title: The impact of system of care support in adherence to wraparound principles in Child and Family Teams in child welfare in North Carolina.
abstract: North Carolina is one of a growing number of states to implement family meeting models in child welfare as a way to engage families, while simultaneously addressing complex familial needs and child safety issues. However, much is still unknown regarding how family meetings actually operate in child welfare, underscoring a clear need for further evaluation of this process. Utilizing direct observational data of Child and Family Team (CFT) meetings, collected as part of two separate evaluations of the North Carolina Division of Social Service's Multiple Response System (MRS) and System of Care (SOC) initiatives, the purpose of the current study was to examine whether the support provided by SOC improved fidelity to the CFT model in child welfare. The observations were conducted using the Team Observation Measure consisting of 78 indicators that measure adherence to ten domains associated with high quality family team meetings (e.g., collaborative, individualized, natural supports, outcomes based, strengths-based). Findings indicate that receiving SOC support in child welfare leads to a more collaborative and individualized decision-making process with families. Meeting facilitators in SOC counties were better prepared for CFTs, and had greater ability to lead a more robust and creative brainstorming process to develop a family-driven case plan. The current study also provides a much needed description of the CFT meeting process within child welfare using a direct observational measure.
authors.affiliation: Center for Child and Family Policy, Duke University, United States.
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Snyder
authors.forename: C Nicole
authors.initials: CN
authors.lastname: Lawrence
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Dodge
keywords: Child and Family Team meetings; Implementation; Observational measures; System of care