Working together for the youth we share
Child Study Teams, Guidance and Student Assistant Counselors, School Nurses, and Principals:
Contact us to arrange an on-site presentation for your school or district staff on the NJ Children's System of Care and BergenResourceNet.
Invite us to give a presentation for parents, PTO, or participate in your school's next wellness fair!
Encourage your students to take part in a Connecting With Our Communities service project.
Wraparound services are available to young adults up to age 21
Colleges and Universities:
The Mobile Response and Care Management Services of the NJ Children's System of Care are a useful, no cost complement to the Health and Counseling Services available on your campus. We would be happy to meet with your Counseling and Health Services staff, Student Affairs, Residence Life and/or Wellness Peer staff to provide an overview of the confidential, in-community supports available through the NJ Children's System of Care at no cost to the students or the university/college.
Review our Frequently Asked Questions for a simple, straightforward overview.
It's an easy three step process to get families started.
Schools are invaluable members of the CFT regardless of whether or not a student has an Individualized Education Plan or 504 plan, and whether or not they demonstrate behavioral or academic concerns. If a student receives specialized services through the school such as physical, occupational, speech therapy, these can be replicated and utilized in the home. If the student is thriving and successful in the school environment, the Child and Family Team members should share those techniques and strategies to replicate them in the home.
Once Bergen's Promise receives a referral from PerformCare, the Care Manager will have an initial meeting with the family within 72 business hours pending the family's availability and preferences. The Care Manager will require permission from the family in order to include a school representative(s) on their Child and Family Team.
If the family approves school involvement, the Care Manager will send this introductory letter to both the school and the school district within 7 days of the family approval. This letter informs the school of the date of the 30 day Child and Family Team (CFT) meeting and asks the school to designate a representative for the CFT. A copy of the parent's consent form is also included in this communication from the Care Manager.
The Care Manager will have at least one contact per month with the designated school representative. The school representative will be invited to every Child and Family Team meeting thereafter. These occur every 60-90 days typically and are held at a time convenient to the majority of CFT members. Often they are held at the school. If the school representative cannot attend, they will be asked to provide an email update regarding the needs, strategies, goals and schedule of the student related to school behavior and academics. The Care Manager will also schedule a follow up call with the school representative to review what was discussed at the CFT. Regular communication is key to the CFT process and the sustainable success of the student.
The Care Manager will ensure that the education expectations of the school district, parent/caregiver, and Bergen's Promise are aligned with the student's education plan. The Care Manager will request copies of the student's current Individualized Education Plan, report cards, 504 plan, behavior plans - all information regarding the student's history and current status as applicable.
Upon enrollment, a member of the BHH team will contact the school nurse to establish a collaborative relationship. Health and wellness needs that
arise in school can be brought to the attention of the BHH staff for discussion with the youth, family and Child Family Team as needed. Additionally,
BHH staff will ask the school nurse to measure the student's height, weight and blood pressure at least quarterly and share this information with the
BHH staff member. Collection of this information is a requirement of the BHH program, but it also encourages students to become familiar with
their school nurse as an ongoing health and wellness resource. If appropriate, BHH staff may work with the school nurse or other school staff
to arrange in-school meetings with the student.
If a student is having a hard time managing emotions or behaviors, Intensive In-Community Therapists (IIC) and/or Behavioral Assistants (BA) may work with him/her.
If a student is DD-eligible through the NJ Children's System of Care, Intensive In-Home clinicians (IIH) may join the team. There are IIH-Clinical therapists as well as IIH-Behavioral such as Board Certified Behavior Analysts (BCBA), Board Certified Assistant Behavior Analysts (BCaBA), Applied Behavior Analysts (ABA). Students that are DD-eligible with IIH-Clinical therapists may also have Individual Support Services (ISS) put in place as well for behavior and activity of daily living (ADL) skill training.
Support may be provided to parents as well in the form of therapeutic parent coaching and parent mentoring.
Please review the current Clinical Criteria for each of these service lines issued by the Division of Children's System of Care (CSOC) and utilized by PerformCare (the Contracted System Administrator for the NJ Children's System of Care).
Some students may require a higher level of therapeutic treatment in a residential setting. Out of Home placement is an intervention, not a destination. Schools will receive a letter from the Care Manager informing of the OOH treatment process. Want to better understand this process?
