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All news releases are available in text-only format on this page. Some also contain a link to a PDF version or photos. To read a PDF, you will need Adobe Acrobat, which is available for free download.
December 2007
The Plain Dealer: “Cuyahoga County Juvenile Court Launching Mental Health Court”
October 2007
Cleveland’s Youth and Families Attract Attention of Federal System-of-Care Program
WCPN/The Sound of Ideas radio show with Regina Brett: “Helping Troubled Teens”
December 2006
Only One in Four Americans Believes People are Sympathetic Towards Those
with Mental Illnesses
November 2006
Call & Post: "County's Tapestry Program Helps Families Keep it Together"
September 2006
CuyahogaTapestry.org Launches as a New Resource for Children and
Families
Fewer Youth Ages 8 to 18 Express Understanding of Mental Illness Than of
Physical Illness Such as Asthma: Study identifies social stigma
associated with depression
June 2006
Winners Announced for the 2006 “Show Your Colors!” Contest
December 2007
The Plain Dealer: “Cuyahoga County Juvenile Court Launching Mental Health Court”
Click here for the PDF version
Cuyahoga County Juvenile Court Judge Kristin Sweeney has seen kids who probably wouldn't be in a courtroom if they weren't mentally ill.
Many times the child's family didn't recognize the illness.
Others didn't know how to get help.
Often, the parents ended up calling the police -- the only response they know will be immediate.
In January, after years of planning, the Cuyahoga County Juvenile Court will try to tackle the problem by opening its first Mental Health Court, to make sure kids get help rather than primarily focus on their crime.
The court's decision was bolstered, in part, by a study of more than 200 juveniles arrested and brought into the county detention center during the last five years. The study found:
• 26 percent of males and 52 percent of females screened had a severe mood disorder, such as bipolar disorder or depression.
• 63 percent of the kids had had both a mental health and a substance abuse problem diagnosed.
The program will start small with 12 kids and Sweeney as its only judge.
It will also work closely with the Drug Court, because often kids have both problems.
The Mental Health Court will take in the kids whose mental illnesses probably spurred their drug use. The Drug Court will continue to work with kids whose drug use is their primary problem.
Cuyahoga County's Mental Health Court is set up to keep kids with mental illness from getting a criminal record -- if they get help.
Patrick Gardner, deputy director of the National Center for Youth Law, said that's the way it should be.
"From our perspective the point is diversion," he said. "You don't want it to be just a door into the mental health system but a door out of the juvenile justice system."
Gardner said it is important for courts to have child advocates and noncourt professionals involved in the program so children and their families know that help is available outside the criminal justice system.
For that part, the court is getting help from the Cuyahoga County Tapestry System of Care, an organization that can connect families and children with the services they need in their own neighborhoods.
Coordinators assigned to each child will connect kids and their families with resources in the community that they can rely on after their time in court is over -- and so they don't commit new crimes.
Sweeney said the pilot program will focus on kids who have severe mental illnesses, like bipolar disorder, depression and post-traumatic stress disorder.
Youths charged with sex crimes and certain violent crimes will not be accepted. The program is voluntary, but to participate, the youths must admit they committed the crimes they have been charged with.
Sweeney said many kids who fit the profile have been charged with domestic violence.
Sweeney said she will work with prosecutors to ensure public safety and with public defenders to ensure that juveniles' rights are upheld.
A team will form around the child and parents to help figure out what services they need, plan for any possible crisis and help the family seek out other support for the child, including teachers, coaches and pastors.
The intense program requires the kids to come to court every week at first.
If the child is following rules, like taking medication and attending school regularly, those visits will taper off.
Sweeney, who also observed the problem of juvenile mental illness as a public defender, said the court is designed to recognize the lifelong implications of mental illness -- and that treating the young people will make the community safer.
Simply sending mentally ill kids through the system doesn't solve the problem. "The mental illness doesn't just go away," she said.November 2007
Technical Assistance Partnership for Child and Family Mental Health: “Developing Healthy Youth in the Cuyahoga County Tapestry Project”
Click here for the PDF version
Click here to visit the online posting from the TA Partnership.
