Department of Health Services Logo


Wisconsin Department of Health Services

Substance Abuse Services Home

Mental Health Services Home

Conferences and Training


Site Map

Contact Us

CST Initiatives: Background and History 

Wisconsin's Collaborative Systems of Care go by different names: Coordinated Services Teams (CST), Integrated Services Projects (ISP), and "Children Come First" (CCF). All are names of initiatives which use the wraparound process to respond to individuals and families with multiple and often serious needs in the least restrictive setting possible. This wraparound process is based on family and community values, is unconditional in its commitment to creatively address needs, and supports community-based options. Each child and family-centered team develops an individualized plan, incorporating the strengths of the child, family, and team members to work toward identified goals. Parents / care givers are equal partners and have ultimate ownership of their Plan of Care.

Wisconsin has been developing Collaborative Systems of Care since 1989. The original initiatives, ISPs, focused on supporting families with children with Severe Emotional Disabilities (SED) in their homes and communities. ISPs receive $80,000 annually in Mental Health Block Grant (MHBG) funds.

In 2002, the collaborative process employed by ISPs was expanded with the development of CSTs. While CSTs use the same process as ISPs, their target group is larger and includes children and families who do not necessarily have an SED diagnosis but who have complex needs and are involved in at least two systems of care (e.g. substance abuse, special education, child welfare, juvenile justice, and / or mental health). In 2010 legislation (Wisconsin Act 334) was passed to amend ss 46.56 to change the name from Integrated Services Programs to Coordinated Services, and to effectively require ISPs to become CSTs. CSTs receive about $50,000 annually, over the length of their 5 year grants.

For more detailed information about CST, and to find all relevant documents, please visit the Wisconsin's Collaborative Systems of Care (WCSOC) Resource Website. (Exit DHS)


Last Revised: March 12, 2014