Blue Ridge, Cleveland, Guilford and Sandhills, North Carolina

Initial Funding:

October 1997


The goals of the project are as follows: Ensure access to community-based, individualized, strength- and family-driven services that are provided unconditionally, and reflect sensitivity to and understanding of the cultural and ethnic characteristics of consumers and families; Develop and sustain a full partnership with families and surrogate families in developing and implementing the system of care; Develop a governance structure for a local, community-based, family-driven, fully integrated system of care, and to support its development through State-level policy coordination and advocacy; Integrate local public and private child-serving agencies into the system of care; Establish a multi-tiered total quality improvement and outcomes system to promote State and local practice and policy that sustain and promote the system of care; Provide state-of-the-art training and technical assistance activities to university students, community stakeholders, families and service providers through regional Public-Academic Liaisons (PAL) to support and sustain the system-of-care initiative.


The program serves four predominantly rural counties in the southwestern corner of North Carolina. Eighty percent of the population in the four counties resides in Buncombe County. The target population consists of children ages 5 to 18 with serious behavioral, emotional, or mental health problems who are at risk of or currently are in out-of-home or out-of-school placement and have multi-agency involvement. As of 03, there were 267 children enrolled in the Blue Ridge project, about the same number as were enrolled when the second system-of-care assessment was conducted in March 2001. The Cleveland County FACES program aims to reach children aged 5 to 17 who are in need of services from multiple agencies, at risk of out-of-home placement, and who have a DSM–IV diagnosis. The target age has expanded since the previous site visit 2 years earlier to include high school-aged youth. Eighty-two children have been served by the project as of March 2002. This is an increase of 34 children served since the previous visit in March 2000. Guilford County is the designated catchment area for the GIFTTS program. GIFTTS has served 133 children since it began operations in 1997. During the last 2 years, 75 children have been enrolled. Demographic data show that the service population is approximately 61 percent African-American, 35 percent Caucasian, and 3 percent other. At the time of the site visit, the Sandhills FACES program had served a total of 252 children. According to respondents, of this number 52 percent were White, 43 percent were African-American, 2 percent were American Indian, 1 percent were Hispanic, and 2 percent were Biracial. At the time of the 03 site visit, FACES was serving 193 children, of whom 28 were in out-of-community placements.



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