title: Assessing the wraparound process during family planning meetings.
abstract: Research and evaluation of the wraparound process has typically focused on outcomes, service providers, and costs. While many of these studies describe a process that is consistent with the wraparound approach, few studies have reported attempts to monitor or measure the treatment fidelity of the wraparound process. The purpose of this study was to assess the fidelity of the wraparound process in a community-based system of care using the Wraparound Observation Form-Second Version. Results from 112 family planning meetings indicated some strengths and weaknesses within the current system. Families and professionals were frequently involved in the planning and implementation of the wraparound process. However, informal supports and natural family supports were not present in a majority of the meetings. Given the significant number of youth served in wraparound programs, the benefits of using the Wraparound Observation Form-Second Version as an instrument to monitor the fidelity of the wraparound approach should not be ignored.
authors.affiliation: Center for At-Risk Children's Services, Department of Special Education and Communication Disorders, University of Nebraska-Lincoln, 202 Barkley Memorial Center, PO Box 837032, Lincoln, NE 68583-7032, USA. mepstein1@unl.edu
authors.forename: Michael H
authors.initials: MH
authors.lastname: Epstein
authors.forename: Philip D
authors.initials: PD
authors.lastname: Nordness
authors.forename: Krista
authors.initials: K
authors.lastname: Kutash
authors.forename: Al
authors.initials: A
authors.lastname: Duchnowski
authors.forename: Sheryl
authors.initials: S
authors.lastname: Schrepf
authors.forename: Greg J
authors.initials: GJ
authors.lastname: Benner
authors.forename: J Ron
authors.initials: JR
authors.lastname: Nelson
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D002648:Child; D002662:Child Health Services; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000592:standards; D003266:Continuity of Patient Care / Q000458:organization & administration; D005196:Family Therapy / Q000379:methods* / Q000592:standards; D006302:Health Services Research; D006801:Humans; D019964:Mood Disorders / Q000628:therapy*; D009329:Nebraska; D010347:Patient Care Planning / Q000458:organization & administration*; D015397:Program Evaluation / Q000379:methods*