Welcome Monroe County & partners across New York State!

Cross-Systems Convening & Action
We are focused on concrete action to urgently address the unacceptable fact that children and youth are boarding in hospitals, languishing on waitlists, sitting in detention, and entering the child welfare system due to a lack of access to the right care at the right time. The dearth of meaningful and available services in Monroe County and across the region for youth with complex intellectual, behavioral, and/or mental health needs presents significant challenges to safe placement, effective education, skills development, and family support. Join your fellow lawmakers, agency leaders, service providers, advocates, parents, and other community partners from across the Western Region and Albany in this sprint to solutions as we learn from other state examples, assess the issues, commit to shared next steps, and begin to transform the policy and practice infrastructure to improve the experiences and outcomes for youth and families with unmet complex needs.

Materials & Resources
Almost 100 participants from across New York state attended the September 2024 Cross Sector Convening. Several individuals volunteered to join a newly formed Cross Systems Action Team to continue work on the identified consensus themes and recommendations. Click below to view related resources (this page will be updated periodically).
Cross Systems Action Team
2024 Cross Systems Convening Summary
11-8-2024 Gov. Hochul Letter re: Cross Systems Recommendations
2-14-2025 Cross Sector Joint Letter on Budget Proposals
3-19-2025 Cross System Action Team Meeting Slides
3-19-2025 APHSA Cross Systems Action Team Briefing
May 2025 – Fact Sheet – Complex Needs A7603/S7978
06-24-2025 Cross Systems Action Team Meeting Slides
06-24-2025 Ohio RISE Cross Systems Action Team Guest Slides
06-24-2025 CTTP Update – Cross Systems Action Team Briefing Slides
Convening Resources
New York State Resources
State Examples
CA – Enhanced Care Programs (ECP) Guide: Serving Foster Youth with Unmet Complex Needs
IL – Illinois Children’s Behavioral Health Transformation Initiative – Jan. 2024 Progress Report
NM – Together We Thrive initiative Dashboard – Emergency Health Group
OH – Department of Developmental Disabilities Vision for Supporting Multi-System Youth
OH – OhioRISE (Resilience through Integrated Systems and Excellence)
VA – Safe & Sound (focused on high acuity youth in foster care)
WA – Lawmakers pass bill to change how WA cares for youth stuck in hospitals (April 2023)
Video Resources
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