{"id":31532,"date":"2018-05-31T16:41:43","date_gmt":"2018-05-31T16:41:43","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/nj-mobile-response-stabilization-services\/"},"modified":"2026-06-24T21:28:10","modified_gmt":"2026-06-24T21:28:10","slug":"servicios-de-estabilizacion-de-respuesta-movil-de-nj","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/nj-mobile-response-stabilization-services\/","title":{"rendered":"\u00bfQu\u00e9 es la intervenci\u00f3n de Servicios de Respuesta y Estabilizaci\u00f3n M\u00f3vil de Nueva Jersey?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h3>Summary<\/h3>\n<p><em>This brief explores how a crisis intervention model protects families and provides tools to restore stability within the home and community.<\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n \n <\/div>\n <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Ask any parents or caregivers of children who are in crisis or \u201cout of control,\u201d and they will tell you \u2014 they just want help, and they can\u2019t wait for it. Parents and caregivers of children who have behavioral or mental health needs, or are experiencing a crisis, need flexible and responsive services. Yet all too often, options are limited \u2014 help takes too long to secure, and the only way to access services is through removal from the home and placement in more restrictive settings. As a result, children with behavioral or mental health needs frequently end up in congregate care facilities or inpatient psychiatric hospitals, or they bounce around different foster homes, even though their needs for safety, permanency, and well-being are best met in stable and secure families. Compounding the situation, when children feel unattached to or rejected by their families, their behaviors may escalate. This further complicates their relationships and the likelihood they will achieve timely permanency.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">To address this domino effect, the Children\u2019s System of Care (CSOC)<a href=\"#footnotes\"><sup>1<\/sup><\/a> at the New Jersey Department of Children and Families (DCF) developed <a href=\"https:\/\/dcfpolicy.nj.gov\/api\/policy\/download\/CPP-IV-B-8-600.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Mobile Response and Stabilization Services<\/a> (MRSS),<a href=\"#footnotes\"><sup>2<\/sup><\/a> an innovative approach to supporting and stabilizing children so they can stay with their families.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h3 class=\"quote quote_sans\">NJ MRSS Mission &amp; Goal<\/h3>\n<p>To help children\/youth and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe. MRSS provides the support and skills necessary to improve functioning, relationships, and stability within their home and community.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What is New Jersey\u2019s MRSS?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">MRSS was created to support children and families <span class=\"s1\"><b>in crisis as defined by the individual child or family<\/b><\/span>, using the following general guidelines:<\/p>\n<ul class=\"wp-block-list\">\n<li>One\u2019s sense of balance is disrupted.<\/li>\n<li>Coping and problem solving skills that may have worked in the past are not working any longer, or are not working well in a family setting.<\/li>\n<li>Life functioning is disrupted.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Mobile response is delivered to children experiencing escalating emotional symptoms, behaviors, or traumatic circumstances that have compromised or impacted their ability to function within their family, living situation, school, or community. These crises arise from situations, events, and\/or circumstances that are unable to be resolved with the typical resources and coping skills, or jeopardize the development of adaptive socio-emotional skills and strengths critical for healthy life functioning. Without intervention, these children \u2014 many with histories of trauma \u2014 may be at risk of psychiatric hospitalization, out-of-home treatment, legal charges, or loss of their living arrangement.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">The goal of MRSS is to <span class=\"s1\"><b>provide intervention and support at the earliest moment families identify that help is needed<\/b><\/span>. Early intervention increases the opportunity to minimize the likelihood of future crises and supports a child and family\u2019s path to success.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>How does the MRSS intervention work?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Through MRSS, <span class=\"s1\"><b>a behavioral health worker is available to any family anywhere in the state of New Jersey, at any time<\/b><\/span>: 24 hours a day, 7 days a week, 365 days a year. MRSS provides immediate support for any family in crisis due to a child\u2019s escalating emotional or behavioral needs, whether it is the family\u2019s first time asking for help or if the family already is receiving services from a state agency or private provider. Any child up to age 21 is eligible for services. MRSS operates through a trauma-informed lens to understand what the child has experienced and then help the child feel better. MRSS operates with the following guiding philosophy: \u201c<span class=\"s1\"><b>When children feel better, they do better.