The Cuyahoga County Tapestry project in Cleveland, Ohio features an impressive presence of strong, broad and consequential family and youth voice in all aspects of its mature system of care—in governance, service delivery and evaluation. Cuyahoga youth coordinator Leonard Davis orchestrates meaningful activities for youth among a ten-neighborhood collaborative based on traditional settlement houses in Cleveland neighborhoods. Already this year more than a dozen learning opportunities for local youth have taught safety (e.g. CPR), gang and drug resistance, vocational exploration and resume writing, legal rights, responsible sexual behavior and an array of positive life skills.
Special programs were arranged to address bullying and gun violence in the wake of the tragic local high school shooting incident in September. Mr. Davis has enlisted local disc jockeys, rappers, filmmakers as well as armed forces personnel and law enforcement personnel to impart their skills, experiences and wisdom with enthusiastic youth. Special relationships developed with local taxi companies help youth from the ten neighborhoods travel to participate in learning and recreational activities, service projects and an active advisory council for the community.
The Cuyahoga Tapestry System of Care web site (www.CuyahogaTapestry.org) helps to engage youth from elementary school to young adulthood, as part of the substantial resources Cuyahoga Tapestry dedicates to its expansive efforts to invite, involve, inform, encourage, nurture, and listen to and act on the ideas of the many hundred young people its system of care serves.October 2007
Cleveland’s Youth and Families Attract Attention of Federal System-of-Care Program
Click here for the PDF version
Cuyahoga County, Ohio – The national leader responsible for helping communities develop innovative and sustainable ways to serve families with children who have complicated and multiple emotional needs is making a highly anticipated visit to Cleveland. Dr. Gary M. Blau of the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) will speak at The City Club of Cleveland on Friday, Oct. 12, at noon, and also spend time with local child care service providers, juvenile court judges, parent advocates, and members of the mental health community while he is in town.
Four years ago, the initiative that Dr. Blau represents invested in Cleveland’s youth with a federal grant meant to transform the way families are heard and receive services from county- and community-based groups. Today, the partnership known as the Cuyahoga Tapestry System of Care has grown to more than 50 agencies and neighborhood centers strong, and has been tapped to tutor other sites around the country.
In his presentation to the City Club on Oct. 12, Dr. Blau will discuss federal activities to transform the children’s mental health system across the nation and how successes like the Cuyahoga County system of care serve as a model for care that is family-driven, team-based and takes place in the neighborhoods where families live, work and go to school. Dr. Blau’s visit could not be more timely considering the tragic event at Success Tech Academy in Cleveland this week, and he will add valuable insight to the community conversation on how to help youth with complicated emotional needs.
Services for families might include mental health counseling, alcohol and other drug counseling, school-based interventions, mentoring, life-skills training and creative options like art, performance or recreational opportunities.
“The youth of our city are hurting in more than one way, with gang violence, behavioral health concerns, and families living in deeper, more desperate poverty than almost anywhere else in the country,” says Beth Dague, Director of the Cuyahoga Tapestry System of Care. “Having a coordinated system of care doesn’t solve all these problems, but we see improvements to the public systems and neighborhoods in all of these areas: juvenile justice, child welfare, behavioral health, school performance and family stability.”
“In so many ways, we were the perfect place for a system of care to take hold,” says Rick Werner, Deputy County Administrator for Health and Human Services, who also chairs the system of care Oversight Committee. “We have agencies that always believed in family-driven care, that know how to work with federal, state and local guidelines to get the most benefit for families, along with neighborhood-based organizations, schools and churches that know what families face.”
“Parents and caregivers to children with complicated emotional needs are the true experts. This initiative was always about bringing them and all of these other partners together,” says Dague.
“Tapestry,” as the system of care in Cuyahoga County is called by families, is different from traditional social service programs because it widens the safety net to help families in need when children are younger, it lets dollars follow the child, instead of the old way of doing business that meant communities paid for potentially repetitive services, and it gives families access to a network of services.
Tapestry is also family-driven, which means that not only do parents and caregivers take an active role in shaping their care, they also participate in governance of the entire system of care.
“This is hard work, but in Cuyahoga County, everyone is coming to the table—and they are stepping up not just once, but as many times as they need to get this right,” says Teresa King, Family Involvement Lead and the mother of a teenage son who receives services.
