This best practice model defines wraparound community mobilization teams known as CMT. It covers community development and mobilization efforts across Ontario, describes purposes of the CMT, expectations, structure and best ways to develop CMTs.

Crosswalk of several team planning models, including wraparound

12 mistakes to avoid in using family partners in wraparound; Making Family Support a Specialty Service, Creating an Assistant Class, Failing to Hire Family Members in this Role, Confusing Agreement and Understanding, Family Partners as Parent Correctors, Family Partner as Ultimate Role Model,Turning family partners into youth workers,Family Partners as the Values Police, Family Partner as Decoration, Confusing Personalities and Skills, Confusing Peer-to-Peer Support and the Wraparound Process and Stopping at One.

A review of wraparound outcomes and publications aiming towards cataloging outcomes and results from controlled studies.

In this informal letter, a wraparound provider from New Zealand reflects on his experiences visiting wraparound programs in the Pacific Northwest.

A core element of the wraparound process is the planning of services that build not only on family assets, but also on youth strengths and capabilities. This principle is founded in the belief that by capitalizing on the capabilities of children and adolescents, wraparound providers create a sense of hope for the future and enhance motivation for change (Saleebey, 2002). To facilitate the process of assessing the internal and external resources of youth, a variety of methods and tools have been advanced, ranging from informal “strengths chats” (VanDenBerg & Grealish, 1996) to standardized measures, such as the Behavioral and Emotional Rating Scale (BERS; Epstein & Sharma, 1998). Little work has been done, however, to delineate the process of tapping the strengths identified through these and similar means. In an effort to fill this gap, this chapter provides a roadmap for wraparound practitioners, intended to guide their efforts in developing plans of care that build on the skills, interests, and capacities of the youth served.

Brochure designed to let youth know how to understand Wraparound.

Webinar to review key issues to consider in building accountability for a wraparound project

Poll question during webinar: what type of data does your community or wraparound project most consistently collect and use?

This chapter explains why being strength based is important, what actions or behaviors characterize a strength based practice, specific metrics for determining whether services are being delivered in a strength-based way.

list of items for identifying risks and strengths across domains

tool for eliciting and recording child's view of strengths, some needs, and important life events

Tips on informing people in key leadership positions about about wraparound’s underlying philosophy

Sample of a crisis safety plan from the webinar: Functional Behavioral Analysis and Wraparound on August 11, 2011.

Systems of care financing model covering target group, funding approach, care management and benefit plan.

2010 presentation from Georgetown Training Institutes on moving from principles to practice and measuring the quality of practice for better fidelity and better outcomes.

Information sheet by the Family Partner Task Force on how agencies have dealt with the hiring of people who are well qualified and have problematic personal histories revealed during background checks.

The NWI conducted a brief survey of its advisors to collect feedback on what types of data might be most important to include in a web-based "monitoring and feedback system" specific to wraparound implementation. Forty seven NWI advisors provided input via the survey.

Comparison of the values underlying wraparound-like approaches with those underlying child welfare work

This brief offers tips to increase meaningful youth participation in collaborative team planning meetings.

This chapter covers recruiting, hiring, training, supervising and transitions stages in building strong family partner capacity.

This chapter describes using MIS software and covers managing and evaluating data and lessons learned.

tool for identifying wraparound team members and natural supports

This fact sheet outlines the core characteristics of Care Management Entities, which offer a centralized vehicle for coordinating the full array of needs for children and adolescents with complex behavioral health issues.

blank crisis plan template

blank wraparound plan template

Guide to choosing a Wraparound project consultant

Life areas to cover during intake assessment.

Arranger Clinician job description

tool for eliciting and recording information about sources of formal/informal support and stress

Marlene Penn shares three stories about engaging family partners in wraparound efforts—and how it benefited the community.

