Wraparound A Team Based Approach What is Wraparound

Wraparound – A Team Based Approach

What is Wraparound? • Evidence-based model for youth involved in multiple systems • Facilitation of child and family teams to develop a single plan of care • Reduce duplication, increase coordination, focus on outcomes • Use of natural supports and flexible services • Use of peer support for families and youth

10 Principles of Wraparound – Family Voice & Choice – Culturally Competent – Team Based – Individualized – Natural Supports – Strengths-based – Collaboration – Persistence – Community Based – Outcomes Based

Wraparound Facilitator – Follows client and family through various levels of care and across providers – Completes a comprehensive strengths and needs assessment of each child and family – Has authority to authorize and fund services and flexible supports – Facilitates at least monthly meetings of identified team to develop and monitor single plan of care – Utilize identified strengths to meet needs – Caseload of 15 or fewer

Needs vs. Services – Philosophical shift in approach to developing care plans – Services are not needs – Brainstorm strategies as a team – Blend of professional services and flexible/natural supports

Examples from Wraparound Plans • Facilitate neighborhood meeting for a youth discharged from residential treatment to educate the community on the youth’s needs and how to effectively interact • Assist parent to reconnect with estranged sibling to offer ongoing emotional support and occasional child care • Purchase baby carrier to allow parent to take public transit with other kids to attend family therapy appointments • Purchase cell phones/ phone cards for transition age youth to ensure ability to stay connected to treatment team • Mobilize extended family members to provide supervision for a high needs child after school to allow parent to maintain employment • Provide first month’s rent to get family out of moldy apartment for youth with serious mental illness and asthma

Fiscal Impact? • Washington County experience 2010 -2012 – Reduced annual cost per client by 33% – Reduced cost of Psychiatric Residential by 43% per client served – Reduced cost of Psychiatric Day Treatment by 71% – Overall use of acute and subacute care declined by 58% (not just for youth in Wraparound)

Now What? Wraparound is expanding to another 8 sites across Oregon Opportunity to coordinate across systems (medical, dental, addictions) Adapt to medical homes and chronic disease? Thank You!