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The Wraparound Approach


Wraparound

Mural created by youth at the Cheltenham Youth Facility

This mural was created by youth at the Cheltenham Youth Facility


Within the past two decades, collaborative efforts on state, local, and national levels have been utilized to create systems of care for youth with mental health needs and their families. The wraparound model of care, which has been integrated throughout the nation, has been in existence for over two decades. Having emerged in the late 1970's, wraparound services were developed to address the needs of youth with severe emotional and behavioral disorders within their communities. More recently, however, wraparound services have been utilized by such agencies as juvenile services as a means to prevent offenders from reoffending, out of home placement, and reduce recidivism. The wraparound process is a collaborative one; teams of individuals, including the caregiver, service providers, and an agency representative, develop a plan of care for a youth and/or families, implement the plan over a set period of time, and evaluate the fidelity of the plan. A facilitator, who is trained for the role, oversees the team. There are currently four jurisdictions in Maryland that have pilot wraparound programs: Baltimore City, St. Mary's County, Montgomery County, and Wicomico County. The fidelity of the services provided is measured using the Wraparound Fidelity Index (WFI) which is administered by the University of Maryland's Innovations Institute. Further expansion of wraparound within the state of Maryland will occur within the next year.

Visit the following websites for further information on wraparound:

   The National Wraparound Initiative

   Maryland Choices

   Ten Principles of Wraparound

   What is the Wraparound Process?



Evidence-Based Practices (EBPs)

Mural created by youth at the Waxter Center

This mural was created by youth at the Waxter Center


Evidence-Based practices, or EBPs, like wraparound, have also been used to assist youth with severe emotional and behavioral disorders, as well as their families. EBPs are practices which have documented scientific evidence in proven effectiveness in the reduction of juvenile delinquency, among other related risk factors. The Center for the Study and Prevention of Violence (CSPV) commenced a violence prevention initiative to identify effective programs, thus forming the Blueprints for Violence project in 1996 (Blueprints for the Study and Prevention of Violence). Through this project, eleven prevention and intervention programs have been identified and utilized by such agencies as Juvenile Services to deliver services to youth and families. Functional Family Therapy (FFT), and Multisystemic Therapy (MST), and Multidimensional Treatment Foster Care (MTFC) are three of the eleven programs in the Blueprints for Violence project that are widely utilized for targeted populations within jurisdictions, and are currently used by the Maryland Department of Juvenile Services in collaboration with the University of Maryland. Such services may be carried out within the client's home, community, school, or clinics.

  Blueprints for Violence

   Multisystemic Therapy (MST)
   Functional Family Therapy (FFT)
   Multidimensional Treatment Foster Care (MTFC)

  Developing Local systems of Care

  Maryland Association of Youth Services Bureaus (community-based services including an evidence-based practice entitled Brief Strategic Family Therapy)