An Assessment of the Implementation Context for Wraparound

(technique) Comparison of three techniques for use in developing initial plans: bubble planning, storyboarding, and clock planning

Crosswalk of differences between two service approaches

Several necessary system and organizational support conditions for wraparound have been identified (Walker et al. 2003). Yet, the relationship between these necessary system level conditions and wraparound fidelity has only recently begun to be examined. Similarly, few studies have included a measure of wraparound fidelity when examining the relationship between wraparound implementation and youth outcomes. The statewide implementation of a wraparound demonstration grant offers the opportunity to explore these relationships and to identify factors that predict improvement in functioning for youth receiving wraparound. Findings suggest that significant relationships exist between (1) the stage of development of necessary support conditions for wraparound and wraparound fidelity and (2) wraparound fidelity and improvement in youth outcomes.

Form for summarizing a family's wraparound and post-wrap needs

Sample ground rules

questions and blank form for eliciting strengths by life domain

This bulletin from SAMHSA and CMS highlights wraparound as an effective method to meet the needs of children, youth, and young adults with mental health conditions. The bulletin provides guidance to states on creating a benefit package to cover this population.

The King County Blended Funding Project (the Project) was created as part of a Robert Wood Johnson grant designed to meet the needs of children who had experienced years of failure in the mental health, child welfare, education and juvenile justice systems.

examples of creative plan strategies using informal/natural supports

tools for developing strategies for crisis plans

tips and example strategies for crisis planning

technique/tips, tool, and blank form for crisis planning

tool for putting together strengths, needs and supports

This report offers practical and financial approaches to health home customization based on intensive care coordination models using high fidelity wraparound that have emerged from systems of care in children’s behavioral health care.

This study seeks to determine the impact of proximity to resources on the effectiveness of a wraparound program for stabilizing foster care placements among a sample of youth. The authors present a methodology for deriving proximity scores for individual clients using Geographic Information Systems technology, and incorporate this score into a model for predicting placement disruption among youth in foster care receiving services within a wraparound model aimed at preventing placement disruptions.

Tips/techniques, blank form, and sample crisis plan

tips/technique for stimulating creative thinking during strategy development

tips/techniques for identifying natural/informal supports

Direct Support services are the flexible, creative, community-based services that help put an effective wraparound plan into action.

This article focuses on wraparound as an example of a team planning process, and uses data from several sources to reflect on questions about whether—and under what conditions—collaborative teams are successful in engaging young people—and their caregivers—in planning.

Visual for eliciting and describing social support and relationships

tool for recording and visualizing social connections

Tips/techniques for crisis planning

EMQ Children & Family Services (aka Eastfield Ming Quong) is a private, not-for-profit community-based organization that provides a wide range of services, from addiction prevention to wraparound and Rate Classification Level (RCL) 14 group home care (aka residential treatment services), in four major counties throughout California: (a) Santa Clara, (b) Sacramento, (c) San Bernardino, and (d) Los Angeles. It also provides foster care services in 20 other counties. The agency is over a century old, founded in 1867 with roots as an orphanage (Home of Benevolence, later known as Eastfield’s Children Center) and a rescue mission for Chinese girls (the Presbyterian Mission Home later known as Ming Quong) founded in 1874. In 1970, Jerry Doyle became Executive Director of Eastfield Children’s Center. At that time, the agency had an annual budget of approximately $300,000 to provide residential treatment. In 1987, Eastfield and Ming Quong merged to become Eastfield Ming Quong. Prior to becoming the first wraparound provider in California in 1994, EMQ operated 130 RCL 14 residential treatment beds, at a cost of $95,000 per year per child. The most common primary diagnosis was related to disruptive behaviors (47%), with some type of depressive disorder as the second most common. The outcomes for these youth, after an average of 18 months of service, reflected the general “treatment as usual” outcomes. Today, residential treatment revenue represents 5% of a $55 million annual revenue stream, as compared to 72% of a $12 million annual revenue stream prior to the implementation of wraparound. The purpose of this article is twofold: 1) to present a case study of how a child-serving organization transformed itself from residential to innovative, community-based services; and 2) to share issues revealed in the process of implementing wraparound. The article contains three major sections including Introduction, Current Operations, and Tips to Implement Wraparound, as well as a final section that includes Lesson Learned. Throughout this article, we will reflect on the significant systems change required to implement wraparound.