Major public partners in the system of care who will be meeting Dr. Blau during his visit include James McCafferty, Director of the Cuyahoga County Department of Children and Family Services; William M. Denihan, CEO of the Cuyahoga County Community Mental Health Board; Dr. Russell Kaye, Executive Director of the Alcohol and Drug Addiction Services Board of Cuyahoga County; and Ken Lusnia, Court Administrator of the Cuyahoga County Juvenile Court.
Dr. Blau is the Chief of the Child, Adolescent and Family Branch of the Center for Mental Health Services for SAMHSA, and specifically is responsible for implementing the Comprehensive Community Mental Health Program, the Circles of Care Program, the Statewide Family Network Program, the National Children’s Mental Health Social Marketing Campaign, several National Technical Assistance Programs for children’s mental health, and a wide variety of other programs designed to improve the lives of children and families. Through the Director of the Center for Mental Health Services (CMHS) and the SAMHSA Administrator, he is also responsible for translating the President’s New Freedom Commission Report for children and families, and for implementing the children’s portion of the CMHS Action Plan. He received his Ph.D. from Auburn University (Auburn, Alabama) in 1988, and currently holds a clinical faculty appointment at the Yale Child Study Center.October 2007
WCPN/The Sound of Ideas radio show with Regina Brett: “Helping Troubled Teens”
Click here for WCPN’s online archive of the show.
Aired Friday, October 12, 2007
They called the teen odd, hyper, a loner. They said he talked crazy and worshipped the devil. Some say they even heard him threaten to shoot up the school...and then he did. Why wasn't more done to get help for Asa Coon before he killed himself this week? The teen wounded four others at a Cleveland school. What kind of safety net do we have...or need...for teens like him? Saving troubled teens before it's too late.
Guests: Dr. Gary Blau, Chief of the Child, Adolescent and Family Branch of the Center for Mental Health Services for the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA)
Teresa King, Family Involvement Lead, Cuyahoga Tapestry System of Care.
Mark Groner, Vice President of Clinical Services at Beech Brook. He is also a member of Cuyahoga County's Suicide Prevention Task Force.
Timothy McDevitt, has worked as a Probation Manager with the Cuyahoga County Juvenile Court.
December 2006
Only One in Four Americans Believes People are Sympathetic Towards Those with Mental Illnesses
Click here for the PDF version
The Substance Abuse and Mental Health Services Administration (SAMHSA),
in partnership with the Ad Council, today launched a national awareness public service advertising (PSA) campaign designed to decrease the negative attitudes that surround mental illness and encourage young adults to support their friends who are living with mental health problems. (Please see the attached news release for additional details.)
November 2006
Call & Post article 11/30/06: "County's Tapestry Program Helps Families Keep it Together"
Click here for the PDF version
Jeannie Stewart is moving to a new house, and the whole family is helping organize boxes, tuck toys into tote bags and get ready for change, Her family has learned how to get from one place in life to another, and Stewart admits that this moving process is going much more smoothly that it would have two years ago. That is when she started seeking services for her then six-year-old son because a mother's instincts -and reports from his school- told her something was going wrong in her son's life.
"He was beating up teachers, acting out, picking up habits like smoking, and I was missing work because of his behavior," says Stewart, washing dishes in her kitchen while young Tairez, now 8, empties a bag of breakfast cereal into his mouth. "I had family supports -my mama would come- but I hadn't looked outside for help."
A friend introduced Stewart to the Positive Education Program (PEP), a local non-profit agency that has been a pioneer of family-centered services in Cleveland. The specialists at PEP connected Stewart and her family to a relatively new countywide care coordination partnership called the Cuyahoga Tapestry System of Care. With "Tapestry," as it is called among families and provider agencies, Stewart started to see real change in her family.
Cuyahoga County is one of the areas nationwide selected by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) to become a system of care community, largely because of the strong history of partnership among innovative Cleveland agencies like PEP, the Cuyahoga County Community Health Board (CCCMHB), and the Department of Children and Family Services. Currently, 240 families each year are served by the Cuyahoga Tapestry System of Care, with plans underway to expand that to 800 additional children and families.
The system of care serves children who are struggling at home, in school or in their neighborhoods, or who are at-risk for intense involvement with multiple child-serving systems, like child welfare and juvenile justice.
