Catulpa

Intensive Service Coordination provides information, consultation, and community case conferencing for Simcoe County children and youth up to nineteen years of age, and their families. This service is designed for individuals who require extraordinary support from health, social, and/or educational services because of severe emotional, intellectual, developmental, and/or physical needs.

Children and youth supported by Intensive Service Coordination have needs that are beyond the capacity of the local system, and all possible community options have been previously exhausted by families and service providers.

Support Provided Through the Program:

Provides information to help families and service providers make informed decisions
Works closely with the community Case Manager to encourage linkages with all available community resources
Acts as a neutral third party during case conferences
Aids in the development of an Integrated Service Plan for the child, including inter-agency service provisions and roles. This could include accessing out-of-area resources if needed and available

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This service provides support to children and youth whose needs are beyond the capacity of the local system. All possible community options must have been previously exhausted by families and service providers.

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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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Service providers (with consent) and in some cases, families may directly request a referral if the child or youth has two or more diagnosed special needs requiring coordination of services from different support sectors. The child or youth’s team must agree with the referral.

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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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Intensive Service Coordination For Simcoe County