The Transition Activation Worker Program provides short-term support for children and youth (up to age 18) living with serious mental health challenges as they transition from hospital or live-in treatment back into their home and community.
This program offers flexible, person-centered support designed to ease the return to everyday environments while generalizing skills learned.
What Supports Are Provided?
The Transition Activation Worker Program helps bridge the gap between discharge and community integration by offering:
- Short-term funding to engage a trained worker who supports the child or youth in the community following discharge.
- Flexible scheduling to ensure the support meets the unique needs of the individual and their family.
- Ongoing monitoring, with clinical supervision provided by the referring treatment setting.
- Collaborative planning with mental health service providers to promote continuity of care and progress toward transition goals.
In some circumstances, this funding may be used prior to admission to support a youth transitioning to a live-in treatment setting.
How to Make a Referral
- Referrals must be submitted by the hospital or live-in treatment program on behalf of the child or youth.
- Applications (available below) are reviewed on a rolling basis as they are received and are processed accordingly.
- Decisions are based on program criteria and available funding, with outcomes communicated to both the referring provider and the family.
- Completed applications, or questions regarding applications can be sent to Jenna Francis – Director, Programs and Services at jfrancis@rfecydurham.com.
Important Notes:
Limited funds are available and therefore, it may be necessary to prioritize eligible applications based upon greatest need.
Referring agencies are responsible for the supervision and oversight of the contract and ensuring work is being completed in accordance with the goals and timelines indicated on the application.
TAWs (workers providing the direct service) are required to provide a discharge report to the supervising clinician, with Resources for Exceptional Children and Youth cc’d. This report must include the name of the client, length of contract, summary of progress and worker signature.