"It was great because they weren't just dealing with Tairez, it was more of a family thing," Stewart says. Instead of removing a child from his or her home or neighborhood for treatment, Tapestry builds on the strengths of the family to keep them together, close to home, and engaged as equal partners with their care manager and support team. Parents or caregivers and their children sit at the table with a Tapestry care manager to develop an action plan and team of people who want to see them succeed, and which may include the family's minister, friends, neighborhood leaders, or others.
Cuyahoga Tapestry System of Care utilizes a "wraparound" service process that focuses on the strengths an culture of each family, resulting in a unique set of community services and natural supports. Cleveland is doing a particularly good job with this pioneering approach -recently, the Ohio Department of Mental Health referred to Cleveland as the "mecca" for child welfare and family-driven, youth-guided mental health care.
So while Tapestry kids like Tairez are moving from "U's" (Unsatisfactory grades) to "S's" (Satisfactory grades) at school, Cuyahoga Tapestry System of Care is getting check-plus-pluses, the highest ranking possible, on their federal report card, which measures things like parental satisfaction, stability in living situations and school performance rates.
A major stumbling block for parents and caregivers of children who are struggling is that it is difficult to tell what is age-appropriate "misbehavior" and what signifies a problem. Tairez, who was eventually diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD), started showing symptoms at age 4, but the family doctor said he would outgrow his challenging behaviors by age 5.
"You always think you're in a world by yourself until you open your mouth," says Tahirah Mujahid, a lead wraparound specialist for Cleveland UMADAOP, who urges parents and caregivers to talk to each other about what is happening with their children. She notes that many referrals for child and adolescent mental health issues come from word-of-mouth contact, but that doesn't mean that parents speak openly about mental health.
Greg Schaefer, Stewart's husband and the children's step-father, agrees. "There needs to be more word-of-mouth, but folks don't know about services because they're scared to ask about it."
The CCCMHB, which is a partner agency within the system of care, reports that one in five people in our county needs a helping hand with some type of mental illness, and that recovery is possible. That, combined with national data demonstrating that systems of care improve outcomes for children and families with behavioral and mental health concerns, shows that positive change is achievable, and it is happening right here in Cleveland.
Asked to describe the positive changes in her own family, Stewart laughs and says, "Well, the 'before picture' was everybody wringing each other's neck -everybody had ahold of somebody! Now, in the 'after picture,' we've got the laughing, happy smiley faces. It's a big improvement."
September 25, 2006
CuyahogaTapestry.org Launches as a New Resource for Children andFamilies
Click here to view photos.
Cuyahoga County, Ohio - On Tuesday, September 26, the Cuyahoga Tapestry
System of Care will unveil a new resource for children and families in our county: CuyahogaTapestry.org. The free and open-to-the-public event, held from 4 p.m. to 6 p.m. at Ursuline Educational Center, 2600 Lander Road, Pepper Pike, will feature an online tour of the site and a reception with giveaways.
The web site speaks directly to the three groups most involved in the coordinated, countywide effort called "system of care": parents of children who have or are at risk of problems at home, in their schools and in their neighborhoods; the youth who are struggling; and the partner agencies, like the Department of Child and Family Services, Positive Education Program (PEP), the Cuyahoga County Community Mental Health Board and nearly 50 others, who are coordinating efforts to serve children in an innovative, child-and-family-team format.
Through CuyahogaTapestry.org, parents, grandparents and caregivers receive referral information, can read and submit questions about children and adolescent mental health and how the system of care can help their family, and download additional resources. Youth who are being served by the system of care can share artwork, poetry, movies and other projects that they have created as a part of their recovery process, or enter bimonthly contests to win prizes. Also, partner agencies and the community now have unhindered access to public documents about the work for positive change among our county child-serving agencies and neighborhood-based support centers.
For more information about the event, call 216-479-3264.
**Editors: Please note that CuyahogaTapestry.org also has been designed
with you in mind. Our Media section, accessible from the main page, offers high-resolution photos, captions, electronic versions of our news releases and announcements, all for free, easy and immediate download.
