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Care Programs

Targeted Clinical Support That Builds on What Schools Already Do

Cartwheel’s Care Programs are organized around the challenges schools and families are already navigating, making it easier to match what you’re seeing in a student to the right support.

Talk with Our Team

Parent or caregiver? See if Cartwheel partners with your district

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Three Care Programs. One Way to Match What You’re Seeing to the Right Support.

Care Programs are organized around challenges schools and families already recognize. A concern can be the starting point for a referral.

Student sitting with her arms around her knees
School Avoidance Program
For students who are struggling to get to school because of anxiety, stress, or other emotional concerns.
You might notice:
  • Difficulty getting to school, such as physical complaints, emotional meltdowns, or reluctance to leave home
  • Frequent nurse visits, tardiness, or avoiding certain classes
  • Anxiety about attending school or specific classes
Learn More
Teen looking at her phone
Screens & Social Media Program
For students and families caught in the pull of screens, social media, and digital stress.
You might notice:
  • Screen or social media use affecting sleep, focus, mood, or relationships
  • Anxiety, distress, or conflict related to devices or online interactions
  • Withdrawal from in-person friendships, activities, or school engagement
Learn More
Child resting her head on a caregiver’s shoulder during a hug
Big Behaviors, Big Feelings Program
For students and families when strong emotions and reactions keep showing up and are hard to move through.
You might notice:
  • Frequent outbursts or strong reactions that are hard to move through
  • Difficulty calming down or handling frustration
  • Escalating conflicts with peers, caregivers, or school staff
Learn More

Not sure which program fits? Refer anyway. Concerns often overlap, and you don’t need to untangle them before referring. Note the closest program or describe what you’re seeing, and Cartwheel’s clinical team will help determine the right support. Students don’t need to fit a Care Program to receive Cartwheel care.

All Care Programs are available across grade levels. For younger students, care emphasizes parent guidance and caregiver involvement.

Care Programs Build on Cartwheel’s Core Care Model

Every student receives Cartwheel’s core care, with added structure around the concern that brought them in.

Cartwheel’s core care for every student:
  • 1:1 evidence-based therapy with Cartwheel clinicians
  • Parent guidance and family therapy, based on the student’s needs
  • Psychiatry and medication management when appropriate, with coordination across the student’s care team
  • A Care Coordinator who helps families with scheduling and insurance
  • Telehealth from school or home, weekdays 8am–8pm plus weekends
What Care Programs add:
  • Targeted screening alongside broader clinical assessment, to understand what may be driving the challenge and track progress over time. Screening informs care; it is not a diagnosis.
  • Tracking of symptoms and daily functioning, such as attendance, sleep, and conflict
  • Optional, no-cost caregiver education
  • Ongoing school collaboration for consistent strategies across settings, within existing communication and privacy practices
  • Appropriate updates to school teams on engagement and progress

Same referral pathway. No additional district cost for Care Programs.

How It Works

Simple to start for families and staff

Refer a student. School staff submit a referral through the Cartwheel portal and can note the closest Care Program or describe the concern. Families can complete the family interest form, which the school team reviews.

Care Coordinator reaches out. Within 24 hours of referral, a Cartwheel Care Coordinator reaches out to the family to welcome them, collect insurance information, and schedule the first session.

Care begins. The first therapy appointment is typically scheduled within 7–10 days of referral, and screening begins at the start of care.

Support alongside care. Caregivers can use optional caregiver education and parent guidance alongside sessions.

Progress and updates. Clinicians and families set meaningful goals, such as better sleep, fewer conflicts, or calmer responses to frustration. Screening continues to track progress, and school teams receive updates through the portal.

24 hours
from referral to a family’s first conversation with a Care Coordinator
7–10 days
typical time from referral to first therapy appointment
92%
of students say they feel better after working with Cartwheel. Care typically lasts two to six months.

Get Started.

