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Presented at the 20th Annual Research Conference

Wraparound Fidelity in Systems of Care Sites and Association with Outcomes

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Presenting: Eric Bruns; Kristen Leverentz-Brady

All Authors for this paper: Eric Bruns; Kristen Leverentz-Brady

Presentation Type: element of symposium

Synopsis: The current study was designed to measure wraparound fidelity in several CMHS-funded systems of care and then compare service processes and outcomes for communities that implemented wraparound with different levels of fidelity. Results will focus on differences in wraparound fidelity across study sites (which were found to be modest), site-level differences in outcomes, and youth- and family-level associations between wraparound fidelity, service use, and outcomes. Discussion will focus on implementation of wraparound in systems of care sites, the adequacy of wraparound fidelity measures for conducting research, and outcomes that can be expected from the wraparound process.

High-Fidelity Wraparound: A Single-Subject, Multiple-Baseline Study of Eight Youths

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Presenting: Jim Rast

All Authors for this paper: Jim Rast; Christa Peterson

Presentation Type: element of symposium

Synopsis: As part of a larger pilot study of wraparound implementation in the Nevada child welfare system, eight youths enrolled in a matched control √íservices as usual√ď group for 18 months were then assigned to high fidelity wraparound and followed for 12 additional months. Using a multiple baseline design and time series analysis, significant positive changes in residential, educational, behavioral, and functioning outcomes were found. In addition to results and their implications, methodology used in this study will be presented and discussed in terms of using single subject designs as one approach to applied research.

Outcomes of Wraparound in Oklahoma: Results of a Randomized Study

We're sorry, handouts are not available for this presentation.

Presenting: John Vetter; Jim Rast; John VanDenBerg

All Authors for this paper: John Vetter; Jim Rast; John VanDenBerg

Presentation Type: element of symposium

Synopsis: This presentation will report preliminary data from a study conducted in Oklahoma in which 102 children and youth have been randomly assigned to (1) wraparound as implemented through a local mental health center, (2) wraparound as implemented by their child welfare case workers, or (3) services as usual. Variables assessed over time include wraparound fidelity, services and costs, behavioral and functional outcomes, and residential and child welfare outcomes. The presentation will summarize the results for the first 18 months of the study and lessons learned in implementing a research study for children with severe challenges in the child welfare system.

Current Research on Wraparound: Implications for Future Development and Research

We're sorry, handouts are not available for this presentation.

Session Number: 33 Room: Salon A

Presenting: John VanDenBerg; Gary Blau

All Authors for this paper: John VanDenBerg; Gary Blau

Presentation Type: brief symposium

Synopsis: This presentation will explain three papers discussing current research on the wraparound service coordination process. The chair will discuss recent specification of the wraparound model and the need for research on the impact of these changes. The first presentation will present findings from a study using a single subject multiple baseline approach with eight youth in the child welfare system in Nevada. The second presentation will report results from a study of wraparound fidelity in federal systems of care sites and its association with outcomes. The third presentation will present preliminary results and lessons about implementation of wraparound by staff within a child welfare system in Oklahoma. The discussant will review the papers and discuss the implication of results for implementation of wraparound and development of systems of care.

Date: Tuesday, March 6, 2007

Session Time: 8:30 AM - 9:30 AM