A Wraparound Perspective on Supporting Human

Development in Context

Jesse C. Suter, Ph.D. University of Vermont

March 29, 2010

The wraparound process can be greatly improved through understanding and application of human development

What we learn from the wraparound process can improve our understanding of human development

“In theory there is no difference between theory and practice. In practice there is.”

- Yogi Berra

Roadmap

Future applications of synergy!

Wraparound perspective for supporting human development!

What & why of wraparound!

The what and why of wraparound

Believe that all parents want to...

• Be proud of their children

• Have good relationships with their children

• Have a positive influence on their children

• Hear good news about their children and about what they do well

• Believe they are good parents

(Dennis et al., 2006)

Believe that all children want to...

• Have their parents be proud of them

• Be accepted as a part of a social group

• Be active and involved in activities with others

• Learn new things

• Voice their opinions and choices

(Dennis et al., 2006)

What is wraparound?

• Wraparound is a family-driven, team-based process for planning and implementing services and supports.

• Teams create plans that are geared toward meeting the unique and holistic needs of children and youth with complex needs and their families.

• The wraparound team members meet regularly to implement and monitor the plan to ensure its success.

1.Family voice & choice

2.Team based

3.Natural supports

4.Collaboration

5.Community based

Wraparound Principles6.Culturally

competent

7. Individualized

8.Strengths based

9.Unconditional

10.Outcome based

Wraparound Phases

10

1. Engagement!

2. Planning!

3. Implementation!

4. Transition!

Why wraparound?

• Children with serious emotional and behavioral difficulties have a high risk of poor outcomes in multiple areas of life

• Many do not have access to supports (especially ethnic minorities)

• Many services are not effective

• Families often not engaged in services

Who needs wraparound?

1-5%

5-15%

80-90%

Targeted Supports

Intensive Supports

Prevention and universal health promotion

Does it work?Significantly better outcomes achieved

Largest effect on living situation

Similar outcomes as evidence-based treatments

For more details...

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Wraparound perspective on supporting human

development

Individual

Individualized

• To achieve the goals laid out in the wraparound plan, the team develops and implements a customized set of strategies, supports, and services.

• Stress and Coping (Lazarus & Folkman, 1984; Compas et al., 2001)

• My master’s thesis: Age Differences in Coping

Natural Supports

• Downplaying professional interventions that remove the youth from their natural contexts

• Increasing opportunities for learning to occur naturally with others

• Social learning theory and self-efficacy (Bandura, 1977; 1997)

• Coping efficacy in master’s thesis

Strengths-Based

• Building on and enhancing the skills, competencies, and assets of the individual

• Positive Youth Development Competence, Confidence, Connection, Character, & Caring (Lerner, 2009)

• Developing a young adult strengths tool for evaluation of Youth in Transition grant

Family

Family Voice & Choice

• Family and youth perspectives are intentionally elicited and prioritized during all phases of the wraparound process.

• Planning is grounded in family members’ perspectives, and the team strives to provide options and choices such that the plan reflects family values and preferences.

Hierarchy of Needs

(Maslow, 1943)

Attachment

(Ainsworth, 1978)

Family Systems Theory

Culture

Cultural Competency

• The wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the child, family, and their community.

• Cultural context of development

• Intergroup relations and attitudes

• Identity development

Quintana et al. (2006) Child Development [Special Issue]

Service Delivery Systems

Team-Based & Collaboration

• Team members work cooperatively and share responsibility for developing, implementing, monitoring, and evaluating a single wraparound plan.

• Systems of Care (Stroul & Blau, 2008) & Meta-Systems (Kazak et al., 2010)

• EDSP 305: Interagency Collaboration

Outcome-Based

• The team ties the goals and strategies of the wraparound plan to observable or measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly.

• Youth in Transition Evaluation

• Wraparound Fidelity Index

• Numbers that Count!

Future application of synergy

School

Traditional School

Targeted

Intensive

Universal

Social/Academic Instructional Groups

FBA/BIP

School & classroom punitive discipline systems

Alternative Schools

for All

Tier 2

Tier 3

Tier 1

Social/Academic Instructional Groups

Complex FBA/BIP

Wraparound

Small Group Interventions

Individualized Groups & Mentoring

Brief FBA/BIP

Universal Positive Expectations Skills Instruction

Fingers crossed!

!

Resources

http://www.nwi.pdx.edu/

http://www.pbis.org/

My website:http://www.uvm.edu/~jsuter/

http://www.pbisillinois.org/