be integrated into all member organizations' service delivery. This improves service planning
and delivery county-wide.
Every Council member organization and local systems of care has their own criteria for levels of intervention that Council will access and utilize. Member organization designees collect and contribute information as part of the procedure for assessing the needs and strengths of any child and family accessing the Service Coordination process. Information is collected from the child, family/caregiver, agencies/providers and others. A standardized tool or approach to guide assessment of needs and strengths in a culturally sensitive manner is utilized. The child and family are involved in all aspects of this process. The Family Strength Assessment is utilized as a tool for both families and agencies working to develop a family service plan. Family members contribute information and may ask for input from agency representatives or an advocate or mentor. The information is part of their HCFCFC service coordination record and retained by the HCFCFC Coordinator. The Family Strength Assessment is also utilized as the standardized culturally sensitive assessment tool.
V. SERVICE RESPONSIBILITY AND SERVICE PROVISION
Member organizations provide entry services to families. This includes notifying the family that a service coordination meeting can be requested; setting a date, time and meeting location acceptable to the family; assuring that the meeting takes place before a non-emergency out-of-home placement occurs, or within ten days of an emergency placement. This does not over-ride or affect decisions of a juvenile court or children’s services regarding an out-of-home placement. Families are told that they may bring an advocate, mentor or support person to meetings. Written notice of a meeting, those invited, and the purpose of the meeting is distributed to all invited.
If the child-family unit only requires help which can be provided or arranged by one member organization, that member takes the responsibility for Case Care Coordination. In such cases the service coordination mechanism is not utilized, although the case may be referred in the future if circumstances warrant. If the child-family unit has needs which can be met only through the assistance of multiple service providers, the staff designated to provide entry care coordination serves the family long enough (a) to secure agreement for a lead case manager from a fellow member organization and/or (b) to establish a Family Service Team which selects a lead case manager and develop a Family Service Plan. All multi-need families have a lead case manager and a team of helpers, referred to herein as a Family Service Team, who are likely to be able to help the child-family unit successfully complete their outcome based plan.
A Family Service Team approves or designates a lead case manager that is agreed upon by the family.
The lead case manager:
1. Tracks progress of the family Service Coordination Plan and reports of team members
2. Assists in scheduling family Service Coordination Plan reviews as necessary
3. Facilitates family Service Coordination Plan meetings
It is understood that member organizations provide staff designated to provide entry care coordination and lead case managers who have up-to-date knowledge of the child-family strengthening services of every member organization and of other service providers which might be needed by families. It is expected that case managers are responsible for coordination of the family service plan and monitoring the outcomes. The lead case manager is responsible for:
1. Coordinating the arrangement of specialized assessments and the services identified as necessary as a result of those assessments.
2. Expediting the designation of a Family Service Team and the development of the family service plan.
3. Overseeing the measurement/observation of outcomes and evaluation of key indicators of progress.
4. Surveying service satisfaction of the child-family unit.
5. Arranging for transitional services when appropriate.
6. Coordinating the sharing of appropriate information among all service team members and families
Service Funding Committee meetings serve as the venue for setting timelines for service completion, reviewing family Service Coordination Plans and monitoring progress toward identified goals. The Service Coordination Plan for short-term crisis situations may revert to procedures utilized by the appropriate system of care for the particular crisis situation. The service coordination team develops a crisis and safety plan that is included as part of the family service plan.
Family Service Plans
A family service plan is the individualized blueprint for addressing the needs/strengths of the child-family unit. Each Family Service Plan includes signature lines for providers of a service to formally acknowledge responsibility and agreement to meet that responsibility. In addition, family strengths, needs, and cultural diversity are integral components of the family Service Plan. Regular Team meetings are held with each child-family unit to assess progress mutually and to evaluate compliance of all parties with the terms of the Plan. Protocol is followed regarding informing families and other attendees of meeting date, location, purpose and other pertinent information. The Family Service team determines when, if ever, the family should be referred to the Service Funding Committee for services beyond the Team's ability to provide or secure. Crisis and Safety Plans are developed for all families who have individuals service coordination plans.
When a Family Service Plan includes service needs not available through member organizations, Service Team Members are responsible for:
1. Searching for existing providers outside of the Holmes County Family & Children First Council network.
2. Presenting a request for services to the Service Funding Committee of the Community Care Board when unable to secure them by the above
processes.
The Family Service Plan format is user friendly, both for the family and the service providers. Services identified in the Family Service Plan are provided in a timely manner. Throughout every stage of service planning family input is sought and services designed in a manner respectful of family strengths, needs and cultural issues. Family Service Plans are reviewed with families and all involved parties n a regular basis, giving time for assessment of progress while keeping those involved on track as to difficulties experienced and adjustments needed in the plan. Families are typically involved in service coordination for approximately six months. Service coordination ends upon completion of goals, when the family no longer wishes to participate or when all parties agree that no progress is being made.
