Wraparound, the model used to meet the goals of CSoC, is a process to help youth with complex behavioral health needs benefit from individualized, coordinated care planning. This process produces a single plan of care that coordinates all agencies and providers. Wraparound integrates youth into the community and builds the family's social support network, rather than seeking out of home placement.
The Wraparound process employs a team-based approach to care and coordination. The Wraparound team, or Child and Family Team (CFT), consists of a group of individuals, chosen with the family, that are connected to the youth and family through natural and formal supports. The CFT collaboratively develops an individualized plan of care, implements this plan, and evaluates success over time. The CFT convenes frequently to measure the plan's components against agreed upon outcomes.
10 Principles of Wraparound*
Wraparound principles serve as the philosophical base of the process and include:
- Family Voice and Choice - Family and youth/child perspectives are intentionally elicited and prioritized during all phases of the Wraparound process. Planning is grounded in family members' perspective, and the team strives to provide options and choices such that the plan reflects family values and preferences.
- Individualized - To achieve the goals laid out in the Wraparound plan, the team develops and implements a customized set of strategies, supports, and services.
- Strengths-Based - The Wraparound process and the Wraparound plan identify, build on, and enhance the capabilities, knowledge, skills, and assets of the child and family, their community, and other team members.
- Natural Supports - The team actively seeks out and encourages the full participation of team members drawn from family members' networks of interpersonal and community relationships. The Wraparound plan reflects activities and interventions that draw on sources of natural support.
- Collaboration - Team members work cooperatively and share responsibility for developing, implementing, monitoring, and evaluating a single Wraparound plan. The plan reflects a blending of team members' perspectives, mandates, and resources. The plan guides and coordinates each team member's work towards meeting the team's goals.
- Persistence - Despite challenges, the team persists in working toward the goals included in the Wraparound plan until the team reaches agreement that a formal Wraparound process is no longer required.
- Community-Based - The Wraparound team implements service and support strategies that take place in the most inclusive, most responsive, most accessible, and least restrictive settings possible; and that safely promote child and family integration into home and community life.
- Culturally Competent - The Wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the child/youth and family, and their community.
- Team-Based - The Wraparound team consists of individuals agreed upon by the family and committed to them through informal, formal, and community support and service relationships.
- Outcomes-Based - The team ties the goals and strategies of the Wraparound plan to observable or measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly.
* Bruns, E.J., Walker, J.S., Adams, J., Miles, P., Osher, T.W., Rast, J., VanDenBerg, J.D. & National Wraparound Initiative Advisory Group (2004). Ten principles of the wraparound process. Portland, OR: National Wraparound Initiative, Research and Training Center on Family Support and Children's Mental Health, Portland State University.
How is Wraparound different from other community-based services?
Wraparound is not a service. Rather, it is an intensive, individualized, team-based planning process that aims to keep at-risk youth in their homes and communities. The Wraparound Facilitator and all team members work together to create and implement an individualized plan of care for the youth and their family.
Will a youth still be able to receive counseling if he/she is enrolled in Wraparound?
Yes, a youth can receive counseling while being enrolled in Wraparound. The youth's counselor will be invited to be part of the Child and Family Team and can participate in plan of care development and implementation. A youth cannot receive Multisystemic Therapy (MST) while in Wraparound, but can receive Functional Family Therapy (FFT).
How long will a youth be in the program?
Length of stay in the program varies. The national average is 18 months. A Child and Adolescent Needs and Strengths (CANS) assessment and 1915c Independent Behavioral Health Assessment (IBHA) are completed upon intake and every 180 days to determine clinical eligibility. Wraparound is a voluntary program. Youth and families can disenroll at any point if they decide the program is not a good fit.