Care Programs are available through school districts that partner with Cartwheel.

For referring staff at partner districts
Refer a student through the Cartwheel portal and follow progress once a referral is in motion.
Log in to the Cartwheel Portal →
For families and caregivers
Complete our family interest form to get started.
Complete the Family Interest Form →
For districts
Connect with our team to learn how Cartwheel’s Care Programs can support students and families in your district.
Talk with Our Team

Frequently Asked Questions

Learn more about how Care Programs work and how they support students, families, and schools.
How are Care Programs different from the support schools already provide?

School counselors and teachers play an important role in helping students work through challenges like school avoidance, screen use, and big emotions. Cartwheel offers additional clinical support when those challenges begin to affect a student’s emotional well-being, relationships, learning, or school engagement. Our clinicians provide individualized care, caregiver guidance, and coordination with school teams, building on the support students already receive at school.

Is there any extra cost or a separate process to refer into a Care Program?

No. Referrals use the same pathway as any Cartwheel referral, with no additional district cost for Care Programs. Cartwheel’s clinical services are primarily funded through insurance, including Medicaid and most major private plans, and financial aid is available for uninsured and underinsured students.

How do I know which program to choose?

You don’t need to be certain. Concerns often overlap, and referrers don’t need to untangle them first. Choose the closest fit or describe what you’re seeing, and Cartwheel’s clinical team will work with the family to determine the right support.

Are these programs available for younger students?

Yes. Care Programs are available across grade levels. Care is tailored to each student’s age and developmental needs, and for younger students it emphasizes parent guidance and caregiver involvement.

How will I know where my referral stands?

School staff can see where a student is in the process in the Cartwheel portal. Cartwheel reaches out to the family within 24 hours of referral, and the first therapy appointment is typically scheduled within 7–10 days.

What if a family doesn’t want to participate in the program or caregiver sessions?

Caregiver education is optional. Family involvement is an important part of care, and depending on a student’s age, caregivers may take part in parent guidance and family sessions. Staff know their families best, and conversations often unfold over time, so it helps to frame care as an offer of help.

What can the school see about a student’s progress?

With appropriate consent, school teams receive HIPAA-compliant updates on engagement and progress, and Cartwheel collaborates with school staff within existing communication and privacy practices.

Explore resources on student wellbeing

Free webinars, guides, and on-demand video resources to support students, families and school staff.

Webinar speakers Julie Jungman, Devorah Heitner, PhD, and Drew Rosenshine

What's Showing Up This Year: A Look at School Avoidance, Screens, and Big Feelings

On-Demand Webinar
A district mental health leader, a student mental health clinician, and other experts break down what’s driving school avoidance, screen conflict, and behavior challenges in the classroom.
Watch Now
Webinar speakers from Peoria Public Schools, Salem Public Schools, and The Brookline Center

Webinar: Reversing Chronic Absenteeism: District Results, Clinical Insights and Sustainable Funding Models

On-Demand Webinar
Leaders from Peoria Public Schools and Salem Public Schools join a clinical expert from The Brookline Center for Community Mental Health to share attendance and behavior results and what’s working to reverse chronic absenteeism.
Watch Now
Cover of the Helping Your Child Build Healthy Screen Habits parent guide

Parent guide: Helping Your Child Build Healthy Screen Habits

Free Guide
Screens are a part of everyday life for most families. For many families, the goal isn’t to eliminate screens. It’s to help children build healthy habits around how they’re used.
Download
Big Feelings, Big Reactions parent guide cover

Parent guide: Big Feelings, Big Reactions

Free Guide
Some kids and teens feel emotions in big ways, with strong reactions to things that seem small. This guide helps families make sense of them and respond with confidence.
Download
Students talking in a school hallway

Upcoming Family Webinars

Free Webinar Series
Cartwheel’s free webinar series provides parents, caregivers, and school staff with practical tools to support student and family wellness and mental health.
Register

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