SOC-CESS, System of Care: Community for Early Signs and Symptoms is for youth ages 9-17 & their families. SOC-CESS is a Missouri state grant that focused on providing early screening and identification for youth who are potentially at risk for experiencing psychosis. The Missouri Department of Mental Health works with three clinics to build up Systems of Care (SOC) in their respective communities. The three original clinics are Ozark Center in Joplin, Compass Health Network in Jefferson City, and Burrell Behavioral Health Center in Springfield.


SOC-CESS aims to intervene before first episodes of psychosis occur by better-preparing youth through evidenced- informed treatment.  We want youth to have a better understanding of themselves to lead more independent lives. SOC-CESS also assists individuals in learning how to manage their symptoms, which helps to reduce the chance of entering a crisis.  Finally, SOC-CESS also engages youth and families, with the goal of limiting the overuse of behavioral health services.  SOCCESS aims to prevent or reduce crisis which can reduce the burden of cost on these clinics over time.  Overall, we support and empower youth and families to live their lives and achieve their life goals.

Goals for SOC-CESS are:

1. To improve the overall functioning of youth who are at risk of early-onset psychosis and their families.

​2. Embed family and youth leadership within local and state agencies. 

​3. To expand an enhanced SOC (System of Care) specifically as it relates to early identification and treatment for youth at risk of or experiencing early-onset psychosis and families. 

System of Care


One of the original pillars of SOC-CESS was building Systems of Care (SOC). An SOC is group of community members and organizations that communicate and work together to provide wrap-around care for clients in need.  The core values and guiding principles are discussed below, as provided by The National Technical Assistance Center for Children's Mental Health.

Core Values

Systems of care are:

1. Family driven and youth guided, with the strengths and needs of the child and family determining the types and mix of services and supports provided.

2. Community based, with the locus of services, as well as system management, resting within a supportive, adaptive infrastructure of structures, processes, and relationships at the community level.

3. Culturally and linguistically competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of the populations they serve to facilitate access to and utilization of appropriate services and supports.

Guiding Principles

Systems of care are designed to:

1. Ensure availability of and access to a broad, flexible array of effective, evidence-informed, community-based services and supports for children and their families that addresses their physical, emotional, social, and educational needs, including traditional and nontraditional services as well as informal and natural supports.

2. Provide individualized services in accordance with the unique potential and needs of each child and family, guided by a strengths-based, wraparound service planning process and an individualized service plan developed in true partnership with the child and family.

3. Deliver services and supports within the least restrictive, most normative environments that are clinically appropriate.

4. Ensure that families, other caregivers, and youth are full partners in all aspects of the planning and delivery of their own services and in the policies and procedures that govern care for all children and youth in their communities, states, territories, tribes, and nation.

5. Ensure cross-system collaboration, with linkages between child-serving agencies and programs across administrative and funding boundaries and mechanisms for system-level management, coordination, and integrated care management.

6. Provide care management or similar mechanisms to ensure that multiple services are delivered in a coordinated and therapeutic manner and that children and their families can move through the system of services in accordance with their changing needs.

7. Provide developmentally appropriate mental health services and supports that promote optimal social and emotional outcomes for young children and their families in their homes and community settings.

8. Provide developmentally appropriate services and supports to facilitate the transition of youth to adulthood and to the adult-service system as needed.

9. Incorporate or link with mental health promotion, prevention, and early identification and intervention to improve long-term outcomes, including mechanisms to identify problems at an earlier stage and mental health promotion and prevention activities directed at all children and adolescents.

10. Incorporate continuous accountability mechanisms to track, monitor, and manage the achievement of system of care goals; fidelity to the system of care philosophy; and quality, effectiveness, and outcomes at the system level, practice level, and child and family level.

11. Protect the rights of children, youth, and families and promote effective advocacy efforts.

12. Provide services and supports without regard to race, religion, national origin, gender, gender expression, sexual orientation, physical disability, socioeconomic status, geography, language, immigration status, or other characteristics; services should be sensitive and responsive to these differences. 1

To view flyers, templates, and learn more about SOCs visit our Resources page.

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This project, publication/report/etc. was developed [in part] under grant number 1H79SM063402-01 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

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