Multi-System Youth (MSY)

Resources for Multi-System Youth

Developmental and Intellectual Disabilities

The list of links below includes information about: Intermediate Care Facilities, Level of Care Assessment, and County Board of DD eligibility. Visit the Ohio Department of Developmental Disabilities (DODD) here.

Comparing ICF and Waiver Services
There are services available to support people with developmental disabilities whether they choose to live on their own, with family, with someone else, or in an intermediate care facility, or ICF. Presented are some questions people often ask about choosing to use a waiver or living in an ICF.

ICFs and Medicaid Waivers:  What is the difference?
This 11-page PDF from the Ohio Department of Developmental Disabilities (DODD), answers commonly asked questions such as What is a Medicaid waiver? What is an ICF? and If I get a waiver can I choose my service providers?

Level of Care Assessment Information
The Level of Care assessment, or LOC, is used to determine whether a person has a developmental disabilities level of care. Establishing the level of care a person may need is necessary for admission to an intermediate care facility or for enrollment in a home and community-based services waiver. Download PDF of Level of Care Assessment Manual here.

Developmental Disabilities Profile (DDP) (Required for someone living in an ICF.)
The Ohio Developmental Disabilities Profile is often called DDP for short. DDP is an assessment required for people who access services using the Individual Options Waiver and for people who live in an intermediate care facility, or ICF. Once complete, the DDP arrives at a funding range that guides development of waiver-funded services in a person’s individual service plan or calculates the Resident Assessment Classification, or RAC, score for a person living in an ICF.

ICF Search Map
Intermediate Care Facility (ICF) search tool, provided by the Ohio Department of Developmental Disabilities (DODD). Click ICF Search Map above, then click the Menu button, filter ICF’s nearest, and print directions.

Children’s/Ohio Eligibility Determination Instrument-C/OEDI
The Children’s Ohio Eligibility Determination Instrument and the Ohio Eligibility Determination Instrument is known collectively as the C/OEDI. The Ohio Eligibility Determination Instrument, or OEDI, records information about a person’s abilities and areas that they need support. This information is used to determine their eligibility for county board of developmental disabilities services. The OEDI captures information about people 16 years old and older. The Children’s OEDI, or COEDI, records information for children 6 to 15 years old.

C/OEDI Instrument User Guide
This document assists staff in determining a person’s eligibility for county board of developmental disability programs. The two components of the eligibility determination process are 1. The Children’s Ohio Eligibility Determination Instrument (COEDI) or the Ohio Eligibility Determination Instrument (OEDI) 2. The Children’s Form for Eligibility Determination (CFED) or the Form for Eligibility Determination (FED).

What to Expect if Choosing to Enroll in a Waiver
A service and support administrator, or SSA, will be assigned to work with you within 30 days of receiving notice from the Ohio Department of Developmental Disabilities that a waiver is available for you.

What to Expect if Choosing an ICF
If you are moving into an intermediate care facility, or ICF, someone from the ICF will contact you to discuss the details of your move to the facility. A qualified intellectual disabilities professional, known as a “Q,” will be assigned to work with you.

FAQ:  ICFs and Medicaid Waivers | Toolkit:  Your Rights in Ohio’s DD System and Beyond

Mental Health

    The Mental Illness/ Intellectual Disabilities Coordinating Center of Excellence is a partnership between the Ohio Departments of Developmental Disabilities and Mental Health, with the goal of improving the lives of Ohioans who are dually-diagnosed with MI/ID. The CCOE offers a variety of services and resources, including:
    •      – Telepsychiatry for youth and adults
    •      – Second Opinion Psychiatric Assessments
    •      – Recorded informational webinars on MI/ID topic
  • Trauma-Informed Care Collaboratives
    The Ohio Departments of Mental Health and Addiction Services (OhioMHAS) and Developmental Disabilities (DODD) collaborate on the statewide Trauma-Informed Care (TIC) Initiative intended to promote a greater sense of safety, security and equality among consumers/clients.
  • The Resilience Project
  • The use of the tools in the following Resiliency videos are intended to help those who work with youth build empathy and connection.  The Growing Resilience website is for parents, teachers, therapists, and anyone interested in new and different ways to support people with trauma histories. The Growing Resilience Companion Guide is an e-book  where each page is packed with learning materials centered on the path toward resilience for the entire team.”

