1. An Introduction to WraparoundAn Introduction to Wraparound
J. Watson, PhD, MSW, MBAJ. Watson, PhD, MSW, MBA
L. Griffin-Davis, BSW StudentL. Griffin-Davis, BSW Student
A. L. Hines, BSW StudentA. L. Hines, BSW Student
Oct. 25, 2011Oct. 25, 2011
2. “A person working
alone has all
the power of
social dust.”
Saul Alinsky, Community Activist
(1909 - 1972)
3. How it all began…
Wraparound or WarparoundWraparound or Warparound
Karl Dennis & VanDenBergKarl Dennis & VanDenBerg
4. ““Social Work terms…”Social Work terms…”
Systems & Ecological PerspectiveSystems & Ecological Perspective
A Strengths-Based ApproachA Strengths-Based Approach
6. Similarities of Generalist Intervention Model & Phases & Activities of theSimilarities of Generalist Intervention Model & Phases & Activities of the
Wraparound ProcessWraparound Process
The Generalist Intervention ModelThe Generalist Intervention Model
WRAPAROUNDWRAPAROUND
Engagement and Team Preparation
Orient the family to Wraparound
Stabilize crises
Facilitate conversations about strengths
needs, culture, and vision of the family
Engage other potential team members
Make needed meeting arrangements
Initial Plan Development
Develop a plan of care
Develop a detailed crisis/safety plan
Implementation
Implement the plan
Revisit and update the plan
Maintain team cohesiveness and trust
Complete documentation and handle
logistics
Transition
Plan for cessation of wrap
Conduct commencement ceremonies
Follow-up with the family after graduation
7. Elements of Wraparound
Inter-Agency
Collaboration & IntegrationCollaboration & Integration
State
Community
Child & Family Teams
Family Focused
Unconditional Care
Community - Based
Strength - Based
Individualized Services
Culturally Competent
Cost Effective
Meets Needs of Family
Outcome Driven
8. The Wraparound Approach
Wraparound is a facilitated team based practice
model designed to integrate natural and professional
supports, with the family in the driver’s seat
A wraparound team is formed to help define and
refine family strengths, culture, vision and needs;
prioritize needs and create the plan; and then carry
out the plan one prioritized need at a time until the
formal team is no longer needed because the vision of
the family has been achieved.
9. Do’s and Don'ts for
Working with Families
Don’t form opinions
about a family
Be direct
Trust family’s instincts
Speak language that
families understand
View families as a
whole, not as a case
Assist families with life
plans; not treatment
plans
Don’t be just a voice
on the phone
Don’t be
condescending
Involve families in
every level of planning
10. Do’s and Don'ts for working
with Families (Cont.)
Keep families informed
Accept lifestyles and
cultural differences
Help to preserve
privacy
Follow house rules
Respect family’s
schedules
Be patient
Be accessible
Follow through
Don’t become another
layer of bureaucracy
Be a partner
Look at services that
families need, not
whether they are
billable
11. What Makes It Work
Access
Parent/Child has valid
option at inclusion in
decision making process
Ownership
Parent/Child agree with
and are committed to any
plan concerning them
Voice
Parent/Child were heard,
listened to at all junctures
of planning
Consistency
Parent/Child were served
by a consistent team of
workers for services and
crisis
12. ““Voice and Choice”Voice and Choice”
In Wraparound, families and youth have a clear say inIn Wraparound, families and youth have a clear say in
what plans look like, how they are designed, how they arewhat plans look like, how they are designed, how they are
implemented, and how they are evaluated. The familiesimplemented, and how they are evaluated. The families
and youth drive the process.and youth drive the process.
If safety is an issue, and the state is involved, voice andIf safety is an issue, and the state is involved, voice and
choice is shared between the state and the family, withchoice is shared between the state and the family, with
safety as the most important issue.safety as the most important issue.
Gaining and exercising voice and choice is a process.Gaining and exercising voice and choice is a process.
13. Child & Family Team
Who’s On It
Parents & Children
Four to eight people
who best know the
strengths and needs of
the family
Chosen by the family
and lead agency
All members must
agree to actively
participate
Some possibilities:
Teacher - Counselor
Social Worker
Service Coordinator
Therapist
Clergy
Friend - Neighbor
Big Brother/Big Sister
Grandparents -
Relatives
14. Child & Family Team
Meetings
Time
Set times so all can
participate
May involve evenings
or weekends
Place
Where the family is
comfortable
Frequency
Weekly for four weeks
Monthly for next
several months
Quarterly thereafter
Change frequency to
meet family and/or
crisis needs
15. Child & Family Teams
Tasks
Assess family strengths
Develop Plan
Plan for Crisis
Develop community
support network for
plan implementation
Advocate for the
family
Monitor services and
plan
Evaluate plan’s
effectiveness
Redo plan as needed
Be creative
entrepreneurs
Never Ever Give Up!
