Care Management Process

Counselor talking

Once PerformCare makes a referral to Bergen’s Promise, one of our highly trained Care Managers will reach out to the family and begin to:

  • Create a crisis plan to proactively deal with a possible future emergency and address immediate safety needs.

  • Work with the youth and family to identify strengths and develop a Family Vision; identify needs and develop appropriate strategies to meet these needs.

  • Identify key people in the life of the child and family to successfully build the Child and Family Team.

  • Use the input from the Child and Family Team to build an Individualized Service Plan that is child and family driven, strength based and culturally competent.

  • Coordinate planning and communication with the Child and Family Team and service providers.

Youth meet with their Care Manager at least monthly to assess service effectiveness.  Youth typically attain their goals and “graduate” from Bergen’s Promise services within 3 – 12 months.

Additionally, through its Behavioral Health Home (BHH), Bergen’s Promise incorporates medical expertise and health/wellness education to provide fully integrated and coordinated care for children who have designated chronic conditions.  Members of the BHH team work within the Child and Family Team to develop individualized plans of care, building on current services to provide a holistic approach to care. This process provides direct face-to-face care coordination and Wraparound care planning for children and families with complex needs. The ultimate goal of the BHH is for eligible families and children to develop the skills and ability to actively manage the child’s chronic medical as well as behavioral health conditions.


If your child has been referred to Bergen's Promise and you would like to find out more about what documents the Care Manager will need from you, for your first meeting, see our NJ FamilyCare page.  For additional information about Bergen's Promise and our services, please visit our Frequently Asked Questions page.