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
- University of Rochester Medical Center – Complex Case Discharge Delays: Recommendations for New York State (2024)
- No More Waiting: Recommendations to begin addressing care delays for New Yorkers with complex needs (2024)
- HANYS The scope of complex case discharge delays in New York state (2023)
- HANYS The complex case discharge delay problem (2021)
- NYS Council on Children & Families – Cross-Systems’ Collaboration Interagency Resolution Unit (IRU)
- OMH Letter – Crisis Residence Services Overview (2020) (link broke original website)
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 – Multi-System Youth (MSY) Program – created in 2020 to prevent custody relinquishment for youth with complicated multi-system needs (link broke original website)
- OH – OhioRISE (Resilience through Integrated Systems and Excellence)
- VA – Safe & Sound (focused on high acuity youth in foster care)
- VA – Right Help Right Now – $4.2 million investment in pilot program for children and adolescent crisis stabilization services
- WA – Lawmakers pass bill to change how WA cares for youth stuck in hospitals (April 2023)
National Resources
- American Academy of Child & Adolescent Psychiatry – Child & Adolescent Psychiatrist Workforce Maps by State (select NY)
- Health Management Associates (HMA) and National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition Series of Briefs –Collaborating to improve children’s behavioral health
- Mental Health America Youth Data 2023 – see how NY compares
- WRAP-EM Kids In Crisis Initiative (AZ, CA, NV, OR, WA, UT) Video Playlist
- EmPATH Units in Hospitals
- Omni Stabilization Services Overview
- Innovation Institute Mobile Response & Stabilization Services
Videos
- Action Team Quarterly Mtg. Guest - OhioRise 06-24-25
- Supporting Youth & Families with Unmet Complex Needs: A National Perspective
- Serving Youth with Unmet Complex Needs
- ACRC Webinar: Responding to the Youth Mental Health Crisis: Short-Term Stabilization and Hospital Diversion Programs (11/6/23)
- Keynote: Elevating Work Works: How to Accelerate our Success in Improving Youth Mental Well-Being
- Workshop A: #ShowMeSolutions: How Missouri is Dealing with the Capacity Crisis
- The Wait to Nowhere: When a Crisis Goes Untreated














