Coordinated Services Teams (CST) Initiatives

Stacked profile silhouettes of three childrenWisconsin has long supported children struggling to maintain their emotional, physical, and social well-being because of multiple and serious challenges in their lives. The first collaborative systems of care to address the behavioral health needs of these children and support community-based options for care were created in 1989. In the years since, these collaborative systems of care evolved and became known as Coordinated Services Teams (CST) Initiatives.

CST Initiatives develop a comprehensive, individualized system of care for children with complex behavioral health needs. The CST itself is a group that includes family members, service providers, and others that work to design and carry out a coordinated services plan for the child. This model of care is often referred to as wraparound. The result is a plan of care that addresses the needs of the child and family with community-based supports, which allows the child to live in their home and community and realize their hopes and dreams. 

Our wraparound vision

To transform the children’s mental health and substance use system to better meet the needs of children and families by developing a seamless, comprehensive children’s behavioral health system by utilizing wraparound as a model for support.

Our wraparound values

Family voice and choice

Family and youth/child perspectives are intentionally elicited and prioritized during all phases of the wraparound process. Planning is grounded in family members’ perspectives and the team strives to provide options and choices that reflect the family’s values and preferences.

Team-based

The wraparound team consists of individuals agreed upon by the family and committed to the family through informal, formal, and community support and service relationships.

Natural supports

The team actively seeks out and encourages the full participation of team members drawn from family members’ networks of interpersonal and community relationships. The wraparound plan reflects activities and interventions that draw on sources of natural support.

Collaboration

Team members work cooperatively and share responsibility for developing, implementing, monitoring, and evaluating a single wraparound plan. The plan reflects a blending of team members’ perspectives, mandates, and resources. The plan guides and coordinates each team member’s work towards meeting the team’s goals.

Community-based

The wraparound team implements service and support strategies that take place in the most inclusive, most responsive, most accessible, and least restrictive settings possible and that safely promote child and family integration into home and community life.

Cultural and linguistic responsiveness

The wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the child, youth, family, and their community.

Individualized and developmentally informed

To achieve the goals laid out in the wraparound plan, the team develops and implements a customized set of strategies, supports, and services.

Strengths-based

The wraparound process and the wraparound plan identify, build on, and enhance the capabilities, knowledge, skills, and assets of the child and family, their community, and other team members.

Unconditional

The wraparound team does not give up on, blame, or reject children, youth, and their families. When faced with challenges or setbacks, the team continues working toward meeting the needs of the youth and family and achieving the goals in the wraparound plan until the team reaches agreement that a formal wraparound process is no longer necessary.

Outcome-based

The team ties the goals and strategies of the plan to observable or measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly.


The Foundations of Wisconsin Wraparound
A series of videos on the principles and practice of wraparound is available for free online. These videos are intended for anyone interested in learning about the wraparound process including: children and families; care providers; and individuals and professionals involved with CST Initiatives. 


Eligibility for CST Initiatives

CST Initiatives are for children who are involved in multiple systems of care such as mental health, substance use, child welfare, juvenile justice, special education, or developmental disabilities. We support county and tribal CST Initiatives for children who:

  • Have a severe emotional disorder.
  • Are at-risk of placement outside the home.
  • Are in an institution and are not receiving coordinated, community-based services.
  • Are in an institution, but would be able to return to community placement or their homes if services were provided.

Available in 68 counties, 11 tribal nations

Counties: Find contact information for your county agency

  • Adams
  • Ashland
  • Barron
  • Brown
  • Buffalo
  • Burnett
  • Calumet
  • Chippewa
  • Clark
  • Columbia
  • Crawford
  • Dodge
  • Door
  • Douglas
  • Dunn
  • Eau Claire
  • Florence
  • Fond Du Lac
  • Forest
  • Grant
  • Green
  • Green Lake​
  • Iron
  • Iowa
  • Jackson
  • Jefferson
  • Juneau
  • Kenosha
  • Kewaunee
  • La Crosse
  • Lafayette
  • Langlade
  • Lincoln
  • Manitowoc
  • Marathon
  • Marinette
  • Marquette
  • Menominee
  • Monroe
  • Oconto
  • Oneida
  • Outagamie
  • Ozaukee
  • Pepin
  • Polk
  • Portage
  • Price
  • Racine
  • Richland
  • Rock
  • Rusk
  • St. Croix
  • Sauk
  • Sawyer
  • Shawano
  • Sheboygan
  • Taylor
  • Trempealeau
  • Vernon
  • Vilas
  • Walworth
  • Washburn
  • Washington
  • Waukesha
  • Waupaca
  • Waushara
  • Winnebago
  • Wood
Tribal nations
  • Bad River Band of Lake Superior Chippewa Indians
  • Forest County Potawatomi Community
  • Ho-Chunk Nation
  • Lac Courte Oreilles Band of Lake Superior Chippewa Indians
  • Lac du Flambeau Band of Lake Superior Chippewa Indians
  • Menominee Indian Tribe of Wisconsin
  • Oneida Nation of Wisconsin
  • Red Cliff Band of Lake Superior Chippewa Indians
  • St. Croix Chippewa Community
  • Sokaogon Chippewa Community
  • Stockbridge-Munsee Band of Mohican Indians

Contact CST Initiatives staff

For general questions or concerns, email the Division of Care and Treatment Services.​

Last Revised: January 22, 2021