What is Coordinated Service Planning?
Coordinated Service Planning (CSP) was created to support families with children/youth who have multiple and/or complex special needs. Coordinated Service Planning makes sure that all the professionals involved with your family are working together as a team towards your family's goals, and that you are kept informed of what's going on at all times. This service was started because families of children/youth with special needs were finding it difficult and complicated to coordinate multiple services and ensure the best plan of care for their child/youth.
Coordinated Service Planning was created, as a component of the Special Needs Strategy, by the Ministry of Children, Community and Social Services, the Ministry of Education and the Ministry of Health and Long-Term Care.
Who is this program for?
Families who:
- have a child or youth up to 21 years of age who is still attending school
- have a child or youth who has multiple and/or complex special needs
- have at least two service providers involved in their child or youth's care (including schools, therapists, community supports, and medical professionals)
- need extra support to navigate the system
This service is focused on your needs and is not specific to a diagnosis.
For more information, please see the information sheet for families on Coordinated Service Planning.
How do we support families?
Service Planning Coordinators will:
- meet with families to help them establish their goals
- connect with the professionals who work with the child/youth (including schools, therapists, community supports, medical professionals, etc.)
- work to create a Single Plan of Care (SPOC)
- lead a meeting with the family that brings the child/youth's professionals together as a team to discuss the family-centered goals within the Single Plan of Care (SPOC)
- follow up with each professional and keep the family informed
Coordinated Service Planning will help you:
- tell your story once, and be better understood by all professionals working with your child/youth
- be empowered to make informed decisions about your child's care and your family's needs
- get support to monitor the needs and progress of your child or youth through a coordinated service plan
How can my family be referred?
For families and caregivers
For families living in Ottawa, Prescott-Russell (PR), or Stormont Dundas and Glengarry counties (SD&G) who would benefit from Coordinated Service Planning, please fax us a copy of the referral form to 613-738-4841.
Coordinated Service Planning referral
For health-care professionals
Are you a professional working with a family who may benefit from this service? Obtain the family's consent and send in this referral form. Please fax your referral to 613-738-4841.
Once the form is received, the Access Team will follow up to finish the referral process. We will do a needs assessment to identify the best way to meet your family's needs and determine eligibility for Coordinated Service Planning.
If you have any further questions, please call intake at:
- Tel: (613) 737-0871, extension 4425
- Toll Free: 1-800-565-4839, extension 4425
If you live in Leeds, Lanark, and Grenville, please connect with Kids Inclusive for further information on Coordinated Service Planning.
If you live in Renfrew County, please connect with the centralized intake at Family & Children's Services of Renfrew County by calling 613-735-6866.
Coordinating Agency and Service Providers
Coordinated Service Planning is an initiative across Ontario with a total of 34 regions offering this service. CHEO is the Coordinating Agency for Ottawa, Prescott-Russell (PR), and Stormont Dundas and Glengarry counties (SD&G).
CHEO and the following service providers offer Coordinated Service Planning:
- Service Coordination Support (Ottawa)
- The Ottawa Rotary Home (Ottawa)
- Coordinated Access (Ottawa)
- SD&G Developmental Services (SD&G)
- Valoris (PR)
- United Counties of Prescott-Russell (PR)
CHEO would like to thank the key partners for their help in shaping this new program, and for their continued commitment in sharing a common vision of seamless access to services for children, youth and their families.
Our key partners in Coordinated Service Planning
- Ontario Autism Program - CHEO
- Champlain Complex Care Program
- Local Health Integration Network (LHIN)School Boards/School Authorities
- Fetal Alcohol Spectrum Disorder Strategy
- Moving on Mental Health
Frequently Asked Questions
Why was Coordinated Service Planning created? |
Families have said they found that navigating the system was confusing and complicated when accessing services. Coordinated Service Planning was started in 2015 as part of the Ontario Special Needs Strategy. The Ontario Special Needs Strategy is an initiative of:
The Special Needs Strategy is committed to using a common approach to service coordination through all agencies based on the following values:
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Who are children and youth with multiple and/or special needs? |
Children and youth with multiple and/or complex special needs rely on many services for support (for example: rehabilitation services, autism services, developmental services, and/or respite supports). These children/youth may have difficulty in several areas, including their physical, communication, intellectual, emotional, social, and/or behavioral development. A family of a child or youth with multiple and/or complex special needs might have a combination of any of the following:
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How long can a family be supported by a Service Planning Coordinator? |
The Service Planning Coordinator supports the family until they no longer need the support, and this will look different for each family. Discharge from Coordinated Service Planning may happen when:
Families may re-enter the Coordinated Service Planning process as needed. |
How is Coordinated Service Planning different from other services offered at CHEO or in the community? |
Coordinated Service Planning may be initiated if the family is feeling overwhelmed with coordinating services and when the needs of the family go beyond the resources available through their current team. Coordinated Service Planning is not meant to duplicate services currently being used; instead it should ease communication between families and their team members. It provides the family with the chance to meet together with all of the professionals from different agencies and work towards creating a plan of care for the child/youth (known as a Single Plan of Care). Coordinated Service Planning is a formal process between CHEO, Service Providers, School Boards and Champlain Local Health Integrated Network (LHIN). |