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System of Care is a part of a National Initiative that was established by Congress in 1992. Currently, more than 60 systems of care communities are funded through cooperative agreements to States, communities, territories, and Tribal Nations which are administered by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration and the U.S. Department of Health and Human Services.

In 2003, North Carolina began its North Carolina Mental Health Reform transformation. An essential part of that plan is the inclusion of systems of care which incorporates child and family team supports, reflecting best practice.

Does system of care lead to better outcomes? Both National and North Carolina data indicate that when System of Care is fully implemented, outcomes improve for children and families across a wide array of indicators. More specifically, in NC with SOC sites, school performance improved as evidenced by grades and school attendance. Data also indicates that behavioral and emotional problems were reduced as were juvenile justice complaints. In addition, stability in children’s living arrangements increased.

So as the continuum of services is broadened in every community through family involvement, collaboration, and strong child and family team planning in a culturally competent manner, outcomes for children and their families improve. Therefore, moving forward with system of care is a must.