September 2006
Fewer Youth Ages 8 to 18 Express Understanding of Mental Illness Than of
Physical Illness Such as Asthma: Study identifies social stigma
associated with depression
ROCHESTER, N.Y. - September 21, 2006 -Youth (ages 8 to 18) seem to have an easier time understanding a physical illness than a mental illness. About three in four (76%) youth recognize asthma as a physical illness, but only about half recognize depression and Attention Deficit Hyperactivity Disorder (ADHD) as mental illnesses (54% and 45% respectively). When asked how well they understand what it means when someone has depression, 42 percent report understanding it "not at all"
or "somewhat" well. This response is the same among youth in relation to ADHD (44%), though few youth (17%) report understanding asthma "not at all" or "somewhat" well.
These are the results of a survey of 1,318 U.S. children and teenagers (ages 8 to 18) conducted online by Harris Interactive(r) between June 14 and 20, 2006. (Note: some of the questions were asked only among 10 to 18 year olds.) Harris Interactive collaborated with the Research and Training Center on Family Support and Children's Mental Health, Portland State University, on development of the questionnaire for this study.
The greater understanding among youth of asthma could be because a majority of youth report knowing another student who has asthma (65%); but a fair amount report knowing another student with ADHD (52%) or depression (30%). Students with these conditions are seen differently by their peers and could experience very different school days.
Youth's perceptions of mental illness
Youth were asked questions in relation to a fictional character, Michael, with one of three conditions - depression, ADHD or asthma. Based on responses surrounding these scenarios, results show that youth expect that a child with depression or ADHD is more likely than a classmate with asthma to be socially shunned. More youth indicate that Michael with depression (38%) would be made fun of by most students when he is not around than Michael with ADHD (31%) or asthma (23%). Fewer youth say that students at their school would invite Michael with depression to parties or outings (27%) than Michael with ADHD (34%) or asthma (45%), and fewer would expect other students to sit with him to eat lunch (depression 31%, ADHD 38%, asthma 49%).
Youth feel the top three causes of Michael's depression could be experiencing more stressful events than most children do (49%), having a brain that works differently than a normal brain (48%) and having a family member with the same condition (25%). One in ten youth say that Michael's depression could be caused by his parents not raising him right (10%), or because Michael abuses drugs or drinks alcohol (11%).
Stigma and treatment of mental illness
Youth indicate if they thought they had depression, they would most likely talk to a friend (57%), talk to their parents (49%) and pray (44%). Many also would try harder to think and act like normal (40%) or wait for it to go away (28%). Youth appear to have a better sense of what steps they might take if they thought they had asthma, responding that they would most likely talk to a doctor (88%), talk to their parents (86%), or take medication (69%).
Interestingly, about one in four (24%) youth reports thinking they have had depression, but only seven percent (7%) say that a doctor or psychologist has diagnosed them with depression. Fifteen percent of youth say people in their family think that if you have depression you should not tell anyone outside the family, compared to only three percent for asthma.
According to the U.S. Department of Health and Human Services, an estimated 50 million Americans experience a mental disorder in any given year and only one-fourth of them actually receive mental health and other services.
To see the full report, visit
http://www.harrisinteractive.com/news/allnewsbydate.asp?NewsID=1095.
June 13, 2006
Winners Announced for 2006 “Show Your Colors!” Contest
Click here to view photos.
Cuyahoga County, Ohio – A diverse group of nine children from Cuyahoga County were honored yesterday for their creative talents in the 2006 “Show Your Colors!” Coloring Contest sponsored by Cuyahoga Tapestry System of Care and the Cuyahoga County Community Mental Health Board (CCCMHB).
William M. Denihan, CEO of the CCCMHB, and Beth Dague, Director of Cuyahoga Tapestry System of Care, presented the children with award certificates and prizes.
“With their different ages, backgrounds and home communities, the kids truly represented the vibrant youth population of Cuyahoga County,” said Dague.
“We were privileged to meet these young artists and their caregivers,” added Denihan. “It reminds us of the importance of children in our community, and of making resources and information available to families.”
Winners were chosen in three age categories, 4 and under, ages 5-8, and ages 9-12. (For winner's names, please contact the Cuyahoga County
Community Mental Health Board.)
The contest was open to any child 12 or younger residing in Cuyahoga County, and the “Show Your Colors!” theme reflected the national “Thriving in the Community” message for National Children’s Mental Health Awareness Day. The goal was to invite parents and children to learn about mental health issues through the coloring contest and an online fact sheet about child and adolescent mental health offered throughout the month of May at www.cccmhb.org.
