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Wraparound – A Team Based Approach

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

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Wraparound – A Team Based Approach

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  1. Wraparound – A Team Based Approach

  2. 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

  3. 10 Principles of Wraparound • Family Voice & Choice • Team Based • Natural Supports • Collaboration • Community Based • Culturally Competent • Individualized • Strengths-based • Persistence • Outcomes Based

  4. 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

  5. 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

  6. 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

  7. 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)

  8. 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!

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