  • NAMI Ohio
    As a grassroots organization advocating for mental health issues, NAMI Ohio has an outstanding history of affecting public policy and legislation regarding care and resources for persons with serious mental illness.
  • Emerald Jenny Foundation
    Our site includes listings for rehab facilities, healthcare providers, counselors and other organizations – all so you or a loved one can take that important first step.
  • The Intersection of MH D/O’s & I/DD LiveBinders
    A collection of training materials focused on specific mental health disorders in the intellectually disabled population. Topics include: Fetal Alcohol Syndrome, Traumatic Brain Injury and Anxiety disorders.
  • Hey I’m Here
    We’re a youth-led community engaged in changing the conversation when it comes to our mental wellness. We provide a safe digital space to share stories, offer encouragement, and to help others find resources available to them in Ohio.
  • Project AWARE
    Project AWARE Ohio is a partnership between the Ohio Department of Education, the Center for School Based-Mental Health Programs at Miami University and the educational service centers within three pilot communities: Cuyahoga County, Warren County and Wood County.

Medical Care

  • Managed Care Plans
    In Ohio, most individuals who have Medicaid must join a managed care plan (MCP) to receive their health care. An MCP is a private health-care insurance company that provides medically necessary health care. The Ohio Department of Medicaid contracts with plans that provide medically necessary services as determined by the Ohio benefit package.

Ohio Department of Mental Health and Addiction Services Fetal Alcohol Spectrum Disorders (FASD)
The mission of the OhioMHAS’ FASD resource initiative seeks to increase awareness of the impact of alcohol-exposed pregnancies, collaborate with agencies to establish resources, coordinate interventions and diagnostic services for families affected by Fetal Alcohol Spectrum Disorders. Fetal Alcohol Spectrum Disorders (FASD) is an umbrella term used to describe disorders that result from prenatal alcohol exposure (PAE). Fetal Alcohol Spectrum Disorders can lead to physical abnormalities, cognitive difficulties, neurodevelopmental deficits, behavioral problems, deficits in social skills, medical issues, and secondary disabilities. FASD is highly prevalent (1 in 20) and the most common leading cause of preventable cognitive impairment, developmental disabilities, and birth defects in the United States. FASD is preventable by avoiding alcohol use during pregnancy. Similarly, the Centers for Disease Control and Prevention (CDC)’s Fetal Alcohol Spectrum Disorders (FASDs) website is part of the CDC mission of educating families, professionals, and the public by supporting trainings for medical and allied health students and practitioners, promoting screening and intervention tools for women’s health care providers, promoting educational materials to various audiences, and responding to public inquiries.

The Ohio Children’s Hospital Association
The Ohio Children’s Hospital Association is the voice of Ohio’s youngest patients, their families and health care providers. Our six member hospitals and their nearly 40,000 employees are dedicated to saving, protecting and enhancing children’s lives. Ohio has arguably the strongest network of children’s hospitals in the nation—hospitals that are committed to ensuring that all three million Ohio children have access to the highest quality healthcare possible. We serve children from all 88 Ohio counties, all 50 states, and dozens of international countries. And, every child receives the medical care they need—regardless of their family’s ability to pay for the care provided.


The Ohio Statewide Family Engagement Center
The Ohio Statewide Family Engagement Center at The Ohio State University is a leader in the field of family, school, and community engagement. We are located at the Center on Education and Training for Employment, a translational research center within the College of Education and Human Ecology. Our goal is to bring research to action by providing schools, families, and community partners with the tools they need to work together so all children have success in learning and life.

Mental Health Technology Transfer Center Network (MHTTC) | National School Mental Health Projects
The purpose of the MHTTC Network is technology transfer – disseminating and implementing evidence-based practices for mental disorders into the field. Funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), the MHTTC Network includes 10 Regional Centers, a National American Indian and Alaska Native Center, a National Hispanic and Latino Center, and a Network Coordinating Office. Our services cover the full continuum spanning mental illness prevention, treatment, and recovery support.

The Center for School-Based Mental Health Programs (CSBMHP) in the Department of Psychology at Miami University (OH)
The Center for School-Based Mental Health Programs (CSBMHP) at Miami University operates within the Department of Psychology. Center staff, faculty, graduate and undergraduate students, and community partners are involved in research, consultation, and clinical service initiatives. As a university-based center, CSBMHP is committed to ongoing applied research, pre-service education of future clinicians, in-service training of educators and mental health professionals, and direct clinical and consultative service to school districts and community partners.

Family Support

  • Charting the LifeCourse
    Charting the LifeCourse is a framework designed to support families to maximize their capacity, strengths, and unique abilities to best nurture, love, and support their family member to achieve goals.DODD supports Charting the LifeCourse Ambassadors throughout the state who introduce this framework to families, schools, providers of service, community businesses, and county boards of developmental disabilities.  These sessions teach the tools and principles families and organizations need to support people at any age or stage of life, develop a vision for a good life, think about what they need to know, identify how to find or develop supports and discover what it takes to live the lives they want to live.
  • PAC/ Parent Advocacy
    A parent peer support program which partners with parents as they navigate the systems of care in Ohio. To qualify a parent must have a child or children who have multiple needs. The parent can self-refer for help, and agencies and providers can send in referrals. Family and Children First councils in some counties also use PAC for parent support. To talk to someone about the program you can go to the NAMI Ohio website at: or call 1-800-686-2646, for more information.
  • DODD Family Advisory Council
    These quarterly meetings provide a forum for DODD to hear directly from family members about the issues that affect their lives and an opportunity to learn more about DODD’s current initiatives from executive staff.
  • Loop Ohio
    Families can find valuable information about resources and programs designed to support families statewide and in their local communities at The website also serves to link families with mentors and subject matter experts who can provide answers and insight to questions.

