What are the steps needed to begin the process of getting a leg up? So getting a leg up on TCOM focuses on the goal of CANS to ‘name-it’ or – what is going on in the lives of those we serve. How can someone obtain-it if they do not first name-it or what is being identified as needs and/or strengths. The plans of care than are constructed to outline the transformation goals or the ‘gain-it.’ These become the skills, functional strengths being developed as part of care planning process. It will be the child/youth & family team that will ‘sustain-it’ developing/utilizing family & community supports. It is only with a shared vision that a child/youth, adult & their family will remain focused on reaching their own aspirational goals throughout life.