Bergen's Promise Educational Folders. These folders contain handouts that explain the Children's System of Care and the role of PerformCare. Also included are handouts describing Bergen's Promise care management services, our Wraparound Child Family Team approach and flyers about the BergenResourceNet. (Spanish Version also Available)
Partnering with pediatricians, primary care providers, hospitals, outpatient clinics, and federally qualified health centers fosters healthy youth and a healthier community. Closer collaboration on behalf of shared youth/patients supports the medical home, promotes seamless care planning and reduces costs.
Review these Frequently Asked Questions for a simple, straightforward overview. Contact us to request an in-service for your clinicians, residents, intake department and other team members!
It's an easy three step process to get families started.
Prescription Pad: We have created a 2-sided, bilingual prescription pad that includes the common situations that might be discussed by the family during their child's well child visit. These situations can be a 'trigger' for medical staff to inform the family of the Children's System of Care and encouraging them to call PerformCare for a referral. This also informs the family of BergenResourceNet.org - the comprehensive resource directory for Bergen County. You can download and print the prescription pad below, or contact us to request prescription pads to keep in your exam rooms.
Prescription Pad for Healthcare Providers (Bilingual)
Bergen's Promise info folders (English, Spanish) for your practice. These folders contain handouts that explain the Children's System of Care and the role of PerformCare. Also included are handouts describing Bergen's Promise care management services, our Wraparound Child Family Team approach and flyers about the BergenResourceNet. Contact us to request a quantity of Bergen's Promise folders.
Most of Bergen’s Promise families have approved the placement of a yellow sticker on their insurance cards with
the youth’s Cyber ID. The Cyber ID number is the unique identifier for the Children’s System of Care electronic medical record. Inform your reception
staff to watch for this Cyber ID sticker and make a note in the youth's chart.
Upon enrollment, BHH staff will send a letter and HIPAA release informing the youth’s Primary Care Provider of the youth’s involvement with the program. BHH staff may request information or documentation from recent physicals or visits to confirm the youth’s needs and current health status. At times, BHH staff may accompany a patient during a visit to assist with communication and follow-through with provider recommendations. BHH staff invite open communication about the youth’s health needs from your perspective, and can provide updates on current wellness goals. BHH encourages communication between all members of the family’s healthcare team.
Bergen’s Promise is required by the New Jersey Department of Children and Families to obtain a copy of discharge paperwork within 24 hours of a youth’s
discharge from hospitalization. Bergen’s Promise is able to provide a copy of the youth’s HIPAA release if needed. Obtaining a copy of this paperwork,
as well as discharge paperwork from emergency department visits, enables the child family team to review discharge plans to ensure that the family
has the needed knowledge, resources, and supports to follow-through with recommendations. If a family informs you of their involvement with Bergen’s
Promise, or if you notice a yellow Cyber ID sticker on the patient’s insurance card, discharge documentation should be faxed to 201-712-0391.
Bergen's Promise strives to improve the health literacy of the families we serve so they can better manage their healthcare needs independently upon graduation
from services. Through a health literacy screening project, our agency found a high prevalence of low health literacy among our families.
Click here to review the 2017 Health Literacy Research Poster .
We encourage families to use tools like Ask Me 3(note: insert Registered trademark symbol) to improve their communication with healthcare providers. We encourage you to share this resource with the patients in your practice; click here to access Ask Me 3 (registered trademark symbol). If you are interested in learning more, or partnering with us in our efforts to address health literacy, please contact us.
Bergen's Promise seeks collaborative partnerships with substance treatment providers serving our youth. Our Wraparound Care facilitates seamless treatment planning for youth with co-occurring conditions that are receiving Behavioral Health Home medical care. After their treatment is completed, we collaborate on the service and discharge planning and aid their transition back into the community.
Please contact us to schedule a meeting to provide an in-service, for your staff and families, on partnership opportunities and our in-home care management support.
It is the policy of Bergen’s Promise to engage only licensed professionals in the provision of Intensive In-Community (IIC) and Intensive In-Home (IIH) services to our youth. Currently, we can only accept clinicians with an LAC or LSW – under the supervision of a fully-licensed LCSW, LPC or LMFT.
If you are a licensed Medicaid Provider that embraces the Wraparound Approach and want to play an impactful role as part of a Child & Family Team, please contact us to request to attend an upcoming Meet & Greet. Prepare to submit your current staffing list credentials using our template, along with a link to your website, your agency flyer and learn to register and promote your services on the BergenResourceNet.