Community Engagement

  • Youth MOVE
    Youth MOVE National is a youth-driven, chapter-based organization dedicated to improving services and systems that support positive growth and development by uniting the voices of individuals who have lived experience in various systems—including mental health, juvenile justice, education, and child welfare.

Mobile Response Stabilization Services (MRSS)

  • Engage 2.0
    This grant, titled Engage 2.0 built upon the collaborative relationships that have developed regionally around the original Engage Grant communities previously facilitated by Boards in Northwest and Southwest Ohio, and the Family and Children’s First Councils within those Board regions.

Service Coordination

  • Family and Children First Councils
    Ohio Family and Children First (OFCF) is a partnership of state and local government, communities and families that enhances the well-being of Ohio’s children and families by building community capacity, coordinating systems and services, and engaging families. OFCF’s vision is for every child and family to thrive and succeed within healthy communities.
  • Ohio Children’s Alliance
    Ohio Children’s Alliance applies the collective strength of its members to sustainably improve the provision of services to children, young adults, and families through policy advocacy, performance improvement, and member support.
  • Bridges to Success
    Bridges is a voluntary program available to young adults who left foster care in Ohio at ages 18, 19 or 20 and who are in school, working, participating in an employment program, or have a medical condition that prevents them from going to school or working. The program provides guidance and support as they transition to adulthood.
    • Opportunities for local teams to present complex cases and to receive written recommendations from multidisciplinary experts and opportunities for local teams to develop the knowledge and skills to manage complex conditions in their own communities and to be part of a community of practice. Brief lectures and case-based learning on topics of special interest.
  • Strong Families/Safe Communities
    Since 2013, the Strong Families, Safe Communities project has been engaging local systems to identify community-driven solutions that highlight collaboration across agencies to develop the best possible outcomes for these families. This initiative is funded by the Ohio departments of Developmental Disabilities (DODD) and Mental Health and Addiction Services (OhioMHAS).

Multi-System Youth Training

    • Supporting Youth with Complex Needs
    • The Ohio Department of Developmental Disabilities (DODD), in partnership with Ohio Center for Autism and Low Incidence (OCALI), developed a 9 module training series to help increase the knowledge and skills for direct support professionals who are supporting youth with complex behavioral health needs.

      The content of Module 1 includes five chapters and focuses on:
      – Supporting Youth with Complex Needs
      – Supporting the Needs of Families
      – Preparing Direct Support Professionals
      – Understanding Behavior, and
      – The Rage Cycle

      The remaining eight interactive and competency-based modules focus on The Ziggurat Model, Behavior and Communication, Trauma Informed Care, Reinforcement, Structure and Visual and Tactile Supports, Task Demands and Skills to Teach. The entire 9 module series can be accessed in the DODD learning management system. Anyone is welcome to set-up a profile and view the courses. Module 1 is available via YouTube so that anyone supporting youth across systems can easily access. We believe providers, families and others will benefit from all nine modules. – For questions, please contact Tina Evans at

    • Trauma-Informed Care (TIC) Training Videos – A Six-Part Series
    • This series, a part of the Nprthwest Ohio Trauma-Informed Care (TIC) Collaborative, features a three-part presentation by Sarah Buffie and Amy Chavez on “Safety and Trustworthiness ,” “Collaboration and Empowerment,” and “Inclusion and Healing-Centered Leadership” and Kevin Aldridge and Lara Paley on “Safe, Connected, and In Control,” “Leading a Trauma Responsive Environment,” and “Emotional Self-Care for Helping Professionals”. Click here to view series.
  • Redtreehouse is Ohio’s online resource supporting the well-being of Ohio’s families and children with challenges, disabilities, and health care needs. It was created to provide a welcoming and vibrant online community for families and professionals to explore and connect to resources and supports for children and young adults.

OCALI ASD Strategies in Action
The Autism Center works to build the capacity of school districts and other education agencies to improve their instruction and support for individuals with autism.

OCALI Autism Series LiveBinder
A collection of Autism training resources developed by OCALI in conjunction with a regional training program

Take eBasedAcademy courses at your pace, at home or in a cafe. Earn your Continuing education credits in a variety of fields including psychology, nursing and social work. Our courses are open 24/7.