VI. DISPUTE RESOLUTION
In some dispute situations which may arise involving implementation of this Service Coordination Mechanism, judicial processes already are in place. It is understood by all member organizations that judicial processes take precedence over those developed by Council for these disputes. Furthermore, it is understood that the Juvenile Court can only resolve cases for which it has been given legal jurisdiction and over which it has no inherent conflict of interest as a member of Council. Families and agencies have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution and assessment or treatment information will be provided to the court when disputes reach this level. The Juvenile Court Judge is the final arbitrator in this process.
While it is acknowledged that disputes may interrupt aspects of service delivery, each agency represented on Council that is providing services or funding for services that are the subject of the dispute initiated by a parent shall continue to provide those services and the funding for those services during the dispute process, whenever possible. Given the primary goal of service coordination which is to strengthen families in the target population so that they are able to nurture the development of their children and their family unit.
Families will be informed about the dispute resolution process as well as client rights pertinent to each involved agency. The lead case manager will review the dispute resolution information with each family at the time of the initial team meeting and when the family service plan is developed. In order to access the dispute resolution process, either the family or their lead case manager on their behalf can submit a written petition to the Council Chair stating the facts of the dispute. Families may choose to have legal representation in the dispute process should a court become involved. Necessary services will continue while any type of dispute is being resolved.
The dispute resolution process covers the following types of disputes: agency to agency, child/family to agency, child/family to their Service Coordination Plan.
Child/Family to their Service Coordination Plan
At any time a child/family may dispute the content and services identified in their service coordination plan. This will be initially addressed at a team meeting. Necessary services will continue while any dispute is being resolved. Written determination of findings will be made within 60 days. Assessment or treatment information will be provided to the court when disputes reach this level. Families have the option to file for dispute resolution with the Juvenile Court within seven days following a failed dispute resolution.
Child/Family to Agency Case Disputes
Member organizations recognize that complaints, disagreements and disputes may arise involving children and families. Every effort will be made to develop such strong partnerships between families and service providers that virtually all disputes can be resolved informally. However, if the dispute cannot be resolved informally and it involves a specific member organization, the service coordination dispute resolution process may be used only after:
1. The member organization's dispute resolution process has been used but has failed to resolve the dispute, or
2. The member organization involved has waived its own process
The following Case Dispute Resolution Process will be used in the event a case dispute cannot be resolved by the member organization's process or the member organization has waived its own process:
1. A written petition stating the facts of the dispute will be presented to the Family and Children First Council Chair by (a) the family, (b) the lead case
manager on behalf of the family, or (c) any other Council member who is involved in the provision of services to the family within five working days of
the time it has been determined by them that the dispute cannot be resolved less formally.
2. The Council Chair will review the petition and contact a mediator within three working days of receipt of the written dispute petition. The mediator
will make every effort to schedule mediation within one week of receipt of the petition. The date will be agreeable to all parties to the dispute. The
mediator will submit a written summary of the mediation to the Council Chair. The Chair will provide copies of same to the family, the lead case
manager and the Council Coordinator.
3. If the parties to the case reach an agreement the dispute will be considered resolved.
4. Should one or more of the parties disagree then the full Council membership will meet within five working days of notice of disagreement to the
Chair. In a single meeting format, Council member organizations will attempt to resolve the dispute through discussion and negotiation. The parties
to the dispute may be asked to agree to additional time for the resolution process. A two thirds (2/3) majority of the voting members will be required
to achieve resolution. Such a resolution will be issued to the family and the lead case manager within three working days of the vote. Written
determination of findings will be made within sixty days.
5. Any Council party affected by a decision of the Council pursuant to step #4 of this process may appeal to the Juvenile Court, which shall retain the
authority granted to it in ORC Section 121.38 to issue an order to bring about a final disposition of the dispute. The appeal will be filed with Juvenile
Court within seven days following a failed dispute resolution. An interagency assessment or treatment information will be submitted to the court.
6. Should Council members be unable to resolve the case dispute through the above process, the case together with all information relevant to it will
be referred to the Juvenile Court (per ORC 121.38) for a binding resolution.
7. Written determination of findings will be made within 60 days.
| • | Conduct an on-site investigation as determined necessary; |
| • | Interview complainant and give complainant an opportunity to submit additional information, either orally or in writing about the allegation; |
| • | Interview relevant providers and give providers an opportunity to submit additional information, either orally or in writing about the allegation; and, |
| • | Review all relevant information and make an independent determination as to whether there has been a violation. |
| • | Require the participation of the provider in specific technical assistance activities; |
| • | Award of monetary reimbursement appropriate to the needs of the child and family: and/or |
| • | Develop and provide trainings at the county level to achieve compliance in the appropriate future provision of services for all infants and toddlers with disabilities and their families. A copy of the corrective action plan must be provided to the complainant and the ODH. |
Kathy Kelly • Council Coordinator
Holmes County Family& Children First Council
85 North Grant Street, PO Box 72, Millersburg, OH 44654
Office: 330-674-1111, ext. 368 • Fax: 330-674-0770 • Email: kellyk01@odjfs.state.oh.us
Holmes County Family& Children First Council
85 North Grant Street, PO Box 72, Millersburg, OH 44654
Office: 330-674-1111, ext. 368 • Fax: 330-674-0770 • Email: kellyk01@odjfs.state.oh.us
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