Each child received an award certificate signed by Denihan and Dague, plus a kit of art supplies. Top winners in the three age categories also received movie theater gift certificates.
May 11, 2006
Community-Based Care Leads to Meaningful Improvements for Children and Youth with Serious Mental Health Needs
Cuyahoga County, Ohio – National data released Monday, May 8, 2006, show that children and youth with serious mental health needs make substantial improvements at home, at school and in the community when served through systems of care that provide community-based services such as Cuyahoga Tapestry System of Care. The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) released national evaluation data at a Capitol Hill briefing that supports comprehensive, community-based strategies for serving children and youth with these needs.
The Capitol Hill briefing was led by the Federation of Families for Children’s Mental Health, the National Mental Health Association (NMHA), the National Association of Social Workers (NASW), and NAMI (National Alliance on Mental Illness) as part of the first-ever National Children’s Mental Health Awareness Day.
Cuyahoga Tapestry System of Care is celebrating National Children’s Mental Health Awareness Day with the “Show Your Colors!” Coloring Contest for any child 12 years or younger living in Cuyahoga County. The deadline for entry is this week. Entry forms, plus facts on children’s mental health, are available at http://www.cccmhb.org/coloringcontest/coloringcontest.asp.
A system of care for children’s mental health is a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with serious mental health needs. Families and youth work in partnership with public and private organizations so services and supports are effective, build on the strengths of individuals, and address each person’s cultural and linguistic needs.
Data suggest that systems of care save taxpayers money when compared to traditional mental health service delivery systems. In addition, data show that children and youth in systems of care spend less time in inpatient care, experience fewer arrests, make improvements in their overall mental health and do better in school than before enrollment.
According to the national average, systems of care save public health systems $2,776.85 per child in inpatient costs over the course of a year, and save juvenile justice systems $784.16 per child within the same time frame. These and other data related to key outcomes, such as reductions in suicide-related behaviors and reductions in juvenile detentions or incarcerations, can be found at www.systemsofcare.samhsa.gov.
November 17, 2003
Congresswoman Tubbs Jones Joins Cuyahoga County Officials in Announcing $9.5 Million SAMHSA Grant to Enhance Children’s Mental Health Services
Click here for the PDF version.
Cleveland, Ohio – Today, Congresswoman Tubbs Jones along with Cuyahoga County Commissioners Jimmy Dimora, Tim McCormack and Peter Lawson Jones, and representatives from the Cuyahoga County Family and Children First Council (FCFC), and the Cuyahoga County Community Mental Health Board (CCCMHB), announced a $9.5 Million Substance Abuse and Mental Health Administration (SAMHSA) grant to enhance the Cuyahoga County System of Care for children by increasing access to mental health service over the next six years.
“I am pleased to have been able to assist Cuyahoga County in obtaining these grant funds for this very worthwhile program, Project Tapestry,” stated Rep. Tubbs Jones. “This grant will allow the Cuyahoga County Commissioners, the Cuyahoga County Family & Children First Council and the Cuyahoga County Community Mental Health Board to implement Project Tapestry and merge a mental health wraparound model with a pioneering child welfare reform initiative to meet the needs of underserved populations throughout Cuyahoga County, such as younger children, youth in transition to adulthood, young females, and Hispanic and Asian American children.”
Lisa Bottoms, Executive Director of FCFC, and William M. Denihan, Chief Executive Officer of the CCCMHB, explained that while Project Tapestry will focus on enhancing the mental health system currently serving 6,400 seriously emotionally disturbed (SED) children, capacity of the system will increase to serve an additional 1,200 youth. In addition, the effectiveness of the four major child-serving systems of child welfare, education, juvenile justice and substance abuse will also improve.
Project Tapestry will expand on the Connections wraparound model to offer creative and resourceful intervention plans that will link SED children and their families with formal mental health services, as well as related services such as family support and sustenance, therapeutic services, crisis services, independent living services and vocational services. The first year of the project is specifically designed for planning, with implementation over the remaining five years. During that time, evidenced based treatments and mental health services for children will be developed and expanded.
The success of Project Tapestry is centered in interagency collaboration and reform at the policy, infrastructure, clinical and individual child/family levels that will result in measurable changes in the overall system of care. These measurable changes and the effectiveness of Project Tapestry will be evaluated by Kent State University.
