16.1 Program Designation Types | CWS

Mild to occasionally moderate emotional and/or behavioral management problems that interfere with the child’s ability to function in the family, school and/or community setting without guidance and supervision;

Traditional (CPA) - the child’s behaviors identified for traditional care are mild; and

BWO (CCI) – the child’s behaviors identified for base care are mild to moderate.

Learning disabled requiring supports, such as student support team (SST) and tutoring services;

Poor concentration at school and home;

Occasional disruptive or disobedient behaviors resulting in in-school suspension;

Behaviors that are managed by medications;

Disregard for others property (minor property damage);

Non-compliance with curfew and/or limits set by adults;

Difficulty in adjusting to new environments;

Lack age-appropriate knowledge of self-care or life skills;

Behavioral outbursts. inclusive of profane and/or provocative language;

Exhibit “annoying” behaviors to include excessive teasing, horseplay and language taunting;

Shyness, fear, anxiety and nervousness in group/community settings

Irritability and/or hostility toward peers;

Impulsive behaviors that create mild risk (inappropriate verbal outbursts, wanders away from the group);

Easily frustrated; temper tantrums; and/or

Difficulty making friends.

Minimal to mild medical needs and can have a mild developmental delay that does not coexist with any medical condition.

Moderate to occasionally serious emotional and/or behavioral management problems that interfere with his/her ability to function in a family, school, and/or community environment outside of a supervised and structured setting;

BWO (CPA) – the child’s behaviors identified for BWO care are moderate; and

AWO (CCI) - the child’s behaviors identified for AWO care are frequent and serious.

Performance not in accordance with ability;

Learning disability requiring IEP services;

Disruptive and/or disobedient to school rules, which could result in suspension;

Frequent attendance and truancy problems;

Oppositional and defiant in the home and/or school setting;

Use of vulgar and/or provocative language;

Annoying behaviors (picks on peers, repetitive actions or language and taunting);

Demanding and threatening;

Lack of age-appropriate knowledge of self-care or life skills;

Occasionally assaultive without causing major injuries;

Disregard for the property of others (intentional property damage);

Occasionally runs away and/or refuses to abide by curfews;

Self-harming behaviors (eraser burns, repeatedly picking at sores, biting fingernails until they bleed and head banging);

Does not engage in typical peer interactions or recreational activities because of tendency to be picked on or bullied by others;

Often fearful, anxious or sad;

Difficulty identifying and/or expressing emotions; emotionally blunted

Easily annoyed frequent and intense irritability;

Possible delinquent behaviors and Department of Juvenile Justice (DJJ) involvement;

Child has engaged in substance use, but use does not interfere with daily activities; and/or

Impulsive actions that create risk (inappropriate outbursts, plays with fire and/or wanders away).

Minimal to mild medical needs; and/or

Mild developmental delay that does not coexist with any medical condition.

Serious to severe emotional and/or behavioral management problems;

MWO (CCI) - the behaviors exhibited by a child interfere with his or her ability to function in the family, school, and/or community outside of a supervised and structured setting; and

The behaviors identified for MWO children placed in a CPA are identified as serious. The behaviors identified for MWO children placed in a CCI are identified as more frequent and severe.

Found to be or at risk of becoming a victim of sex trafficking. See the Human Trafficking Case Management Statewide Protocol for more information on sex trafficking.

Poor school attendance, grades and concentration in school; requires oversight from teachers, family and/or caregiver;

Multiple school suspensions and disciplinary actions;

History of explosive outbursts in schools;

Failure and/or inability to learn;

IEP with placement in specialized classes for behavioral or learning disabilities;

May require adaptive learning tools;

Refuses help with schoolwork or tutoring;

Several years behind in the development of age-appropriate knowledge of self-care or life skills;

Verbal aggression (use of vulgar and/or provocative language);

Oppositional and defiant in the home and school setting;

Demanding and/or threatening;

Smearing and/or throwing feces;

Bedwetting – graduating to intentional urination in places other than the toilet;

Hiding soiled clothing/bed linens;

Limited ability to perform routine tasks of daily living, such as chores and laundry;

Deliberately or impulsively destroying property while in a structured setting (breaking windows, pictures, mirrors; damage to furniture, appliances, clothing, electronics, and vehicles);

Preoccupation with fire;