The YES Program is a collaboration between Placer County Adult System of Care, Children’s System of Care, and Whole Person Learning.

Poll from webinar about engaging and involving youth in Wraparound.

Sample comprehensive plan

This evaluation from Oklahoma shows better functioning and reduced costs for youth receiving case management/wraparound versus controls.

tool and technique for developing an initial plan

tool and technique for describing needs and developing strategies

technique for building initial plan that matches needs, strengths, and strategies

sample complete plan of care

blank form for use in identifying concerns, strengths, and team members

checklist for eliciting strengths in various life areas

The wraparound team process has established itself as a standard of care for children and youth with complex needs and their families who require coordination of care and for whom a single intervention is unlikely to suffice. Research results indicate that wraparound's strongest evidence for positive effects are in the residential, family, and cost domains. In these areas, significant, medium-sized effects have been found across a range of studies. Positive clinical and youth functioning outcomes, on the other hand, have been less consistently found, and when they are found, they tend to be small. This has inspired many wraparound and system of care advocates to ask how better clinical and functional progress in youths might be promoted through thoughtful application of evidence-based practices within wraparound. Unfortunately, however, the traditional evidence-based practices, when implemented in "real world" community settings, are often limited in terms of their effectiveness, feasibility, and cost/benefit ratio. This article describes an alternative method for using clinical evidence to structure an individualized approach to clinical care that aligns with the wraparound philosophy. Instead of strict implementation of one or more manualized treatments, this method is based on a flexible application of the evidence for "what works" in child and family treatments. Components of this approach include the Managing and Adapting Practice (MAP) system, PracticeWise Evidence Based Services (PWEBS) Database, codified clinical supports called Practitioner Guides, and a feedback tool to monitor process and progress of treatment called the Clinical Dashboard. All these tools are supported by an on-line resource library and user interface called PracticeWise.

The wraparound team process has established itself as a standard of care for children and youth with complex needs and their families who require coordination of care and for whom a single intervention is unlikely to suffice. Research results indicate that wraparound's strongest evidence for positive effects are in the residential, family, and cost domains. In these areas, significant, medium-sized effects have been found across a range of studies. Positive clinical and youth functioning outcomes, on the other hand, have been less consistently found, and when they are found, they tend to be small. This has inspired many wraparound and system of care advocates to ask how better clinical and functional progress in youths might be promoted through thoughtful application of evidence-based practices within wraparound. Unfortunately, however, the traditional evidence-based practices, when implemented in "real world" community settings, are often limited in terms of their effectiveness, feasibility, and cost/benefit ratio. This article describes an alternative method for using clinical evidence to structure an individualized approach to clinical care that aligns with the wraparound philosophy. Instead of strict implementation of one or more manualized treatments, this method is based on a flexible application of the evidence for "what works" in child and family treatments. Components of this approach include the Managing and Adapting Practice (MAP) system, PracticeWise Evidence Based Services (PWEBS) Database, codified clinical supports called Practitioner Guides, and a feedback tool to monitor process and progress of treatment called the Clinical Dashboard. All these tools are supported by an on-line resource library and user interface called PracticeWise.

Wraparound Oregon: Early Childhood Hope for the future

set of items to elicit family strengths, beliefs, and values

Overview of Wraparound

Tool for identifying needs

information about what family partners do as part of the wraparound team

information about what family partners do as part of the wraparound team

poll about family partners

survey of family ratios

Marlene Penn shares three stories of families who benefited from having a family partner involved in their wraparound process.

