Care Management for at Risk Children (CMARC or CC4C)

CMARC is available to any family in Durham with 0-to 5-year-olds that may need extra support navigating the mental and behavioral health needs of a young child. This could include children with special health needs, in foster care, recently discharged from the neonatal intensive care unit (NICU) or children experiencing situations that can result in unmanageable stress (like homelessness, witnessing violence, or a caregiver’s serious mental illness).

Once in the program, families will work with a personal Care Manager who is a trained nurse or social worker. The Care Managers work side by side with a child’s caregiver/parent and their medical professionals to ensure families are comfortable with their options and understand treatment plans. In addition, they will help families navigate any additional resources a child may need to thrive.

Who We Serve:

Parents or caregivers of children aged 0-to-5 with special needs, or who have experienced a serious life stressor. Please see the referral form on our website for examples of eligibility criteria.

Where Can You Get Services:

Care Managers will meet with families in locations of their choosing (including their homes and medical offices)

How To Get Connected:

Visit our website to find a link for a referral form or call Karen McLeod Ray, MSW, LCSWA, Supervisor at 919-560-7869 or Ann Marie Burke, Team Lead at 919-560-7741



Languages Spoken:

English, Spanish, Uses translation service for other languages

Learn More:

Care Coordination for Children –

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