History of cruelty to animals;

Sexual acting out with or without aggression that may be opportunistic, situational or planned;

Highly sexualized behaviors, promiscuity, seeking inappropriate relationships with older persons, poor physical boundaries, often with history of sexual abuse and poor self-esteem;

Recurrent and/or severe self-injurious behaviors and/or suicidal behaviors that are under control;

Homicidal and/or suicidal threats;

Physical aggression and/or assault (hitting, kicking, spitting, attacking with or without a weapon, throwing objects) toward adults and/or other children with or without injuries;

Withdrawn behavior or attention seeking behaviors that are excessive (constant complaining about physical ailments, nightmares, difficulty going to bed and/or refusal to stay in bedroom);

Fears, worries and anxieties that affect daily activities; frequent and severe headaches, stomach aches and/or refusal to get out of bed;

Serious problems with personal hygiene;

Impulsive behaviors that present a barrier to maintaining physical safety;

Chaotic and poor control of anger toward self and others with frequency and intensity that needs attention;

Inflexibly adheres to routines or rituals and has difficulty with transitions, which may lead to serious harm to self or others or extremely aggressive behaviors;

Difficulties with social interactions and/or communication (failure to speak, make eye contact, shake hands, hiding, standing too close, revealing personal information inappropriately to strangers, etc.);

Odd, bizarre or explosive actions that pose a significant risk of harm to self or others;

Hearing voices and/or seeing things that are not there;

Frequent and/or uncontrollable behavioral outbursts and mood swings;

Seemingly unable to form any meaningful friendships; socially isolated and unable to enjoy activities with peers;

Delinquent behaviors (stealing, burglary, assault and/or battery);

Recurring involvement with the Department of Juvenile Justice (DJJ);

Fire setting with intent to destroy property or injure others and/or preoccupation with fire;

Intentionally and/or maliciously cruel to animals;

Runs away with involvement in situations where high risk activities are likely to occur

Drinking and/or drug use, which may have resulted in disciplinary actions and/or affect daily function;

Involvement with gangs and/or gang-like activities; and/or

Poorly prepared for and lacking skills necessary for independent living

Moderate medical needs requiring specialized services;

Generally, see two or more physicians at least on a quarterly basis for medical needs;

Routine lab work to assess the effectiveness of medications; and

Medical needs in this group could include two or three of the following:

A medical condition that requires management with medications;

Child has a tracheotomy;

Child is oxygen and feeding tube dependent;

Complete or partial paralysis (child weighing 20 pounds or more);

Depends upon medication to keep a life-threatening condition under control including, but not limited to, asthma, chronic lung disease, diabetes, heart disease, HIV infection, or chronic kidney disease being maintained by dialysis; and

Limited mobility.

A medical condition which requires management with medications;

Child has a tracheotomy;

Child is oxygen dependent;

Persistent reflux causing frequent vomiting;

Requires oral feedings that take at least 30 minutes or requires tube feedings;

Requires nebulizer treatments on a daily basis;

Requires medications by feeding tube, injection or suppository;

Requires ostomy care;

Has any type of body cast;

Blindness;

Deafness or severe hearing impairment;

Complete or partial paralysis (child weighing 20 pounds or more);

Has self-harming behaviors, such as cutting, ingesting poisonous substances, etc.;

Depends upon medication to keep a life-threatening condition under control, including, but not limited to, asthma, chronic lung disease, diabetes, heart disease, HIV infection, or chronic kidney disease being maintained by dialysis;

Limited mobility;

Bedwetting and urination in places other than the toilet;

Several years behind in the development of age-appropriate knowledge of self-care or life skills; and/or

Medical interventions may be required while in school.

Learning disability requiring supports such as Student Support Team and tutoring services;

Poor concentration at school and home;

Occasional disruptive or disobedient behaviors resulting in in-school suspension;

Behaviors that are managed by medications;

Non-compliance with curfew and/or limits set by adults;

Difficulty in adjusting to new environments;

Behavioral outbursts inclusive of profane and/or provocative language;

“Annoying” behaviors to include excessive teasing, horseplay, and language taunting;

Impulsive behaviors that create mild risk, such as inappropriate verbal outbursts or wandering away from the group;

Easily frustrated; temper tantrums; and/or

Difficulty making friends.