This chapter describes our community’s journey toward implementation of wraparound and system of care, and the role that the use of data has played in that journey

process for developing a team vision or mission

report on the funding of CMEs in Maryland

overview of funding options for CREs in Massachusetts.

process to develop creative strategies

tips and examples for funding strategies for which money is not readily available

framework for eliciting strengths AND sample strengths

A compilation of resources collected by the Family Partner Task Force, focused on strengths-based communication.

Functional Assessment and Preparing Families for Life After Formal Wraparound

Functional Assessment and Preparing Families for Life After Formal Wraparound Poll

overview of funding options for wraparound

activity to build team cohesiveness

This evaluation reports that wraparound with homeless youth has positive impacts on living situation

a history of the wraparound process

overview of the ways family partners contribute to the wraparound process

a loot at the ways coordinators and developers support wraparound

Using the foundation supplied by the specification of the principles (Bruns et al., 2004) and practice model (Walker et al., 2004) of wraparound, the National Wraparound Initiative (NWI) has proposed a more detailed theory of change to describe how and why wraparound works.

Using the foundation supplied by the specification of the principles and practice model of wraparound, the National Wraparound Initiative (NWI) has proposed a more detailed theory of change to describe how and why wraparound works

blank form for strengths discovery with tips/techniques and example

tips/techniques for identifying needs

This brief reports on an assessment approach that is being developed and tested by the National Wraparound Initiative called the Impact of Training and Technical Assistance (IOTTA) for Wraparound. IOTTA assesses stakeholder perceptions of immediate and longer-term benefits in areas that research has linked to effective implementation and practice change.

The authors used the framework identified by the National Implementation Research Network’s (NIRN) analysis of 35 years of implementation outcomes literature from diverse fields of endeavor to review the current state of wraparound implementation research. Model definition, model fidelity and intervention outcomes were areas of relatively greater development, while target population, theory base and theory of change, organizational context and readiness, staff selection, training, supervision or coaching, purveyor selection, and program installation were less examined or even overlooked. They conclude with suggestions for building a research agenda on wraparound implementation.

This article describes how to implement cultural components and offers preliminary comparative findings based on the experience of Connecting Circles of Care (CCOC), a SAMHSA-funded systems of care grantee.

examination of the prerequisite conditions for implementing service/support planning

ways to individualize wraparound processes

examples of creative plan strategies using informal/natural supports

blank plan of care template

We describe the structure for implementation of the wraparound process within a multi-tiered system of school wide positive behavior support (SWPBS) to address the needs of the 1–5% of students with complex emotional/behavioral challenges.

webinar about putting outcomes for students students with complex with complex emotional/behavioral needs into the context of schools asas systems to educate and systems to educate and support ALL students

This NWI article was been published in the American Journal of Community Psychology.

Form for recording consumer feedback about a contact/session

set of topics for exploring strengths and needs using life domains

La Guía del Usuario fue creada para que funcionara como "hoja de ruta" para los miembros de la familia. Dentro de la Guía, primero verá algunos de los resúmenes básicos del proceso del wraparound, una lista de términos comunes sobre el wraparound, detalles sobre el proceso del wraparound y notas sobre cómo solucionar problemas comunes que ocurren.

brief on financing options

an examination of the wraparound ideal vs. the reality

Family and youth peer support providers are integral to teams serving children and youth with behavioral health challenges and their families, and they are distinct from traditional mental health service providers in that they operate out of their personal experience and knowledge. Strategies for funding formal family and youth peer support exist in states across the country. This document draws from a national scan of states that are using Medicaid to finance family and youth peer support efforts.

Along with several Congressional staff persons and representatives of the Bazelon Center for Mental Health Law and Human Services Collaborative, leaders of the National Wraparound Initiative recently participated in a series of policy briefings with the Centers for Medicare and Medicaid Services (CMS) regarding care coordination in children's behavioral health services and related Medicaid reimbursement issues. As a result of these conversations, the team developed a memorandum for CMS with policy recommendations regarding Medicaid funding for intensive care coordination.

personal account of Kenyatta Matthews’ nine-year experience with Wraparound Milwaukee

This Medicaid Waiver study finds wraparound cost-effective.

