a wraparound perspective on supporting human development...
TRANSCRIPT
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A Wraparound Perspective on Supporting Human
Development in Context
Jesse C. Suter, Ph.D. University of Vermont
March 29, 2010
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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
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“In theory there is no difference between theory and practice. In practice there is.”
- Yogi Berra
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Roadmap
Future applications of synergy!
Wraparound perspective for supporting human development!
What & why of wraparound!
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The what and why of wraparound
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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)
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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)
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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.
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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
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Wraparound Phases
10
1. Engagement!
2. Planning!
3. Implementation!
4. Transition!
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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
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Who needs wraparound?
1-5%
5-15%
80-90%
Targeted Supports
Intensive Supports
Prevention and universal health promotion
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Does it work?Significantly better outcomes achieved
Largest effect on living situation
Similar outcomes as evidence-based treatments
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For more details...
Created by wordle.net
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Wraparound perspective on supporting human
development
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Individual
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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
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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
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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
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Family
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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.
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Hierarchy of Needs
(Maslow, 1943)
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Attachment
(Ainsworth, 1978)
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Family Systems Theory
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Culture
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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]
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Service Delivery Systems
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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
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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!
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Future application of synergy
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School
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Traditional School
Targeted
Intensive
Universal
Social/Academic Instructional Groups
FBA/BIP
School & classroom punitive discipline systems
Alternative Schools
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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
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Fingers crossed!
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!
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Resources
http://www.nwi.pdx.edu/
http://www.pbis.org/
My website:http://www.uvm.edu/~jsuter/
http://www.pbisillinois.org/