Keller,-Daniel-S.; Galanter,-Marc
Dept of Psychiatry (NB20N26), NYU School of Medicine, 550 First Ave, New
York, NY 10016
Journal-of-Substance-Abuse-Treatment; 1999, 16, 2, Mar, 183-189.
aja Abstract-of-Journal-Article
Describes a technology transfer initiative in
which network therapy (NT), a substance abuse treatment that utilizes
peer & family support, was disseminated to a cohort of addictions
counselors in an outpatient community-based addictions treatment center
in New York City. Following training that included a didactic seminar,
role-playing, use of videotaped illustrations, & clinical supervision,
counselors implemented the NT approach with a sample of 10 cocaine-abusing
patients being treated concurrently with the standard program provided
by the treatment setting. NT patients were compared by chart review with
a cohort of 20 cocaine abusers who received community treatment-as-usual
(TAU). The groups did not differ on demographic variables or the amount
of TAU received at the community program. However, NT patients had significantly
less positive urinalyses than TAU patients, though they were not significantly
different
in terms of treatment retention. Implications for technology transfer
are discussed. 33 References. Adapted from the source document 99W33283
A Community Response
to Tragedy: Individualized Services for Families
Ray,-JoAnn; Stromwall,-Layne-K.; Neumiller,-Steven; Roloff,-Marilee
School Social Work Arizona State U, Tempe 85287-1802
Child-and-Adolescent-Social-Work-Journal; 1998, 15, 1, Feb, 39-54.
aja Abstract-of-Journal-Article
The 1994 murder of a 13-year-old young woman mobilized
one community to initiate a wraparound service model called Breakthrough
for Families for their most hard-to-reach families, ie, those struggling
with parental substance abuse, youth at high risk, & associated complex
needs cutting across existing categorical programs. The strength- &
empowerment-based program, in which interventions were designed specific
to each family, presented challenges in evaluating outcomes with traditional
standardized
instruments. Described here are the project, its outcomes for families
& youth, & the evaluation design that evolved to measure outcomes
in a strength-based program with no uniform intervention. 6 Tables, 21
References. Adapted from the source document 99W30876
An Outcome Study of
Missouri's CSTAR Alcohol and Drug Abuse Programs
Evenson,-Richard-C.; Binner,-Paul-R.; Cho,-Dong-W.; Schicht,-William-W.;
Topolski,-James-M.
Missouri Instit Mental Health, 5247 Fyler L Bldg Saint Louis 63139
Journal-of-Substance-Abuse-Treatment; 1998, 15, 2, Mar-Apr, 143-150.
aja Abstract-of-Journal-Article
The Comprehensive Substance Abuse Treatment &
Rehabilitation program, instituted in MO in 1991, is described, &
its services are enumerated. This community program offers wraparound
services & intensive case management. Eleven domains typically affected
by substance abuse were measured, & satisfaction with treatment services
was assessed, based on questionnaire & inventory data obtained from
280 clients at 10 facilities, results of which were analyzed separately
by general programs, women with children programs, & adolescent programs.
Data were also examined according to length of stay in the program. esults
were consistently positive, with effects increasing with length of time
in the program. 4 Tables, 24 References. Adapted from the source document
99W30625
Helping Black Families
Who Are Providing Care to Persons with AIDS
Logan,-Sadye-L.; Joyce,-Jerome
School Social Work U Kansas, Lawrence 66045
Chpt in THE BLACK FAMILY: STRENGTHS, SELF-HELP, AND POSITIVE CHANGE, Logan,
Sadye L. [Ed], Boulder, CO: Westview, 1996, pp 53-66.
bca Book-Chapter-Abstract
Discusses issues that will assist service providers
in the delivery of more effective services to black families managing
the care of family members with acquired immune deficiency syndrome (AIDS),
drawing on a variety of data sources, eg, government statistics, a case
study of one family, & secondary literature. It is noted that, while
all social groups must deal with AIDS, black families face additional
economic, social, & cultural burdens that make them less willing to
seek help. Presented is Wraparound Services, a family service plan that
caters to the special needs of black families. The program grew out of
the 1980s social case work with families wishing to keep children who
are severely challenged & comprises two working teams: a family-based
team made up of friends & individuals in the community & a community-support
team made up of health care professionals. 23 References. D. M. Smith
9805236
Exploring the Theory
and Paradigm Base for Wraparound
Malysiak,-Rosalyn
Community Wraparound Initiative, 76 South 7th Ave La Grange IL 60525-2503
[e-mail: rmalysiak@aol.com]
Journal-of-Child-and-Family-Studies; 1997, 6, 4, Dec, 399-408.