\u201d <\/b><\/span><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">MRSS follows a four-pronged approach:<a href=\"#footnotes\"><sup>3<\/sup><\/a><\/p>\n<ol class=\"wp-block-list\">\n<li>On-site intervention for immediate de-escalation of presenting emotional symptoms and behaviors, including observing, interrupting and shifting dynamics, providing education and skill introduction<\/li>\n<li>Assessment, planning, skill building, psycho-education, and resource linkage to stabilize presenting needs, including understanding strengths, triggers, communication, and other key contexts (medical, mental health, trauma, development, patterns of behavior, collateral outreach, etc.)<\/li>\n<li>Assistance to the child and family in returning to baseline or routine functioning, and the prevention of further escalation<\/li>\n<li>Provision of prevention strategies and resources to cope with presenting emotional symptoms, behaviors, and existing circumstances, and create a plan to avoid future crises<\/li>\n<\/ol>\n<ol class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ol>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">When there is a crisis, an MRSS worker is <span class=\"s1\"><b>available within one hour<\/b><\/span> to help de-escalate, assess, and develop a plan together with the child and family. MRSS is accessible through a toll-free phone number, which serves as a <span class=\"s1\"><b>single point of entry<\/b><\/span> to a range of services. As soon as a parent or caregiver provides verbal consent, an MRSS worker is dispatched to be on site within the hour or at a more convenient time within 24 hours, depending on the family\u2019s preferences and needs. MRSS is initially available during the 72 hours following the request for help, with a focus on de-escalating, assessing, and planning, but can be extended for up to eight weeks of stabilization services.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Services vary according to the child and family\u2019s individual needs, but often include some combination of the following:<\/p>\n<ul class=\"wp-block-list\">\n<li>In-home counseling<\/li>\n<li>Behavioral assistance<\/li>\n<li>Caregiver therapeutic support<\/li>\n<li>Intensive in-community services<\/li>\n<li>Skill-building<\/li>\n<li>Medication management<\/li>\n<li>Coordination and development of informal and natural support systems, such as faith-based organizations, mentors, and peer support<\/li>\n<li>Coordination of specialized services to address the needs of children with co-occurring developmental disabilities and substance use<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">In keeping with the CSOC principles and values, the treatment plan is developed together with the child and family and is strengths-based, child-centered, family-driven, community-based, trauma-sensitive, and culturally and linguistically mindful.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Does MRSS support families across the child welfare continuum?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">MRSS was implemented in 2004 as a key component in New Jersey\u2019s array of services designed to reduce reliance on out-of-home treatment facilities. MRSS is <span class=\"s1\"><b>available to all families in New Jersey<\/b><\/span>\u2014birth, kinship, foster, guardianship, and adoptive. Families aren\u2019t required to be involved with any particular service or system in order to access MRSS.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Families define their own crisis. By working with birth families, MRSS addresses youth and family needs and stabilizes their circumstances, which can prevent the need for higher intensity intervention or additional system involvement, such as entry into foster care. For youth and families who are involved with the child welfare system, MRSS can support youth and foster parents at the time of entry into foster care or at any time during the placement, as well as support a child and family following reunification. MRSS also helps improve relative placement stability, and strengthen post-permanency outcomes by supporting children in guardianship and adoptive families.<a href=\"#footnotes\"><sup>4<\/sup><\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Is MRSS effective?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p4\"} --><\/p>\n<p class=\"p4\">Since its inception in 2004, MRSS has consistently <span class=\"s1\"><b>maintained 94 percent of children in their living situation at the time of service, including children who are involved with the child welfare system<\/b><\/span>.<a href=\"#footnotes\"><sup>5<\/sup><\/a> Over the last eight years, between 95 percent and 97 of children served by MRSS have remained in their current living situations. While it is difficult to attribute the effect to any particular intervention, it is clear that New Jersey\u2019s service array, including MRSS, is having a positive impact, as the number of youth in out-of-home treatment\/residential settings has also decreased consistently over the same time period.<a href=\"#footnotes\"><sup>6<\/sup><\/a> Finally, families have reported high satisfaction with services, with a 260 percent increase in families accessing MRSS since 2011.<a href=\"#footnotes\"><sup>7<\/sup><\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"container mx-auto no-print\" style=\"width:100%; max-width: 800px; height:auto;\">\n<div class=\"infogram-embed\" data-id=\"7aa29b74-7aca-4e56-9a8c-20b06e3dbcee\" data-type=\"interactive\"><\/div><script>!function(e,t,s,i){var n=\"InfogramEmbeds\",o=e.getElementsByTagName(\"script\"),d=o[0],r=\/^http:\/.test(e.location)?