Case Management

Elwyn’s approach to case management services focuses on education, intervention, and identification of resources, so we can assist with facilitating the most clinically appropriate services in the least restrictive and least intrusive manner. Because we see each adult and child as an individual, we are able to offer cooperative team-oriented solutions and focused treatments for each child in a comfortable and respectful place.

One such case management approach is the Elwyn Residential Services Manager:

This program is designed to assist the families of Delaware County children and adolescents receiving mental health services in the referral process for residential services. The Residential Service Manager will work with the families from the initiation of the referral process through the successful reunification with the family following residential services. Delaware County children and adolescents currently in an out-of-home placement outside of the county, will remain the responsibility of the RSM, Delaware County, HealthChoices and other treatment providers.


  • Coordinate referrals to residential services
  • Create a crisis response plan for the family and providers
  • Ensure family visitation including appropriate follow-up
  • Provide monthly summaries of services to family
  • Coordinate referral with community providers prior to discharge
  • Ensure services are in-place prior to residential discharge
  • Assess and address issues which create trauma for children in the placement process
  • Ensure all services provided are family driven and youth guided
  • Encourage family members in the treatment process


Children and adolescents must be residents of Delaware County and currently receiving mental health services managed through DelCare. Children and adolescents served by RSM must be under 21 years of age, possess a diagnosis of mental illness, Autism Spectrum Disorder or intellectual diabilities, where their conditions interfere with their daily functioning and be at-risk for out-of-home placement.

Making a Referral

Referring agents may include, but are not limited to, medical staff, social workers and/or community case managers of children at risk for out-of-home placement.

For More Information

Elizabeth Teti
610-558-8100 x 39108

Visitation Program

To address the Child Welfare System’s need for relevant information for permanency planning for children and their families, Elwyn, in partnership with Delaware County Children and Youth Services, created an Intensive Home and Community Visitation Program, which started in the 2001-2002 fiscal year. Similar to the PACT Program, the Visitation Program is also funded by Delaware County CYS. The primary focus of the Visitation Program is to establish and implement a visitation plan, in coordination with Delaware County CYS, which will assist with the permanency planning process; the intent is to decrease the length of stay for children who are in out-of-home placement, while ensuring their health, safety and well-being. The Visitation Program provides professional observation, assessment and support services to families whose children have been placed out-of-home by Delaware County CYS. This program seeks to decrease the length of stay in out-of-home placements for children to ensure successful reunification or permanency within 12 months, while promoting their safety, positive adjustment and well-being. Clinical Visitation provides intensive skill-building opportunities for natural parents and family caregivers, increases familial strengths and resources and creates opportunities for naturalistic observation/evaluation of parent-child interactions to aid in the permanency planning process. The design of the Visitation Program also attempts to enhance family stability by increasing parenting skills and decreasing parental stress, as well as monitor and enhance children’s development. Visitation staff coordinates shared cases with PACT staff on a regular basis, providing an enhanced and uniform approach, regarding the families served in both programs.

Intensive Case Management (ICM)

The ICM program works with individuals that are over 18 and have a diagnosed mental illness. The ICM staff has an assigned caseload and meets with their individuals a minimum of 2 times per month. The ICM’s assist individuals in many areas, including: financial budgeting, securing benefits, medical care, psychiatric care, recreation, education, employment, independent living skills, and family integration. Together with the individual, they develop a client-specific service plan which includes the individual’s strengths and needs. These plans are goal and recovery oriented. Referrals are made through Magellan Behavioral Health Services, Lehigh County Mental Health, Northampton County Mental Health, hospitals, and community providers. The program serves people in Lehigh and Northampton Counties. 
Referrals can be faxed to 610-398-8805.