Wraparound

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Wraparound was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Wraparound as listed below:

Pre-implementation materials are available and are tailored to the agency requesting them, please contact the National Wraparound Implementation Center at www.nwic.org or through John Ossowski at jdo@pdx.edu for more details about pre-implementation materials.

Formal Support for Implementation

There is formal support available for implementation of Wraparound as listed below:

The National Wraparound Implementation Center (NWIC, www.nwic.org) provides innovative approaches that are grounded in implementation science and designed to provide the most cutting-edge strategies to support Wraparound implementation. The center’s goal is to ensure that sites have concentrated support to implement high fidelity, high quality Wraparound for children with behavioral health needs and their families. NWIC works with sites at any stage of implementation—from initial planning to established initiative—using a tailored and intensive approach for implementation support. This process begins with a rigorous assessment of current implementation. Based on assessment results, NWIC will work with the site to design a comprehensive implementation support plan to address identified needs. The comprehensive plan will integrate efforts across the three main areas of implementation:

  • Organization and system development, which focuses on policy, financing, and systems structure
  • Workforce development, which focuses on processes for training, coaching and supervision
  • Accountability, which focuses on the measurement of key quality assurance indicators and outcomes

Implementation support from NWIC is provided using a strategic combination of in-person and technology- enabled strategies. NWIC’s expanding array of technology- enabled communication options includes telephone and video conferencing, the Wraparound Virtual Learning Collaborative (WVLC), a virtual training center, and the Virtual Coaching Platform (VCP). Implementation support is also provided through the use of a variety of online tools including automated tracking and feedback systems, web-based clinical support, and a wraparound-specific electronic behavioral health record.

Fidelity Measures

There are fidelity measures for Wraparound as listed below:

A brief overview of different Wraparound fidelity measures can be found at http://nwi.pdx.edu/fidelity.shtml. For additional details, please see http://www.nwi.pdx.edu/NWI-book/Chapters/Bruns-5e.1-(measuring-fidelity).pdf.

Implementation Guides or Manuals

There are implementation guides or manuals for Wraparound as listed below:

The Wraparound Implementation Guide: A Handbook for Administrators and Managers is available at http://nwi.pdx.edu/order-print-publications/ and http://www.nwi.pdx.edu/pdf/ImplementationGuide-Complete.pdf.

Research on How to Implement the Program

Research has been conducted on how to implement Wraparound as listed below:

The Wraparound Evaluation and Research Team (WERT) is the "accountability wing" of the National Wraparound Initiative (http://depts.washington.edu/wrapeval/). Using a collaborative process that involves NWI advisors, WERT develops, pilot tests, refines, and disseminates evaluation measures that support Wraparound implementation such as those of the Wraparound Fidelity Assessment System.

Citations:

Bruns, E. J., Weathers, E. S., Suter, J. C., Hensley, S., Pullman, M. D., & Sather, A. (2014). Psychometrics, reliability, and validity of a Wraparound team observation measure. Journal of Child and Family Studies. Advance online publication. doi: 10.1007/s10826-014-9908-5

Bruns, E. (2008). Measuring Wraparound fidelity. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to Wraparound. Portland, OR: National Wraparound Initiative, Research and Training Center for Family Support and Children's Mental Health. Retrieved from http://www.nwi.pdx.edu/NWI-book/Chapters/Bruns-5e.1-(measuring-fidelity).pdf

Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The Wraparound Fidelity Index. Journal of Emotional and Behavioral Disorders, 12, 79 - 89.