\"http:\":\"https:\";if(\/^\\\/{2}\/.test(i)&&(i=r+i),window[n]&&window[n].initialized)window[n].process&&window[n].process();else if(!e.getElementById(s)){var a=e.createElement(\"script\");a.async=1,a.id=s,a.src=i,d.parentNode.insertBefore(a,d)}}(document,0,\"infogram-async\",\"\/\/e.infogram.com\/js\/dist\/embed-loader-min.js\");<\/script>\n<\/div>\n\n\n<div class=\"fresh-image overflow-x-hidden only-print wp-block-fresh-image\">\n             <div class=\"container mx-auto px-5\">\n        <div class=\"fresh-image__align flex justify-center\">\n                      <img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1600\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss.jpg\" class=\"fresh-image__img h-auto w-full object-cover\" alt=\"\" style=\"\" srcset=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss.jpg 1920w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss-300x250.jpg 300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss-1024x853.jpg 1024w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss-768x640.jpg 768w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss-1536x1280.jpg 1536w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/new-jersey-mrss-14x12.jpg 14w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" data-copyright=\"\" data-headline=\"new-jersey-mrss\" data-description=\"\" \/>\n                  <\/div>\n      <\/div>\n     <\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>How does MRSS support new foster care placements?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">MRSS has been available to support youth and resource families since the program\u2019s inception. Based on the success of MRSS, a departmental policy was created that supported expanded access to serve all children entering out-of-home placement for the first time, or subsequent placement disruptions, with the goal of supporting the transition and preventing a crisis that might cause the placement disruption. This new approach was initiated in a single county (Mercer) in August 2015 and implemented statewide in April 2017.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Now, when a child is removed from his or her home, an MRSS worker automatically is assigned and dispatched to meet with the child at the relative or foster placement within the first 72 hours. During this initial meeting, the MRSS worker meets individually with the child to acknowledge the trauma the child is experiencing and discuss how they can work together to address any worries or challenges the child might have with sleeping, eating, schoolwork, etc., as a result of this trauma. The MRSS worker also meets with the caregiver and discusses similar issues and strategies so the caregivers can feel more equipped to respond to any potentially challenging behaviors at the outset. This initial visit also establishes a relationship between the caregiver and MRSS, so that the caregiver is more likely to ask for help before there is a crisis.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>How is MRSS funded?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">MRSS is supported through the following sources of funding:<\/p>\n<ul class=\"wp-block-list\">\n<li>Medicaid Rehabilitation Option, a Medicaid component that allows for reimbursement under Early Periodic Screening Diagnostic and Testing<\/li>\n<li>State funding for children who are not eligible for New Jersey Family Care, the state\u2019s public health care plan, and do not have private insurance<\/li>\n<li>Third-party liability coordination, for those families that may have other forms of insurance coverage<\/li>\n<li>Wrap\/Flex funds, to support services not covered by Medicaid.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"footnote wp-block-footnote\">\n  <div class=\"container mx-auto px-5 text-3xs text-black-currant\">\n    <p class=\"p1 note\">1 New Jersey Department of Children and Families. (2016). <em>Inventory and need assessment for New Jersey children\u2019s behavioral health<\/em>. Retrieved from <a href=\"https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433\">https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433<\/a><br \/>\n2 Interviews with Elizabeth Manley, Children\u2019s System of Care Assistant Commissioner, New Jersey Department of Children and Families, November 14, 2017, and Lisa von Pier, Division of Child Protection and Permanency (CPP) Assistant Commissioner, Betsy Sunder, CPP Deputy Director, and Michelle Adams, CPP Deputy Director, New Jersey Department of Children and Families, December 15, 2017.<br \/>\n3 Personal communication, Katherine Stoehr, Deputy Commissioner for Operations, New Jersey Department of Children and Families, May 3, 2018.<br \/>\n4 New Jersey Department of Children and Families. (2016). Inventory and need assessment for New Jersey children\u2019s behavioral health. Retrieved from <a href=\"https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433\">https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433<\/a><br \/>\n5 Email correspondence with staff from the Office of Analytics and Systems Improvement, New Jersey Department of Children and Families on March 24, 2023.<br \/>\n6 New Jersey Department of Children and Families. (2016). <em>Inventory and need assessment for New Jersey children\u2019s behavioral health.<\/em> Retrieved from <a href=\"https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433\">https:\/\/dspace.njstatelib.org\/items\/3e57704f-c86a-4da5-9081-94bc40887433<\/a><br \/>\n7 Email correspondence with staff from the Office of Analytics and Systems Improvement, New Jersey Department of Children and Families on March 24, 2023.<\/p>\n\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar 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