Latest Wraparound Research

This page highlights recent Wraparound research. For a quick review of the research on Wraparound's effectiveness, see this 2017 summary of rigorous research, or for a more in-depth discussion, see the full-text comprehensive review of Wraparound research. For additional resources, access the NWI's resource library and browse "Wraparound overall > research and evaluation."

Increasing Youths’ Participation in Team-Based Treatment Planning: The Achieve My Plan Enhancement for Wraparound

Citation: Walker, J. S., Seibel, C. L., & Jackson, S. (2017). Increasing Youths’ Participation in Team-Based Treatment Planning: The Achieve My Plan Enhancement for Wraparound. Journal of Child and Family Studies, 26(8), 1–11.

Abstract: Wraparound is a frequently implemented approach for providing individualized, community-based care for children and adolescents with serious mental health conditions and, typically, involvement in multiple child-and family-serving systems. Both Wraparound’s principles and its theory of change stress the importance of youths’ active participation throughout. However, research focusing on the experiences of youth in Wraparound indicates that they are often not particularly engaged in the process or participating actively with their teams, and the findings point to a lack of alliance between the young people and their teams. This article describes a randomized study testing the Achieve My Plan (AMP) enhancement for Wraparound, which is intended to increase young people’s satisfaction, active engagement and self-determined participation in Wraparound, as well as their alliance with the team. Study findings showed that, relative to youth who received “as usual” Wraparound, young people who received Wraparound with the AMP enhancement participated more – and in a more active and self-determined manner – with their teams. They also rated their alliance with their Wraparound teams significantly higher. Furthermore, adult team members in the intervention condition rated team meetings as being more productive, and they were more likely to say that the AMP meetings were “much better than usual” team meetings. Findings support the idea that it is possible – using a low-cost, low-“dose” intervention – to enhance young people’s self-determination and their engagement in Wraparound without detracting from team functioning or the satisfaction of other team members.

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Impacts of a Medicaid Wraparound model demonstration program on youth specialty mental health services use

Citation: Blizzard, A., Glos, L., Stephan, S., Medoff, D., Slade, E., Blizzard, A. M., & … Slade, E. P. (2017). Impacts of a Medicaid Wraparound model demonstration program on youth specialty mental health services use. Journal of Behavioral Health Services & Research, 44(3), 373-385.

Abstract: Effective coordination of mental health care is critical in Medicaid wraparound model programs for youth. This study examined participation over time in mental health services for youth diverted or transitioned from residential care to a Medicaid wraparound demonstration program. Youth in wraparound had more sustained use of mental health outpatient clinic services than did propensity score matched youth who were not in wraparound. However, the rate of outpatient clinic follow-up after inpatient discharge was no greater in wraparound. Routine assessment of wraparound programs’ impacts on receipt of mental health care may inform the development of Medicaid wraparound program performance standards.

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Caregiver perceptions of Parent Peer Support Services within the Wraparound Service Delivery Model

Citation: Gopalan, G., Horen, M.J., Bruns, E., Corey, M., Meteyer, S., … Matarese, M. (2017). Caregiver perceptions of Parent Peer Support Services within the Wraparound Service Delivery Model. Journal of Child and Family Studies, 26(7), 1923–1935.

Abstract: This qualitative study examined caregivers’ perceptions of Parent Peer Support (PPS) services, embedded in the Wraparound service delivery model for youth with severe emotional and behavioral disturbances (SEBD), to identify potential engagement facilitators and barriers. Interview questions examined caregivers’ expectations about PPS, reasons for accepting or refusing PPS, and caregivers’ perceived impact of PPS. Caregivers indicated that PPS provided several benefits for themselves, youth in the care, and their families. However, potential barriers to ongoing engagement included perceived intrusiveness, as well as misalignment between services offered and caregivers’ needs.

