Children, youth, and families | Levels of Care 1–4
We offer Mental Health Targeted Case Management for children and youth across Levels of Care 1–4. We work alongside your family to understand your child’s needs, connect with care, and build practical skills for everyday life.
What your child’s care can include
Your child’s assessment, strengths, goals, and authorized level of care guide the services in their plan. Not every child needs every service. We explain what is recommended, who will provide it, and how the team will work together.
A case manager helps you identify needs, connect with services and resources, and follow up so the care plan stays useful. With your permission, this may include coordinating with your child’s school, therapist, medical providers, and other supports.
What this can look like: helping arrange a referral, addressing barriers to appointments, bringing the right people together, or checking whether services are meeting your child’s needs.
Rehabilitation helps a child develop or regain everyday skills affected by emotional or behavioral difficulties. Skills training turns that goal into hands-on practice, such as recognizing strong feelings, calming the body, solving problems, communicating needs, or following a manageable routine.
What this can look like: practicing how to ask for a break before an argument escalates, then helping caregivers support that skill at home. Caregiver training may be included when it supports the child’s care plan.
When medication is recommended, a qualified prescribing clinician evaluates whether it may help, discusses benefits and risks, and monitors symptoms, side effects, and the treatment response. Prescribing and medication changes are handled by that licensed medical provider.
How case management helps: coordinating access and follow-up with the prescriber. Medication training and support can help families understand instructions, track concerns, and prepare questions. It does not replace medical evaluation or authorize case managers to prescribe.
Understanding Levels of Care 1–4
A level of care describes the intensity and mix of services a child may need. Assessment and clinical review guide the recommendation, along with eligibility and any required health-plan authorization. Levels are not labels of a child’s worth or potential.
For children whose primary ongoing need is medication follow-up, with other support included when clinically indicated and authorized.
Focused support for identified emotional or behavioral needs, using the services that fit the child’s assessed goals.
A coordinated combination of services for more complex needs, which may include counseling, skills training, caregiver support, and case management.
More intensive, team-based support using the Wraparound planning process. The child and family help shape a plan that brings formal services and natural supports together.
Service frequency and the care team are individualized. We review progress with your family and adjust recommendations as needs change. Availability, eligibility, and coverage are confirmed before services begin.
Take the next step
Call 940-252-4695 to discuss case management, referrals, current availability, and enrollment. We will explain the assessment process, review coverage, and help you understand the next step.
Ask About Case ManagementLearn more about the statewide service framework in the Texas HHSC Children’s Mental Health overview.
