The Service Coordination Process

The Human Services Department offers a comprehensive service coordination framework that follows a structured, client-centered progression. This structured approach emphasizes collaboration, regular evaluation, and adaptability, ensuring that clients receive consistent, personalized support tailored to their needs.

Collaborative Services Coordination Process

  1. Referral Intake
    The process begins with the identification of a client in need of services. A formal referral (or request for services) is submitted, initiating engagement with the coordination team. 

  2. Orientation and Initial Assessment
    The referred client participates in an orientation to understand available services, expectations, and their roles. An initial assessment is conducted to evaluate immediate needs, goals, and eligibility for services.

  3. Initial Case Staffing
    A multidisciplinary team convenes to review the client’s case, discuss the assessment findings, and develop an individualized service plan tailored to their needs.

  4. Follow-Up Implementation
    The service plan is implemented, and a follow-up is conducted to ensure the client is actively engaged and to address any emerging issues or barriers.

  5. Second Case Staffing
    After follow-up data is gathered, a second staffing occurs. The team evaluates progress, makes necessary adjustments to the plan, and ensures alignment with the client’s goals.

  6. Post-Assessment Review
    A comprehensive post-assessment is conducted to measure outcomes, assess the client’s progress, and determine readiness for closure or need for continued support.

  7. Closure or Reopening
    Based on the post-assessment:

    • Closure: Services conclude successfully when goals are met, with a final review and documentation of outcomes.
    • Reopening: If further needs or challenges are identified, the case may transition back to earlier stages for continued support.