The authors compared results of two surveys of state children's mental health directors, completed in 1998 and 2008, to derive estimates of the extent of wraparound implementation in the United States and to better understand trends in how wraparound has been implemented and supported over time.

results from the State Wraparound Survey in 2007

tips/techniques for identifying needs

description of a process for identifying needs

tool for rating/visualizing how well needs are being met in each domain

overview of the funding involved in the New Jersey system of care

systems of care financing model

A survey conducted by the Workforce work group of the National Wraparound Initiative

Frequently asked questions about the NWI core group

results of a survey about the impact of NWI

funding model for wraparound milwaukee

webinar overview of wraparound

webinar poll questions

activity to use with whole team to think briefly about each member's strengths

agreement form

systems of care financing model

Description of the activities that are necessary for true wraparound.

activity to elicit information about strengths, culture, and natural supports

wraparound milwaukee plan of care

information on planning for system change

tips/technique for prioritizing needs

an overview of the Catholic Community Service Family Preservation System

An examination the cost-effectiveness of an intensively integrated, family and community-based clinical intervention for youth with mental health needs in comparison to "usual care.''

This document presents the NWI Family Partner Task Force's final statement describing the experience and capacities that are needed in a person who wants to be employed as a family partner for wraparound. The document also highlights the particular parts of the statement that aroused some controversy during development, and describes how these controversies were resolved.

list of ideas overarching strengths and possible uses for it

form for information release

information request form

This article by the NWI co-directors introduces the Journal of Child and Family Services special issue on wraparound.

Tool for reviewing service history from a parent/family perspective.

Complete sample plan including strengths, goals, activities and method for tracking outcomes (last page)

Complete sample plan including strengths, goals, activities and method for tracking outcomes (last page)

sample plan of care arranged by life domains

sample strengths summary

job description

list of areas for strengths and competencies

This presentation covers core theories and concepts of implementation science, and how it is applied to successful implementation of systems of care and the wraparound practice model.

This presentation covers core theories and concepts of implementation science, and how it is applied to successful implementation of systems of care and the wraparound practice model.

Blank template for safety plan

blank plan template

Blank template for safety plan

blank template for recording strengths by domain

blank matrix of types of social support and sources

tips/techniques for ensuring that wraparound is strengths based

assessment of information management system

tips for identifying natural supports

tool for eliciting strengths and visualizing family connections through strengths

list of domains for exploring--and form for recording--strengths, needs, culture

summary of evidence base

a look at what Wraparound Milwaukee has taught us

emerging themes for developing your system

overview of wraparound implementation and support

poll about wraparound implementation and support

list of expectations for team members

structure for reviewing possible natural/community supports

structure for reviewing family connections

Describes the values that guide the wraparound process.

This document briefly describes what the Family Partner does on wraparound teams to put each of the “Ten Principles of the wraparound process” into practice

webinar about wraparound in child welfare contexts

poll about wraparound in child welfare contexts

The Community Supports for Wraparound Inventory (CSWI) was developed to respond to the need for an assessment of the extent to which a community has developed system-level capacity to implement wraparound. This article reports on a study that evaluated the reliability and validity of the CSWI for use in communities implementing wraparound. Findings indicate that the CSWI shows promise as a reliable, valid and useful tool.

This handbook was written for staff who are employees of agencies implementing the Directive Supervision System. Pat Miles supplied this sample handbook as a supplement to the NWI sponsored webinar, "Strengthening Practice through Directive Supervision," that took place April 13, 2011.

resource guide

lessons learned over the course of wraparound history

questions for strengths interview and format for summarizing

A guide for building family teams

A guide for building family teams

Overview of the wraparound process, intended for families

A compilation of resources collected by the Family Partner Task Force, focused on strengths-based communication.

