FAMILIES FIRST
COMMUNITY PATHWAY:
No Wrong Door
Service Delivery Model
2025
SANTA CLARA COUNTY
CHILDREN AND YOUTH
SYSTEM OF CARE
“No Wrong Door” – service
delivery model where
families can get connected
to the services and supports
needed (e.g., health, social
services, housing
assistance).
Internal and external services are provided to individuals in a way that ensures easy access, equity, and seamless integration of various supports. Ensuring that people are not turned away or redirected and receive the appropriate services efficiently and effectively.
• Service Coordination/Navigation
• Streamlines Assessment
• Care Plan Development
• Case Management
Streamlined Access to Multiple
Services - all relevant services
are streamlined, minimizing the
burden on the individual to
coordinate between them.
Pilot Partners
• Si Se Puede Collective
• Mayfair
• Pocoway
• Franklin McKinley Children’s
Initiative
• Santee
• Seven Trees
Tiered services and supports
• Streamlined Intake,
Screening and Assessment
Process
• Connected to the right level
of support needed
Service and impact data
platform
• Outcome Measure with Key
Performance Indicators (KPIs)
No Wrong Door Service Delivery Model
Title IV-E (DFCS) Agency Candidacy Determination
Connecting individuals to the right services regardless of their entry point. Personalizing services based on an
individual’s unique needs, ensuring flexibility and
adaptability in how services are provided.
Ensuring communication and collaboration across
agencies to deliver a comprehensive range of services,
such as health, housing, and employment, without the
individual needing to navigate the system on their own.
Development of Prevention Plan ensuring the safety of
children.
Facilitating smooth transitions or hand-offs between
agencies when additional services are required.
Ensuring continuity of care through coordinated efforts, so individuals receive uninterrupted support, even when multiple agencies are involved.
Tracking the individual's progress and making
necessary adjustments to their prevention plan.
The process of managing and organizing services for an
individual across multiple agencies or providers to
ensure they receive comprehensive and integrated
support. Case coordination focuses on providing
personalized, continuous care across different sectors, preventing gaps or overlaps in services.
Families First
Community Pathway:
Service Coordination
Santa Clara County’s Families First CPP
PRIORITY POPULATION
Children at Imminent
Risk of Harm or
Neglect
Families or Youth
struggling with substance
abuse
Pregnant & Parenting
Foster Youth
Homeless Youth or
Families
Families struggling with
Domestic Violence
Family in Need of
Supports and Services
Self-Referral or Referral
from Community.
Intake process
Service provider completes an intake
assessment and makes recommendation for
candidacy determination. When the family
shares that they are a member of an
indigenous tribe, the provider adheres to
additional requirements.
Candidacy Determination
Only the Title IV-E agency can
make the determination of
candidacy.
Prevention Plan Completed by
Service Provider
Families and the tribe, if involved, are
engaged in developing the prevention
plan and choosing services most
helpful to the family.
Coordination of Services
The service provider becomes the case manager
for the family’s prevention plan. If a tribe is
involved, the service provider works closely on
service delivery coordination.
Delivery of Services
Service provider ensures that services
are delivered with model fidelity and in
collaboration with the tribe, when
involved.
Oversight and Safety Monitoring
Safety monitoring and planning is a critical part of the service provider’s case management responsibilities.
Tribal input provides support in ensuring family safety.
Mandated reporter protocols are implemented when
interventions are not sufficient to mitigate safety threats. 1 2 3
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