16. Effective Crisis Planning
Plans anticipate crisis based on past
knowledge.
Assume the “worst case” scenario
Research past crisis for cause, best
interventions and consequent behaviors.
Clearly defined plans help teams function in
difficult times
17. Crisis Planning
See crisis as a process with a beginning, middle, and
end.
Change plan based on “what works”
Build plans that “triage” for differing levels of
intensity and severity of crisis.
Build plans early with child & family team
Begin by asking family “what can go wrong with plan”
as a first step.
18. Crisis Planning
Always build in 24 hour response.
Clearly define roles for team members including
family and natural support people.
Create time for team to assess management of crisis
within two weeks of event.
Decide that no major decisions will be made until at
least 72 hours after the crisis event.
(Grealish & Vandenberg)
19. Cultural competence is an understanding of the shared values,
traditions, norms, customs, art, history, folklore and institutions
of a group of people.
Cultural competence is knowledge that helps us understand
how people interpret and function in their environment.
Cultural competence is acceptance of the diversity of people as
to: (1) personal and group values and attitudes (2) what works
and doesn’t work for them and their families, (3) what is helpful
and not helpful in resolving their problems, and (4) what makes
sense to them and what does not.
Cultural competence is an understanding of the shared values,
traditions, norms, customs, art, history, folklore and institutions
of a group of people.
Cultural competence is knowledge that helps us understand
how people interpret and function in their environment.
Cultural competence is acceptance of the diversity of people as
to: (1) personal and group values and attitudes (2) what works
and doesn’t work for them and their families, (3) what is helpful
and not helpful in resolving their problems, and (4) what makes
sense to them and what does not.
2020
20. Culture should be regarded as the set of
distinctive spiritual, material, intellectual and
emotional features of society or a social
group, and that it encompasses, in addition to
art and literature, lifestyles, ways of living
together, value systems, traditions and beliefs.
United Nations Educational, Scientific, and Cultural Organization (UNESCO)
Culture should be regarded as the set of
distinctive spiritual, material, intellectual and
emotional features of society or a social
group, and that it encompasses, in addition to
art and literature, lifestyles, ways of living
together, value systems, traditions and beliefs.
United Nations Educational, Scientific, and Cultural Organization (UNESCO)
21
22. Culture defines every individual; it influences who we are.
Everyone has culture; it influences how we view others.
Organizations have distinct cultures developed by their
mission and goals.
Communities have diverse cultures influenced by their
members, the environment, and socioeconomic conditions.
Behavior of any individual or family is affected by economic,
class, religious, geographic, age, and acculturation factors.
(Mather et al., 2007)
Culture defines every individual; it influences who we are.
Everyone has culture; it influences how we view others.
Organizations have distinct cultures developed by their
mission and goals.
Communities have diverse cultures influenced by their
members, the environment, and socioeconomic conditions.
Behavior of any individual or family is affected by economic,
class, religious, geographic, age, and acculturation factors.
(Mather et al., 2007)
23
25. Culture is important!
The potential influences that define one’s culture
Group – who the family is identified with (race, ethnicity,
religious, activity)
History – for the group, family and/or individual
Beliefs – that define what is important to the family and
individual
Traditions – practices that are valued and handed down or
developed new by the family
Preferences – are what motivate us to act (futures, activities,
values)
26. Community Culture
Every community has their own unique
culture
Who are the enforcers of community culture
in your part of the county?
We link the strengths and culture of the
community to the needs of families and create
the Village…
41. Wraparound is both EBP and PBE
Most states now accept WrapAround as an
accepted EBP. There are more children,
youth, and families in WrapAround than all
other EBP combined (Suter, 2007).
WrapAround is unique in that it comes from
both a research and a community culture
competent perspective.
42. Positive Outcomes are Not Guaranteed!
Studies indicate that WrapAround teams often fail to:
Incorporate full complement of key individuals on the
Wraparound team;
Engage youth in community activities, things they do well,
or activities to help develop friendships;
Use family/community strengths to plan/implement services;
Engage natural supports, such as extended family members
and community members;
Use flexible funds to help implement strategies
Consistently assess outcomes and satisfaction.
43. Core Lessons…
The more complex the needs of the family/youth, the
more individualized the plan must be. The opposite is
standard practice in most systems
Out of home placement can be reduced by up to 90% with
the right flexibility to the staff and families, and use of the
process
The more complex the needs of the family/youth, the
more integrated the plan must be to ensure positive
outcomes. In fact, current practice reveals lower
integration with high complexity families.
WrapAround must address more than just the youth, and
often must look at three generations of needs.
44. Benefits to
Systems & Agencies
Fosters Interagency Collaboration
Decision making given to family and direct
care givers
Promotes “top down” and “bottom up”
change
Increases community responsibility
Creates flexible funds
Services monitored by multiagencies