This study explored the relationship between CFT member attendance consistency and the fidelity of wraparound team level implementation processes in a System of Care (SOC). Specifically, utilizing Participant Rating Form (PRF) data collected from caregivers, facilitators, youth, supportive persons, and service providers, as well as meeting attendance records, the relationship between team attendance consistency and fidelity of wraparound implementation was explored.

Overview of the wraparound process, intended for families

This article explores how a commitment to blending perspectives as a way of providing children’s mental health services was a central factor in the emergence of wraparound, a widely implemented care-planning approach for children with complex needs and their families. The commitment to blending perspectives is also a central organizing principle of the collaborative work of a community of practice called the National Wraparound Initiative (NWI), which has worked to support wraparound and to generate knowledge about wraparound practice and implementation. The article goes on to describe some of the benefits, challenges, and tensions that have emerged in the work of the community of practice and to consider what the experience of the NWI may have to offer to others engaged in similar efforts.

tells of personal experiences in the phases of wraparound

Defining the role of the Wraparound Clinician

wraparound model for Orange County

Overview of the wraparound process designed for families--reflects the National Wraparound Initiative's definition of the wraparound process

overview of the basic principles of wraparound implementations

supporting wraparound implementation

plan sample

Training, coaching and staff evaluation efforts within wraparound programs have typically been linked only very loosely to theory. The authors argue that wraparound's unique history allowed it to evolve with limited theoretical grounding, and then describe a theory of change for wraparound, focusing on the major causal routes that are hypothesized to lead to outcomes.

tools and resources of evaluation

webinar about service funding

tool for eliciting and visualizing social connections and supports, sample product

information on youth coordinators

funding model

A compilation of resources collected by the Family Partner Task Force, focused on strengths-based communication.

A compilation of resources collected by the Family Partner Task Force, focused on strengths-based communication.

A compilation of resources relating to the NWI sponsored webinar, "The Art of Wraparound in the Child Welfare Environment," that took place January 25, 2011.

document review

assessment form

demographics form

caregiver form

implementation guide

This snapshot highlights the results of a mental health service use and cost study on children and youth enrolled in Wraparound Maine. Results of the study from the Office of Continuous Quality Improvement Services indicate a 28% reduction in overall average per-child mental health expenditures following the initiation of wraparound and significant expenditure reductions in several service areas.

plan of care form with some example sections filled in

funding model

wraparound practice model

wraparound brochure

description of practice

evaluation brochure

partially filled sample plan of care

example of filled-out strengths and needs summary

Wraparound Oregon has created a guidebook to help other communities raise needed resources, navigate bureaucratic systems, and launch change initiatives that will ultimately transform the way the public sector responds to populations in need. This guidebook can be used as a guide for system of care implementation, a replication framework for the wraparound process, a cookbook for system reform and system change, or a process for community engagement.

a form for recording, visualizing, and tracking outcomes

Form for a plan of care

information on the how and why of implementing a team-based wraparound model

defines three levels of focus for any wraparound supervisor

This paper describes: (1) how the wraparound process can be integrated into schools through SWPBS, (2) differences between wraparound and typical school-based practices, including special education, and (3) how SWPBS systems can support and strengthen the wraparound process and its ability to improve quality of life for youth with unique emotional/behavioral needs, and for their families and teachers

Sam Waterston introduces this video documenting Wraparound Milwaukee's community-based system of care which provides comprehensive, highly individualized, family-directed services to youth with emotional and mental health needs and their families. The program is a 2009 winner of the Innovations in American Government Awards.

An introduction to Wraparound for youth.

information about youth advocates

template for exploring strengths and including in plan-- designed for youth with juvenile justice involvement

info sheet

information on youth engagement

The goal for Youth Involvement in Systems of Care: A Guide to Empowerment is to provide a resource to youth, youth coordinators, family members, professionals, and other adults working with young people. This guide is a starting point for understanding youth involvement and engagement in order to develop and fully integrate a youth-directed movement within local systems of care.

a valuable guide to help youth and adults understand how to cultivate youth voice

why and how to promote youth participation in Wraparound Team Planning