aja Abstract-of-Journal-Article
Family-centered policy & practice has generally
used expert models that define families of children with serious emotional
disturbance as dysfunctional. An emergent collaborative model, called
wraparound, engages these families as decicion-making participants, using
naturally occurring strengths to wrap individualized supports around the
child & family. However, because wraparound has been defined only
through value-based principles, the model's fidelity is threatened by
a developmental paradox. Those whose training & careers have been
shaped in more traditional expert models of deficit remediation can interpret
these value-based principles as an emergent form of case management methodology.
Anchored in this base & derived from wraparound's value-based principles,
a single construct with an operative focus is suggested to ensure the
integrity of this collaborative model. 46 References. Adapted from the
source document 98W30327
Deciphering the Tower
of Babel: Examining the Theory Base for Wraparound
Fidelity
Malysiak,-Rosalyn
76 South 7th Ave, LaGrange IL 60525-2503 [e-mail: rmalysiak@aol.com]
Journal-of-Child-and-Family-Studies; 1998, 7, 1, Mar, 11-25.
aja Abstract-of-Journal-Article
Examines a theoretical & paradigmatic basis
to better define fidelity in a wraparound approach to service delivery,
drawing on team discussion data with 7 families in Tampa, FL, follow-up
interviews with 56 of these participants, & review of case files.
The literature is examined to clarify terms & suggest a paradigmatic
& theoretical base for the easily misinterpreted, value-laden philosophy
of wraparound. Results suggest that wraparound is an emerging collaborative
model based in critical & constructivist thought & in ecological
systems theory. A preliminary but essential step in clarifying the process
of implementation & evaluation of the wraparound approach is provided.
2 Tables, 13 References. Adapted from the source document 98W30326
"A Wraparound"-The
Wave of the Future: Theoretical and Professional
Practice Implications for Children and Families with Complex Needs
Handron,-Dorothea-S.; Doser,-David-A.,-Jr.; McCammon,-Susan-L.; Powell,
-John-Y.
School Nursing East Carolina U, Greenville NC 27858-4353 [e-mail:
handrond@mail.ecu.edu]
Journal-of-Family-Nursing; 1998, 4, 1, Feb, 65-86.
aja Abstract-of-Journal-Article
"Wraparound"is described as a strengths-based,
family-driven orientation that focuses on the uniqueness of each child
& family. The professional's role in wraparound is highlighted by
offering a historical perspective; noting political & economic implications
at federal, state, & community levels; & summarizing research
outcome data associated with wraparound's use. Clinical practice implications
for family nurses or service providers in other disciplines are explored
as well. A case study demonstrates how structural family therapy may be
used as a theoretical framework in concert with the wraparound process.
1 Table, 32 References. Adapted from the source document 98W30320
Professional Activities
of Family Workers and Social Workers Working in a
Family Support Program
Epstein,-Michael-H.; Jayanthi,-Madhavi; Dennis,-Karl; Potter,-Kathy; Hardy,
-Ron; McKelvey,-Janet; Frankenberry,-Erin
Northern Illinois U, DeKalb 60115-2854
Community-Alternatives; 1997, 9, 2, fall, 143-159.
aja Abstract-of-Journal-Article
A case study of the professional actions of social
workers & family workers in a family support program designed with
a wraparound philosophy - Kaleidoscope, Inc, a nonprofit child welfare
organization in Chicago, IL. Employees (N = 17) of the Satellite Family
Outreach Program completed the Professional Activities Checklist, which
measured 19 professional activities. Results indicate that 33+% of a social
worker's day is devoted to indirect care activities, including writing
reports, attending meetings, & collateral contacts. Also, family workers
spend more time working directly with families than do social workers.
It is concluded that family workers are involved in more direct service
activities than are social workers. 3 Tables, 12 References. Adapted from
the source document 98W29913
Promoting Justice in
the Delivery of Services to Juvenile Delinquents: The
Ecosystemic Natural Wrap-Around Model
Northey,-William-F.,-Jr.; Primer,-Vicky; Christensen,-Lisa
Dept Family & Consumer Sciences Bowling Green State U, OH 43403
Child-and-Adolescent-Social-Work-Journal; 1997, 14, 1, Feb, 5-22.
aja Abstract-of-Journal-Article
Interventions with chronic juvenile delinquents
& their families are often unsuccessful in reducing crime, because
they fail to account for the system in which the delinquents operate.
