Wraparound Implementation Support
The Texas Center provides individualized implementation support for organizations interested in fully implementing Wraparound. Implementation support includes workplace development, sustainability planning, guidance on the use of data for continuous quality improvement (CQI), and assistance in the development of a business plan. The Texas Center uses the National Wraparound Implementation Center as the purveyor for Wraparound skill development. This includes support around the effective use of Wraparound Practice Improvement Tools (WPITS). Rates for implementation and coaching support are based on the specific needs and capacities of organizations interested in implementing the model.
Continuous Quality Improvement (CQI)
The Texas Center evaluation team utilizes Wraparound Evaluation and Research Team tools to assess organizational and system implementation. NWIC has developed two tools: Wraparound Implementation Standards - Program (WISP) and Wraparound Implementation Standards - System (WISS) to evaluate quality of implementation at the program and system levels.
The WISS/WISP is intended for use as a coaching tool to assess progress on indicators of Wraparound Implementation and Practice Quality Standards which are known to be associated with successful Wraparound care coordination implementation at the system or program level. The WISS/WISP provides a mechanism to operationalize the tracking of these indicators across 3 stages: pre-implementation, implementation and sustainability.
- Pre-implementation includes readiness indicators that systems should consider prior to beginning any partnerships with families in Wraparound. This stage should begin with enough time to ensure the indicators have been successfully addressed and policies put in place to support successful installation efforts. Ideally, systems should begin preparing for Wraparound installation 6 months prior to the enrollment of any youth. More time may be needed and is dependent on the system's size and the scope of the initiative.
- Implementation indicators are tracked from the first enrollment of youth and their families in Wraparound, and these indicators should be fully operationalized within 9 months of first enrollment of youth and families.
- Sustainability indicators should be tracked and fully actualized within 18 months of beginning enrollment. Systems should periodically conduct a WISS self-assessment to ensure the initiative is staying on track, to protect themselves from drift in practice, and to ensure quality and fidelity practice is provided as Wraparound efforts expand and grow.
The tool is intended to support system accountability mechanisms and a continuous quality improvement approach for the life of the Wraparound initiative.