Coordinated Services Teams (CST) Initiatives

Wisconsin 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 are designed to 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 develop 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. 

Eligibility for CST Initiatives

CST Initiatives are for children who are involved in multiple systems of care such as mental health, substance abuse, child welfare, juvenile justice, special education, or developmental disabilities. The Department of Health Services supports 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; or
  • Are in an institution, but would be able to return to community placement or their homes if services were provided.

Available in 66 Counties, 11 Tribes

The Division of Mental Health and Substance Abuse Services oversees CST Initiatives for the Department of Health Services. Agencies at the county and tribal level develop and sustain the program at the local level. The 2013-2015 state budget provided funding to expand CST Initiatives statewide. As of January 1, 2016, 66 counties and all tribes in Wisconsin offer or are developing CST Initiatives.  Additionally, Dane and Milwaukee counties offer a managed care model of this service.

Annual Reports

State law requires an annual report on CST Initiatives be forwarded to the Children Come First Advisory Committee, the group that is statutorily responsible for monitoring the development of CSTs in Wisconsin.

  • 2014 (PDF, 1.5 MB) (Published in 2016)
  • 2013 (PDF, 2.2 MB) (Published in 2015)

Families/Consumers

Information for families regarding CST Initiatives and how to enroll their child, including testimonials from program participants.

Counties/Tribes/Partners

Information for CST Initiatives counties, tribes, and stakeholders regarding rules and regulations, and training resources.


Contact CST Initiatives Staff

Please use this directory to contact the county or tribal agency in your area to learn more about your local CST Initiative. For general questions or concerns, please call the Division of Mental Health and Substance Abuse Services at 608-266-2717.

Last Revised: June 30, 2016