Here, the ecosystem natural
wraparound model, an intervention based on four premises, is presented:
the quality of attachment to others affects the juvenile's behavior; any
intervention must take the juvenile's interpersonal interactions into
account; interventions should focus on intrapsychic & interactional
experiences of the juvenile, family, extended family, & fictive kin
networks; & the integration of these in an ecosystem perspective will
decrease conflicts in the network of multiple players. The model includes
provisions for the natural environment, wraparound services, a termination
of therapy, crisis planning, & staffing. The key to the model is impacting
family interactions at different levels, building on family strengths,
& clarifying meanings associated with problematic behaviors. 57 References.
Adapted from the source document 97W27214
An Evaluation of Wraparound
Services with Juvenile Delinquent Youth
Carney,-Michelle-Mohr
Ohio State U, Columbus 43210
Dissertation-Abstracts-International,-A:-The-Humanities-and-Social
-Sciences; 1997, 57, 10, Apr, 4542-A.
Available from UMI, Ann Arbor, MI. Order No. DA9710536.
dis Dissertation
97P12411
Bows and Ribbons, Tape
and Twine: Wrapping the Wraparound Process for
Children with Multi-System Needs
Rosenblatt,-Abram
Dept Psychiatry U California, San Francisco 94104-4602
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 101-117.
aja Abstract-of-Journal-Article
A summative article in a special journal issue
(see related abstracts in
SOPODA 18:2) defines the individualized wraparound processes for children
with the most challenging emotional/behavioral disturbances & their
families, & provides an overview of the state of research. It is argued
that the future of wraparound depends on carefully defining the process,
including how to best integrate wraparound services with reforms based
on
the principles of a comprehensive system of care. A strong commitment
must
be made at all levels to the process of accumulating knowledge & to
building & creating innovative research & programs. 26 References.
Adapted
from the source document
96W24594
School-Based Applications
of the Wraparound Process: Early Results on
Service Provision and Student Outcomes
Eber,-Lucille; Osuch,-Ruth; Redditt,-Carol-A.
La Grange Area Dept Special Education, 1301 West Cossitt Ave IL 60525
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 83-99.
aja Abstract-of-Journal-Article
Examines the application of a school-based wraparound
approach for the past three years by the La Grange (IL) Area Dept of Special
Education. The project has been implementing a school-based individualized
service network for students with emotional & behavioral disabilities
that is now
being integrated into larger local & state special education, mental
health, & social service systems. Students who were identified through
self-contained special education classrooms (N = 19) were compared to
students who were identified from various other school & mental health
settings (N = 25); students from the school-based program were less clinically
involved. Service provision differed between program groups & by out-of-home
experiences. The use of wraparound approaches across a variety of educational
settings to prevent out-of-school & out-of-home care is discussed.
6 Tables, 17 References. Adapted from the source document 96W24510
Children Lost within
the Foster Care System: Can Wraparound Service
Strategies Improve Placement Outcomes?
Clark,-Hewitt-B.; Lee,-Barbara; Prange,-Mark-E.; McDonald,-Beth-A.
Mental Health Instit U South Florida, Tampa 33612
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 39-54.
aja Abstract-of-Journal-Article
The Fostering Individual Assistance Program (FIAP)
study, in collaboration with the Florida Health & Rehabilitative Services
Dept, examined the feasibility of applying a wraparound strategy to foster
children with emotional & behavioral disturbances, & their foster,
biological &/or adoptive families. Children ages 7-15 years (N = 132),
who had been in placement for approximately 2.5 years & moved an average
of 4 times a year, were randomly assigned to the FIAP wraparound group
or to a group that received usual foster care services. Follow-up evaluative
data show significant differences favoring the FIAP group in number of
annual postplacement changes & decreases in runaways. While there
was a significant increase in days in incarceration for both groups, there
was a significantly greater likelihood that an FIAP child would achieve
permanent placement. Findings lend some support to the superiority of
individualized strategies of service delivery for children with emotional/behavioral
disturbances, although not all children are treated adequately. 25 References.
Adapted from the source document 96W24501
Research on the Wraparound
Process and Individualized Services for Children
with Multi-System Needs
Clark,-Hewitt-B.; Clarke,-Richard-T.