Legal Help

  • DODD Bill of Rights
    You have the right to be treated with respect. You have the right to a clean, safe place to live. And you have the right to a place to be alone. Learn more about Ohio’s Bill of Rights for People with Developmental Disabilities by reading the Ohio Revised Code 5123.62, or use DODD’s Easy Read Guide, available on this page.
  • Ohio Developmental Disabilities Council
    The mission of the Ohio Developmental Disabilities Council (Ohio DD Council) is to create change that improves independence, productivity and inclusion for people with developmental disabilities and their families in community life. The Ohio DD Council is one of a national network of state councils, committed to self-determination and community inclusion for people with developmental disabilities. The Ohio DD Council.

Legal Aid Society of Cleveland
Legal Aid’s mission is to secure justice and resolve fundamental problems for those who are low income and vulnerable by providing high quality legal services and working for systemic solutions. We carry out our mission every day by providing legal services at no cost to low-income clients, helping ensure fairness for all in the justice system—regardless of how much money a person has. Legal Aid handles cases that impact basic needs such as health, shelter and safety, economics and education, and access to justice. Our attorneys practice in the areas of consumer rights, domestic violence, education, employment, family law, health, housing, foreclosure, immigration, public benefits, utilities, and tax.


  • Coalition on Housing and Homelessness in Ohio
    COHHIO is a coalition of organizations and individuals committed to ending homelessness and to promoting decent, safe, fair, affordable housing for all, with a focus on assisting low-income and special needs populations.
  • SSI/SSDI Outreach, Access, and Recovery
    The Substance Abuse and Mental Health Services Administration (SAMHSA) and Policy Research Associates, Inc., have launched the SOAR Online Course: Child Curriculum. This course trains case managers to assist children and youth who are experiencing or at risk of homelessness and have a serious mental illness, medical impairment, and/or a co-occurring substance use disorder to apply for the Social Security Administration’s disability program, Supplemental Security Income (SSI)

Coalition on Homelessness and Housing in Ohio (COHHIO)
COHHIO is a coalition of organizations and individuals committed to ending homelessness and to promoting decent, safe, fair, affordable housing for all, with a focus on assisting low-income and special needs populations.

About COHHIO. Originating as the Ohio Housing Coalition in 1974 before merging in 1994 with the Ohio Coalition for the Homeless (formed in 1984), COHHIO has been the voice of Ohio’s underrepresented for decades. We pursue systemic change to benefit vulnerable populations, to end homelessness and expand affordable housing in Ohio. As a statewide coalition of hundreds of housing organizations and homeless service providers throughout Ohio, we promote a range of housing assistance services, including homeless prevention programs, emergency shelters and permanent affordable housing with supportive services.

A Place 4 Me
A Place 4 Me provides hands-on help to youth at risk of or experiencing homelessness. We do this through Opportunity PassportTM, a financial capability and matched savings program for youth who are touched by foster care after the age of fourteen; a youth board, called REACH, of trained advocates who help lead the change efforts in our community; information and referral services for youth in crisis to help them access resources. Our national partnerships with the Jim Casey Youth Opportunities Initiative and A Way Home America provide a set of tools that drive our best-practice principals of authentic youth engagement, use of data to achieve results, a focus on racial and ethnic equity and inclusion, and collaboration to align resources. We achieve these goals through convening, system assessment, planning, using data to drive decision-making, and by partnering with young adults to lead our conversations.

Individual Resources and Support Provided by Ohio’s DODD provided by the Cross Systems Regional Liaisons
Any guardian, provider, county, or individual can request Individual Resources and Supports for any individual who qualifies for County Board of DD services. Contact must be made to the county board to ensure they are involved and in agreement with the referral. It is important to identify the need for and refer the person for Individual Resources and Supports early, in order to receive preventative intervention strategies, rather than waiting to react to a crisis.

For more information, contact: DODD Cross Systems Regional Liaisons

Download PDF of Regional Map here | Click on map to enlarge.

Northwest | Holly Jones
(614) 653-3870

Northeast | Janet Misel
(330) 604-2966

West Central | Matt Bavlnka
(937) 623-6192

East Central | Heather Leffler
614) 902-4250

Souteast | Kim Mayne
(614) 257-7941

Southwest | Leigh Ann Smoot
(513) 432-6496

DOWNLOAD FREE RESOURCE PDFs: – Click on image or: Beam Cards Here  | Take a Break Cards (Elementary and Middle School) Here | Break Cards (High School and College) Here | FASD Resource Directory Here | De Stress Cards Here

Beam Cards

Take a Break Cards (Elementary and Middle School)

Break Cards (High School and College)

De Stress Cards

FASD Resource Directory





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