For Professionals

As a caseworker, educator, probation officer, counselor, doctor, or other provider, you may often work with families with children with complex needs. These families may be experiencing multiple stressors. Caring for a child or youth and meeting family needs can be challenging for everyone. When you add financial limitations, complex needs, health challenges, emotional or behavioral challenges to all the other challenges families face, it can become overwhelming.

Anyone who has had to arrange for benefits, work with an insurance company, a health system, a school problem, or navigate all of the services, organizations, and systems that are a part of life knows how overwhelming it can be. For families with complex needs and challenges it can become impossible.

In your role as a professional or service provider or you may be asked to be a part of a coordinated approach, or you may simply be interested in better understanding the benefits of this approach for families and professionals.

Individualized Service and Support Teams (ISST)

An ISST can be any meeting of supports and service providers involved with a family. This can include school based meetings, meetings related to services, and systems meetings including Child Welfare, Juvenile Justice, Probation, and Court meetings. ISST’s are different from traditional staffing and system meeting in several ways. First, the structure of the meeting helps ensure family and youth voice by placing the emphasis on the needs, hopes and defined goals of the family. Second, a family/team plan is developed to guide and steps to achieve those goals. This gives the family a framework of professionals and resources to support their efforts and assist when challenges arise instead of waiting until the next appointment or staffing to find out efforts were derailed. Third, a check-in will occur with one or more of the family team professionals to assess progress, adjust the plan if necessary. And/or Fourth, develop a future plan to assist the family in sustaining its positive community connections to meet long term goals as well as having a plan for meeting any future needs or getting assistance in a crisis.

Two different examples of facilitated ISST are Wraparound Aligned Care Coordination and High Fidelity Wraparound. Both include the four phases described above. These phases can occur rapidly or over a period of weeks or months depending on the complexity of need.

4 Phases of Wraparound

Engagement

This is a person who will provide peer support to parents and caregivers of children receiving services. Family Partners draw on personal experience, having raised their own children and experienced similar challenges and successes. They can relate to what you’re going through and will walk alongside you as you work to identify and meet your goals for your family.

Planning

This is a person who will provide peer support to parents and caregivers of children receiving services. Family Partners draw on personal experience, having raised their own children and experienced similar challenges and successes. They can relate to what you’re going through and will walk alongside you as you work to identify and meet your goals for your family.

Beginning

This is a person who will provide peer support to parents and caregivers of children receiving services. Family Partners draw on personal experience, having raised their own children and experienced similar challenges and successes. They can relate to what you’re going through and will walk alongside you as you work to identify and meet your goals for your family.

Transition

Family Partners draw on personal experience, having raised their own children and experienced services. Family Partners draw on personal experience, having raised their own children and experienced

Wraparound Aligned Care Coordination

A Coordinator will meet with the family to discuss the wraparound process and learn about each of the family members. The emphasis here is to discover the concerns, needs, hopes, and strengths of each family member. Further meetings with family members will be planned out in this first meeting. . A A Coordinator will meet with the family to discuss the wraparound process and learn about each of the family members. The emphasis here is to discover the concerns, needs, hopes, and strengths of each family member. Further meetings with family members will be planned out in this first meeting.

High-Fidelity Wraparound

As a team member in the high-fidelity wraparound process, you and other team members will implement the following four-phased process to develop an actionable plan for youth and their families.

A Wraparound Facilitator or Coordinator will meet with the family to discuss the wraparound process and learn about each of the family members. The emphasis here is to discover the concerns, needs, hopes, and strengths of each family member. Further meetings with family members will be planned out in this first meeting.

10 Principles

For ISST, Wraparound Aligned Care Coordination and High Fidelity Wraparound the following 10 principles apply and serve as a guide for understanding the family centered team approach.

Family Voice and Choice
No one knows your family better than you do. That’s why family and youth perspectives and opinions are given priority during all phases of the process. Plans are built on a family’s perspective, and reflect family values.

Team-based
The wraparound team consists of individuals providing services to your family as well as your family’s natural supports that already exist in your lives.

Natural supports
You and your family have people in your lives that can help. They could be friends, neighbors, teachers or relatives and they are your natural supports. These individuals are encouraged to participate in the process and be part of your team.

Collaboration
Team members work together and share responsibility. Your plan will be a collaboration of all team members’ ideas, opinions and resources and each team member will have assignments to work toward meeting the team’s goals.

Community-based
Your team implements a plan that offers services and supports in your own community.

Culturally competent
The process respects and builds on the values, preferences, beliefs, culture, and identity of your family, your child and your community.

Individualized
The team develops and follows through on a customized set of strategies, supports, and services to achieve goals.

Strengths-based
Your child and family members all have strengths. Your plan focuses on using these strengths, and those of your other team members.

Persistence
Challenges can and will come up throughout this process. However, your team will work through them. All team members work together toward the goals laid out in your plan until the team reaches an agreement that the goals have been met and the formal process is no longer needed.

Outcome-based
Your team’s goals will be measurable. This will let all members know when a goal has been reached, is close to being reached, or when it might be time to discuss a new strategy to achieve that goal.

Programs and Service Providers:

ISST

TDM; IEP; Truancy Court Program; School Based Program – Descriptions or links to program page

Wraparound Aligned Care Coordination

TDM; IEP; Truancy Court Program; School Based Program – Descriptions or links to program page

Reach Youth and Families – HFW

Reach Youth and Families is a High Fidelity Wraparound provider in El Paso County supporting families through provides coordinated community-based supports and services to families of youth seeking support. The Wraparound process is a strength-based, individual centered approach based on families identifying what support they need for family. Reach Youth and Families promotes family independence by acknowledging that families or caregivers know what is best for their youth and family. A team of support offers support with a focus on reaching family goals for a better future as defined by the family.

Check out the links below for more information

http://coactcolorado.org/families/

http://nwi.pdx.edu/wraparound-basics/

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