Mental Health Instit U South Florida, Tampa 33612
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 1-5.
aja Abstract-of-Journal-Article
Argues that in the last ten years, service delivery
reform for children & youth with serious emotional disturbances &
their families has produced a plethora of wraparound models that vary
greatly in their implementation, processes, structures, & underlying
theories. The purpose of this special issue (see related abstracts in
SOPODA 18:2) is to define & provide rationales for wraparound strategy,
illustrate applications, & provide research findings on children's
progress from individualized wraparound initiatives. 19 References. Adapted
from the source document 96W24500
Wraparound Care in Vermont:
Program Development, Implementation, and
Evaluation of a Statewide System of Individualized Services
Yoe,-James-T.; Santarcangelo,-Suzanne; Atkins,-Margaret; Burchard,-John-D.
Macro International Inc, 3 Corporate Sq Suite 370 Atlanta GA 30329
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 23-39.
aja Abstract-of-Journal-Article
Charts the development of VT's Wraparound Care
Initiative & presents residential, educational, & behavioral outcome
data for a cohort of 40 youth receiving wraparound care over a 12-month
period. VT's intensive case management approach emphasizes aggressive
outreach, use of the least restrictive treatment options, & care that
is flexible, unconditional, & child- & family-centered. Results
showed that after 12 months, youth who had been previously removed from
their homes, or were at imminent risk of such removal, were residing in
significantly less restrictive community -based living arrangements &
exhibiting significantly fewer problem behaviors than at intake. These
results are discussed in light of recent national studies & previous
studies on similar cohorts of VT youth receiving wraparound care. 3 Tables,
16 References. Adapted from the source document 96W24305
Individualized Services
and Supports through the Wraparound Process:
Philosophy and Procedures
VanDenBerg,-John-E.; Grealish,-E.-Mary
Community Partnerships Group, 9715 Bellcrest Rd Pittsburgh PA 15237
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 7-21.
aja Abstract-of-Journal-Article
Discusses the emergence of the wraparound process
as an alternative to the traditional treatment planning processes inherent
in categorical services for children & adolescents with emotional
& behavioral disorders. The current practices in the field are described,
& key elements of the value & philosophical base for the wraparound
process are discussed. Proposed procedural steps are described to aid
communities in the implementation of the wraparound process. Due to social
& policy pressures, it is likely that wraparound process implementations
will continue to develop. 20 References. Adapted from the source document
96W24301
Wrapping Services in
an Urban Setting
Hyde,-Kelly-L.; Burchard,-John-D.; Woodworth,-Katy
Family Preservation Initiative Baltimore City Inc, 2330 Saint Paul St
MD
21218
Journal-of-Child-and-Family-Studies; 1996, 5, 1, Mar, 67-82.
aja Abstract-of-Journal-Article
The characteristics of the family preservation
initiative wraparound service model in Baltimore, MD, are presented, along
with the referral pathway of the youth-into-the-service system, the components
of the service delivery system, & an overview of step-down services
& linkages utilized to transition the youth. Interviews with youth
& parents guided by a rating scale demonstrate the level of community
adjustment achieved by 25 severely maladjusted youth being returned, &
24 youth being diverted, from out-of-state residential treatment centers
to wraparound services, 1991-1993, as well as outcomes for youth who received
more traditional services, a prewraparound group of 39 youth, & a
nonwraparound group of 18 youth. The use of such a report card type of
outcome measure, its user friendly features, limitations, & the developmental
steps needed to refine it further are discussed. 5 Tables, 5 References.
Adapted from
the source document 96W24281
Recommended Individualized
Wraparound Strategies for Foster Children with
Emotional/Behavioral Disturbances and Their Families
McDonald,-Beth-A.; Boyd,-L.-Adlai; Clark,-Hewitt-B.; Stewart,-Elizabeth-S.
Florida Mental Health Instit U South Florida, Tampa 33620
Community-Alternatives; 1995, 7, 2, fall, 63-82.
aja Abstract-of-Journal-Article
Individualized wraparound strategies for foster
children with emotional/behavioral disturbance & their families are
described. Recommendations are based on positive results of a controlled
evaluation & qualitative modifications to the Fostering Individualized
Assistance Program (FIAP) in FL. Participants were ages 7-15 at entry;
had been adjudicated dependent; had experienced an average of 2.6 years
of out-of -home placement & had changed placements, on average, 4
times per year; & were at risk for or had confirmed emotional/behavioral
disturbances. Families were biological, foster, &/or adoptive. FIAP
family specialists served as clinical case managers, providing strength-based
assessment, life-domain planning, home-based services, brokered services,
& follow -along monitoring & supports. 42 References. Adapted
from the source document 96W23239
Opportunity for Change:
Exploring an Alternative to Residential Treatment
Brown,-Ralph-A.; Hill,-Betty-Anne
School Social Work McMaster U, Hamilton Ontario L8S 4L8
Child-Welfare; 1996, 75, 1, Jan-Feb, 35-57.