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A Comprehensive Review of Wraparound Care Coordination Research, 1986 – 2014

Citation: Schurer Coldiron, J., Bruns, E. J., & Quick, H. (2017). A comprehensive review of Wraparound
care coordination research, 1986–2014. Journal of Child and Family Studies, 1-21. doi:10.1007/s10826
016-0639-7

Abstract: This is an authors’ manuscript of a literature review published in the Journal of Child and Family Studies. This article reviews 206 Wraparound-related publications. Among these were 123 empirical studies – 22 of which were controlled studies. The article discusses the findings of these studies and highlights future Wraparound research needs. The link to the article from the publisher is: http://link.springer.com/article/10.1007/s10826-016-0639-7

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PRESENTATION: BOOSTER MODULE ON FACILITATING FAMILY-/ YOUTH-DRIVEN CONVERSATION: RESULTS OF INITIAL USER TESTING (2016)

Walker, J. & Ossowski, J., “Booster Module on Facilitating Family-/Youth-Driven Conversation: Results of Initial User Testing.” 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health. Tampa, FL. March 15, 2016.

Walker and Ossowski describe findings of a study to determine consensus around best practices in Wraparound facilitation and an online training booster developed as a result. The presentation recording is available from the NWI YouTube channel and a PDF version of the slides is linked below. To watch the recording, please access https://youtu.be/ZidHbkv85fo

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POSTER: Results from a Year One of a Randomized Control Trial of High-Fidelity Wraparound for Dually-Involved Youth (2016)

Authors: Coldiron, J., Hensley, S. & Thomas, S.

Poster presented at the 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health, March 2016, Tampa, FL. Presented work by the Wraparound Evaluation and Research Team (WERT) at The University of Washington’s Division of Public Behavioral Health and Justice Policy (UW PBHJP), Henderson Behavioral Health(HBH), ChildNet [a Department of Children and Families (DCF) contractor], and Florida’s Department of Juvenile Justice’s (DJJ) 17th Circuit to evaluate care coordination and case management services delivered to 65 “crossover” youth (dually involved with child welfare and juvenile justice) in Broward County, Florida.

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POSTER: Readiness for Change: FidelityEHR Implementation and Training Model for Wraparound Service Organizations

Authors: Hyde, K., Curry, M., Haley, J., Bergerson, K., Bruns, E. & Hook, A. (2016)

Poster on work by FidelityEHR to develop an EHR implementation and training model grounded in a Readiness for Change approach, and partnership with the University of Washington, Wraparound Evaluation and Research Team (WERT) on a National Institute of Mental Health (NIMH) Small Business Technology Transfer (STTR) Phase II grant to increase collaboration with Wraparound service organizations in the field. 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health, March 2016, Tampa, FL.

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Presentation: Differences in Wraparound Training and Coaching Outcomes as a Function of System Context 3 Case Studies (2016)

Authors: Hensley, S. , Estep, K. & Matarese, M.

Presentation on three case studies comparing Wraparound training and coaching outcomes given by Spencer Hensley, University of Washington; Kim Estep, MA and Marlene Matarese, PhD, University of Maryland. 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health, March 2016, Tampa, FL.

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Presentation: USER TESTING TO REFINE AN ELECTRONIC BEHAVIORAL HEALTH RECORD FOR WRAPAROUND: FIDELITYEHR

Author: Bruns, E., Hook, A., Hyde, K. & Bergerson, K. (2016)

This presentation reviews results of User Experience (UX) testing of an Electronic Behavioral Health Record, and the way in which that feedback is used to modify the system. 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health, Tuesday, March 15, 2016, Tampa, FL

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Presentation: USING ADMINISTRATIVE CANS DATA FOR BENCHMARKING AND OUTCOMES MONITORING IN STATE-WIDE WRAPAROUND INITIATIVES

Author: Bruns, E., Schurer Coldiron, J. & Hensley, S. (2016)

Conference presentation on use of administrative CANS data for benchmarking and outcomes monitoring in state-wide Wraparound initiatives. Presented at the 29th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health. March 14, 2016. Tampa, Florida.

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