Catulpa

Family Resource Services extends case management support to families of school-age children and youth (up to 18 years of age) who have a diagnosed developmental (IQ below 70). The family, with support from a Family Resource Worker (FRW), provides input that results in the development of an Individual Family Service Plan (ISFP). Through case conferencing, and/or home visits, the FRW will support the family in accessing community resources to implement the ISFP and achieve their identified goals.

Support Provided Through The Program:

Consultation with you and your family
Support to aid your family in accessing necessary and available community resources
Coordination of services
Assisting you, your family, and your child with transitions (EXP. School entry or adult services)
Assisting you and your family with the completion of applications for alternative funding sources
Provide information regarding school-related issues
Provide community outreach through information services, community education, and consultation with other programs and service providers

Catulpa Community Support Services’ Family Resource Services are available to families residing in Orillia, Midland, Collingwood, Alliston, and surrounding areas who have a school-age child (up to 18 years of age) with a confirmed diagnosis of a developmental (IQ below 70).

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Funding is provided by the Ministry of Children, Community, and Social Services. There is no fee for this service.

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Referral Family Resource Services may come from you or your family, or a professional support person working with your family (with consent). All referrals must include a confirmation of diagnosis from a medical professional.

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Simcoe County Community Action Program for Children (CAPC) and MotherCare (Canada Prenatal Nutrition Program – CPNP) are a part of a national program with then 25 years of experience supporting families in this region. We support pregnant participants, young parents, and Newcomers to Canada with children 0-6 years old who are currently living on a lower income.

Please confirm that you are currently living on a lower income (less than $40,000 before taxes per year) in Simcoe County and that you are currently pregnant and/or live with children 0-6 of age.
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Please confirm below*

YesPlease call us at 705-733-3227 ext. 2236 if you need help.

Data Collection Consent and Required Information

We do not maintain participant “notes” related to your participation with us but we are required by our funders to track attendance and the resources we distribute. We use an electronic data management system to record and store minimal personal information and program attendance. This information includes: name, date of birth, income, due dates and/or dates of birth of your children. Other information that we request is optional for you to provide. Detailed information about this consent can be found in our Welcome Letter.

Simcoe County CAPC-CPNP requires an email address for your participation in all programs. Please give us a call at 705-733-3227 ext. 2236 if you have any questions or if you do not have an email address.
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Do you consent to the collection, storage and limited sharing of your data?*Yes

Your Name*

Email Address*Date of Birth*City of Residence*Postal Code*

Income

What is the total annual income of your family before taxes?*
*If you checked I don’t know above, please use this box to explain.

Participant’s Children (up to 6 years of age)

Child's Name

Date of Birth of your child

Child's Name

Date of Birth of your child

Child's Name

Date of Birth of your child
Are you currently pregnant?Yes
Due Date

Consent to Contact

We would like to be able to contact you about programs, resources, updates and changes, including our virtual programs. You can find the full details about this on our webpage and in the welcome letter. Please let us know if your contact information changes.

Can we call you?*

Yes

Phone Number
Can we leave a message at that number?*

Yes

Phone Number
Can we text you?*

Yes

Phone Number
Can we email you?*

Yes

You will be invited to join our virtual meetings. By joining a CAPC virtual meeting, you are providing consent to participate in this forum and to share information with CAPC Staff and other participants, such as your onscreen name, and any information and images you choose to share during the meeting. Please indicate that you understand this before joining a virtual meeting.

Is this information clear for you?*

Yes

Please call us at 705-733-3227 ext. 2236 if you need assistance.

Demographics

Do you self-identify as an Indigenous person of Canada?*Country of Birth:*
When did you arrive in Canada? Please enter the date below (only if you were born outside of Canada)
Language spoken at home:*

English

French

Other

If other, please list languages
Have you obtained your high school diploma (Grade 12)?*

Yes

How many people can you count on in times of need?*

0-2

3 or more

Education

Please select your highest level of education:*If other, please explain

Food

Please check all of the following food issues that apply to you.*I sometimes don’t have enough food for myself and my family.I use the food bank when needed.I rely on family and friends if I run out of food.I would like to know where I can get help in my community.I have no food issues.

Housing

Please check all the housing issues that apply to you.*I am experiencing homelessness, or I do not have a shelter, or I do not have anywhere to live.My home is in poor condition (e.g. disrepair, infestation).I live in an unsafe neighbourhood.My home is not big enough (e.g. not enough room, multiple families, etc.)I have missed payments (e.g. rent, utilities in the past)I have landlord trouble.I have no housing issues.

Transportation

How do you access transportation (personal vehicle, bus, taxi, family friend, etc.)?Is public transportation available to you.?

Gender (optional questions)

What is your gender identity?Do you Identify as 2S-LGBTQ+?Which pronoun do you use?
*If other, please let us know which pronoun you use

Do you have any comments or questions for us? Please enter them below:

Thank you for your submission. Our team will be in touch with you within five business days.

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