aja Abstract-of-Journal-Article
Describes an innovative program in Ontario for
children with moderate to severe emotional difficulties, based on the
use of "wraparound" services as an alternative to residential
care. A limited amount of funding provided services to 28 youngsters,
ages 2-15, who otherwise would have needed residential care. A different
approach, providing clients with services they requested, dictated program
operation. Parents identified in -home help, stress reduction, & individual
one-to-one services as major contributors to success. The program cost
16%-17% of the mean cost of all local community out-of-home placements
combined. 3 Figures, 17 References. Adapted from the source document 96W23226
The Contribution of
Collaborative Planning and Wrap-Around Support Services
to the Adjustment Level of Severely Emotionally Disturbed Children
Fitler,-Theresa-Mullins
Spalding U, Louisville KY
Dissertation-Abstracts-International,-A:-The-Humanities-and-Social
-Sciences; 1994, 55, 4, Oct, 1114-A-1115-A.
Available from UMI, Ann Arbor, MI. Order No. DA9422280.
dis Dissertation
9504109
Developing Comprehensive,
Individualized Community-Based Services for
Children and Youth with Emotional and Behavior Disorders: Direct Service
Providers' Perspectives
Quinn,-Kevin-P.; Epstein,-Michael-H.; Cumblad,-Carla-L.
c/o Epstein-Northern Illinois U, DeKalb 60115
Journal-of-Child-and-Family-Studies; 1995, 4, 1, Mar, 19-42.
aja Abstract-of-Journal-Article
Increased attention to the plight of children
& youth with emotional or behavioral disorders & their families
has led to innovations in service delivery, including the development
of public systems of comprehensive, community-based care, & individualized
wraparound services. One community's attempt to merge these two innovations
was examined in a survey of 180 direct service providers as to how such
services could best be developed & implemented. The survey focused
on existing barriers to providing services & specific service priorities
for system development. Methods & results are presented, & implications
for the local system & future research needs discussed. 4 Tables,
20 References. Adapted from the source document
95W21792
Satisfaction, Involvement,
and Unconditional Care: The Perceptions of
Children and Adolescents Receiving Wraparound Services
Rosen,-Lee-D.; Heckman,-Timothy; Carro,-Michelle-G.; Burchard,-John-D.
c/o Burchard-Psychology Dept U Vermont, Burlington 05405
Journal-of-Child-and-Family-Studies; 1994, 3, 1, Mar, 55-67.
aja Abstract-of-Journal-Article
Presents bimonthly telephone survey data from
20 youths receiving community -based, wraparound services in VT about
their satisfaction, sense of involvement, & feelings of unconditional
care; each of these variables was, in turn, related to behavioral adjustment.
Analysis indicates that both youths' sense of involvement & their
perceptions that their care was unconditional were strongly associated
with satisfaction with services. However, neither satisfaction nor involvement
were correlated with the severity of acting-out behaviors; perceptions
that care was unconditional were strongly & negatively correlated.
Thus, while the relationship between satisfaction & behavior remains
unclear, it appears that youths' perceptions of the stability of their
services plays a role in their acting out. Implications for researchers
& service providers are discussed. 2 Tables, 23 References. Adapted
from the source document 95W21193
Wrapping Community-Based
Mental Health Services around Children with a
Severe Behavioral Disorder: An Evaluation of Project Wraparound
Clarke,-Richard-T.; Schaefer,-Mark; Burchard,-John-D.; Welkowitz,-Julie-W.
Instit Family Research & Training, 251 Llewellyn Ave Campbell CA 95008
Journal-of-Child-and-Family-Studies; 1992, 1, 3, Sept, 241-261.
aja Abstract-of-Journal-Article
In an examination of adjustment to home &
school of children with severe emotional & behavioral problems, Project
Wraparound - a community-based treatment program in rural New England
- is described. The Child Behavior Checklist & the Teacher Report
Form provided standardized information on the severity of child problem
behavior from the perspective of parents & classroom teachers, &
then intensive home & school-based services were applied. Results
show that of 19 families observed, a substantial improvement occurred
in child functioning in the home, but not in the school. 7 Tables, 53
References. Adapted from the source document 93W16076
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