High Fidelity Wraparound
Systems of Care and Wraparound Implementation Manager/National Coach Kestep@ssw.umaryland.edu
Joe Anne Hust
Peer Support and Systems of Care Manager
What is Wraparound?
Wraparound is an ecologically based process building on the collective action of a team to mobilize resources and talents from a variety of sources to support families in their communities. In the wraparound process a team of people are brought together around all the components of a family's life incorporating their history, culture, relationships and other relevant information to address their challenges and formulate possible solutions. Wraparound also includes a series of practice steps bringing a group of people together to craft and match services, supports and interventions to meet unique family needs. Often referred to as a process rather than a service or particular type of intervention, Wraparound integrates and builds on a variety of concepts from a range of sources. This integrative nature makes Wraparound particularly adaptive to the organization, context and people involved in implementation.
- To ensure caregivers and youth have ACCESS to the people and processes in which decisions are made as well as access to needed resources and services.
- To ensure family's VOICEs are heard and they are full decision makers in charge of their own lives.
- To ensure the family has OWNERSHIP of the planning process in partnership with the team and is in agreement and committed to carry out the plan.
Key Elements in Wraparound
The Institute has established four key elements as definitive of Wraparound. In effect, if these four concepts are not transparently in place quality Wraparound practice cannot occur.
- Grounded in a Strengths Perspective
- Driven by Underlying Needs
- Supported by an Effective Team Process
- Determined by Families
The National Wraparound Implementation Center
The Institute for Innovation and Implementation at the University of Maryland School of Social Work along with The University of Washington School of Medicine and Portland State University School of Social Work have partnered in developing The National Wraparound Implementation Center (NWIC). These three universities are collaborating to ensure sites have access to comprehensive support for implementing model-adherent, high quality Wraparound for children and youth with behavioral health needs and their families. Read More.
NWIC provides certificate programs for care coordination staff and parent peer support partners in Wraparound
Wraparound Practitioner Care Coordination Certifications
NWIC is pleased to provide Maryland and other states, sites and organizations with Wraparound Practitioner Certificate Programs. The purpose of these certificate programs is to provide sites with the necessary support and training to sustain a full-fidelity and quality wraparound practice implementation. NWIC provides certification for care coordinators and supervisors in Maryland and supports the development and certification of local coaching candidates in states nationwide. There are two different certificate programs offered in Maryland: (1) Dedicated to staff working within the statewide Care Management Entity and (2) Dedicated to staff working within Care Coordination Organizations or Targeted Case Management Providers Working within Wraparound.
NWIC offers the following Certification Guides for Care Coordination Staff:
National Wraparound Local Coaching Candidate Certification Guide
Maryland Statewide CME Wraparound Practitioner Care Coordination Certification Guide
Maryland Wraparound Supervisory Certification Guide for CCOs and TCM Providers Implementing Wraparound
Parent Peer Support Partner in Wraparound Certifications
NWIC's model for Parent Peer Support Partners (PPSP) is based on the premise that PPSPs enhance the Wraparound model. The PPSP curricula has been created around the same framework as the training for Wraparound Care Coordination staff and includes core and advanced skills training and activities across the phases and key elements of wraparound (6-8 days over 1 year) and includes practice improvement tools used in certification.
A PPSP is a parent of a child with emotional or behavioral challenges who has navigated the system (mental health, child welfare, or juvenile justice). Because of their lived experience, they have a unique ability to engage with families receiving services and support them as a peer with empathy and understanding. While the role is the same, there are many different titles for a Parent Peer Support Partner: Parent Partner, Family Partner, Family Support Partner, Parent Advocate, Parent Support Providers and more.
Parent Peer Support is an important piece of family-driven care. At The Institute and NWIC we provide training and technical assistance in the area of peer support. This includes a focus on Parent Peer Support in Wraparound implementation, strategic planning for Parent Peer Support development and technical assistance related to broader family driven/family determined care.
NWIC offers the following Certification Guides for Family Organization/Parent Peer Support Staff:
Maryland Wraparound Parent Peer Support Partner Certification Guide (Updates Coming Soon!)
National Wraparound Parent Peer Support Partner Local Coaching Candidate Certification Guide (Updates Coming Soon!)
Wraparound Practice Improvement Tools (WPITS)
NWIC has designed as part of our coaching and training model, several practice level implementation support tools. These tools are designed to support quality wraparound implementation through targeted skill building at the supervisory and frontline staff levels. These tools include: The Coaching Observation Measure for Effective Teams (COMET), the Supportive Transfer of Essential Practice Skills (STEPS) Wheel, the Coaching Response to Enhance Skill Transfer (CREST), and the Supervisory Assessment System (SAS)
- The Coaching Observation Measure for Effective Teams
- The Supportive Transfer of Essential Practice Skills
- The Coaching Response to Enhance Skill Transfer
- The Supervisory Assessment System
Core Training Course Descriptions
- Introduction to Wraparound (3-day)
- Engagement in the Wraparound Process (1-day)
- Intermediate Wraparound: Improving Wraparound Practice (2-day)
- Advancing Wraparound Practice: Supervision and Managing to Quality (2-day for supervisors only)
- Introduction to Training and Coaching Tools (1-day for supervisors/coaches only)
- Core Skills for Wraparound Peer Parent Support Partners
- Advanced Skills for Wraparound Peer Parent Support Partners (for supervisors only)
- Introduction to Training and Coaching Peer Support Tools (1-day for peer support supervisors/coaches only)
- System of Care Overview
- Introduction to Wraparound Brief Overview
- Child and Adolescent Strengths and Needs Survey (CANS) Training (Required in Maryland)
- Oral Health Care for Children and Adolescents (Required in Maryland)
- Somatic Health Care for Children and Adolescents (Required in Maryland)
- The National Wraparound Implementation Center www.NWIC.org
- The National Wraparound Initiative http://nwi.pdx.edu/
- The Center for Health Care Strategies http://www.chcs.org/focus_area/integrated-care-for-people-with-complex-needs-children
- Substance Abuse and Mental Health Services Administration www.samhsa.gov
- The National Federation of Families for Children's Mental Health www.ffcmh.org
- Family Run Executive Director Leadership Association www.fredla.org
- The Maryland Coalition of Families for Children's Mental Health http://www.mdcoalition.org/
- The Montgomery County Maryland Federation of Families for Children's Mental Health http://www.mcfof.org/
- Quick Guide for Self-Assessment of Family-Run Organizations in System of Care http://rtckids.fmhi.usf.edu/rtcpubs/FamExp/Familyquickguide.pdf