If there is a request from parents and/or a child for integration of services and there is reason to believe that a child needs multi-faceted services at the secondary and/or tertiary level, a case manager for services is appointed.

Case managers are usually employees of local social services.

The role of a case manager includes, among other things, providing advice and information on services, helping to ensure access to diagnoses and/or analyses of a child's needs, and being responsible for creating a support plan and leading a support team. The case manager always has the child's interests at the forefront and provides services based on consultation with parents and the child.

The support team includes representatives of service providers involved in the child's case. Those who provide general services to a child, for example sports coaches or self-employed specialists, can also sit on the support team. It is important to remember that the parents and, in some cases, the child are part of the support team, and attend its meetings and participate in the creation of a support plan.

The support team shall jointly create a written support plan for the child, integrating services provided for the child's prosperity. The support team collaborates regularly on the implementation of the support plan. The support plan should be re-evaluated and updated as necessary. Before a child turns 18, the support team must create a plan dealing with the integration of services for the child after it reaches adulthood.

The support team may also close a case or refer it back to a coordinator at the primary level of services, if and when satisfactory results are achieved and services on a secondary or tertiary level are no longer required.