title: Effectiveness of wraparound versus case management for children and adolescents: results of a randomized study.
abstract: In this study, we compared service experiences and outcomes for youths with serious emotional disorder (SED) randomly assigned to care coordination via a defined wraparound process (n = 47) versus more traditional intensive case management (ICM; n = 46) The wraparound group received more mean hours of care management and services; however, there ultimately were no group differences in restrictiveness of residential placement, emotional and behavioral symptoms, or functioning. Wraparound implementation fidelity was found to be poor. Organizational culture and climate, and worker morale, were poorer for the wraparound providers than the ICM group. Results suggest that, for less-impaired youths with SED, less intensive options such as ICM may be equally effective to poor-quality wraparound delivered in the absence of wraparound implementation supports and favorable system conditions.
authors: School of Medicine, University of Washington, 2815 Eastlake Ave E, Suite 200, Seattle, WA, 98102-3086, USA, ebruns@u.washington.edu.
authors: Eric J
authors: EJ
authors: Bruns
authors: Michael D
authors: MD
authors: Pullmann
authors: April
authors: A
authors: Sather
authors: Ramona
authors: R
authors: Denby Brinson
authors: Michelle
authors: M
authors: Ramey
mesh_terms: D000275:Adjustment Disorders / Q000628:therapy; D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy; D001291:Attitude of Health Personnel; D019090:Case Management / Q000458:organization & administration*; D002648:Child; D002658:Developmental Disabilities / Q000628:therapy; D005260:Female; D006801:Humans; D007859:Learning Disabilities / Q000628:therapy; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D019964:Mood Disorders / Q000628:therapy; D009013:Morale; D015279:Organizational Culture; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy; D019966:Substance-Related Disorders / Q000628:therapy; D016896:Treatment Outcome