Evolution of wraparound services at The Menninger Clinic.
The authors focus on the development of a wraparound program at The Menninger Clinic. This program explores alternatives to long-term hospitalization and residential treatment and provides comprehensive community-based services. After describing the history and evolution of this program, the authors highlight its current components (i.e., diagnostic understanding; assessment of the client's and family's strengths; identification of helpful functions of hospital or residential placement; crisis planning; family-centered community team; flexible funding; criteria for evaluating the plan's success). Each of these components contributes to a process that provides a high level of individualized treatment outside a hospital or residential setting. This process has provided a format for collaborating with families, community providers, schools, and managed care companies. It also integrates an understanding of developmental psychopathology with solution-focused, pragmatic approaches to behavior change.
Adkins
S L
SL
Menninger Clinic, Topeka, KS 66601-0829, USA. adkinssl@menninger.edu
Safier
E J
EJ
Parker
N N
NN
D000293:Adolescent; D000328:Adult; D019090:Case Management / Q000458:organization & administration*; D003688:Deinstitutionalization / Q000379:methods / Q000458:organization & administration; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration*; D014481:United States