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Presented at the 19th Annual Research Conference

Wraparound Fidelity: Different Aspects

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Session Number: 42 Room: Salon C & D

Presentation Type: symposium

Chair: Eleanor D. Castillo Discussant: Vestena Robbins

Synopsis: The symposium will address three aspects of wraparound fidelity. The first paper will examine the relationship with youth behavior and functioning. In particular, there will be a strong focus on community based services, as it was the most consistent relationship to clinical outcomes. The second paper will examine other areas of significant relationships (i.e., family-centeredness and satisfaction). The third paper will present findings from a pilot of the Wraparound Supervisor Adherence Measure, an instrument completed by the facilitator to measure the Clinical Supervisor’s fidelity to wraparound services via supervision. Implications of the various aspects of fidelity will be discussed.

Date: Friday, February 24, 2006

Session Time: 1:15 PM - 2:15 PM

Presentation Time: 1:15 PM - 2:15 PM

The Relationship Between Fidelity to Wraparound and Outcomes

Download Handouts: 2.7mb pdf

Presenting: Enrica Bertoldo; Kathleen Cox

All Authors for this paper: Enrica Bertoldo; Kathleen Cox; Eleanor Castillo; Rosemary Pacini

Presentation Type: element of symposium

Synopsis: This study investigated the relationship between fidelity to the wraparound approach and outcomes at discharge for seriously emotionally disturbed youth. Analysis of the Wraparound Fidelity Index-3.0 (WFI-3.0) was completed to determine the association between fidelity to the 11 core elements of the wraparound process and treatment outcomes for youth. Results showed that correlations were significant between adherence to community-based services and supports and positive outcomes. This paper highlights the impact of strong community supports on treatment goal attainment and positive outcomes in youth functioning, as measured by the Child Behavior Checklist and the Child and Adolescent Functional Assessment Scale.

The Wraparound Fidelity Index (WFI) as a Framework for Service Delivery

Download Handouts: 2.3mb pdf

Presenting: Joshua Berry

All Authors for this paper: Joshua Berry; Brian Oliveira; Eleanor Castillo

Presentation Type: element of symposium

Synopsis: Though fidelity assessment has increasingly become a part of evaluating the wraparound process, results for the relationship between fidelity and clinical outcomes have been moderate. This study is consistent with previous studies that have demonstrated moderate relationships between wraparound fidelity and youth functioning and behavior. This study also found that WFI principles are more highly correlated with other measures of similar constructs (e.g., family-centeredness and satisfaction). It appears WFI principles provide a framework for service delivery, but there likely is a missing link between the principles and measures of youth behaviors and functioning.

Wraparound Supervisor Adherence Measure (W-SAM)

Download Handouts: 271kb pdf

Presenting: Eleanor Castillo

All Authors for this paper: Eleanor Castillo; Veronica Padilla

Presentation Type: element of symposium

Synopsis: There are limited measures, if any, that directly assess wraparound fidelity in individual supervision. A pilot of the Wraparound Supervisor Adherence Measure (W-SAM) was completed by 40 facilitators in three California counties to assess their clinical supervisor’s fidelity to wraparound services via supervision. The tool was highly reliable with an overall Cronbach’s alpha of .98. Development, results, and applications of the tool will be discussed.