WRAPAROUND Teams

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WRAPAROUND Teams
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Presented by

• Child and Adolescent Behavioral Health Services
  MN State Operated Services
• Minnesota Intensive Therapeutic Homes Program
  (MITH)

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What is Wraparound?

• Wraparound is family driven, strengths based,
  solution focused planning and problem solving
  process for families and youth involved in
  multiple systems.
• Wraparound fosters positive change and creates
  hope for youth with complex needs.

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Wraparound is a process not a service

• Wraparound is a process for planning, organizing,
  coordinating, creating and delivering
  interventions and assistance that are matched
  with the family and childs unique needs and
  strengths.

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Team based process

• Needs driven rather than
• service driven.
• Family/child centered
• Based on strengths,
• values, preferences.
• Rooted in culture and
• community.

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Community of commitment

• Parents have a valued and respected voice
• Youth are not rejected/ejected from services as
  needs change.
• Plans include a balance of
• formal and informal services.
• Outcomes are measured.

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How do we start?

• Strengths discovery identifies and assesses the
  strengths, values, interests, resources, cultural
  identity, and norms of the child and family.

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Listening to the family

• What is the familys perception of
• Your agency
• Their needs
• What you can do to help or hurt them
• What the family is able/willing to do
• What the family is unable/unwilling to do
• Danger and safety factors

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The family vision

• Includes hopes and dreams for their family
• Helps families and children recognize the
  legitimacy of their perspective
• Helps team members to validate the right of the
  family and children to have their own perspective

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What families want

• Movement in a direction that is hopeful
• To be seen as people rather than problems
• Focus on what they can do instead of what they
  cant do
• To be respected and have their opinions valued
• Receiving help and support in problem solving
• Help managing crises and conflicts

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The familys experience of Help

• ACCESS Parent and child are included in
  decision making process.
• VOICE Parent and child were listened to during
  the planning process.
• OWNERSHIP Parent and child agree with and are
  committed to the plan.

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Creating a circle of support

• A team is a small number of people willing to
  work together over time who know and care about
  the child and family who share a common purpose
  for which they are willing to hold themselves
  accountable.

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Who is on the team?

• People important in the life
• of the child and family.
• A mix of professionals,
• family members, other
• supportive people form a
• community of commitment

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FIVE CS OF TEAMS

• Cooperation
• Creativity
• Communication
• Commitment
• Compassion

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Team process

• Promote family/youth perspective
• Build on strengths
• Promote cultural competence
• Generate options
• Make decisions
• Define goals
• Monitor progress

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CREATING THE PLAN

• Look at the identified strengths and needs
  identified in life domain areas.
• Develop strategies to address needs
• Set goals and expectations for team members
• Decide how to
• measure outcomes

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Creative planning

• Balance between formal and informal resources
• Brainstorming occurs in the planning process
• Strengths are tied to interventions
• Needs are addressed through interventions

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How to talk about strengths

• What are your interests?
• What do you like to do?
• Who is there to support you?
• What are some
• good things
• people have said
• about you?

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How to talk about needs

• Something desired
• An obligation
• Necessary steps to accomplish a goal
• Something missing or
• lacking that is
• important

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needs

• Parent I need to know my kids are safe.
• I need to feel like things can work
• out for my family.
• Child I need to feel I have the same
• breaks as other kids.
• I need to be reassured that where I will be
  tomorrow is the same as where I am today.

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Life Domains

• Residence
• Family
• Social
• Behavioral/Emotional
• Educational/Vocational
• Safety
• Legal
• Health
• Cultural/Spiritual

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The art of facilitation

• Engaging family, child and other team members
• Designing the meeting to support success
• Creating a welcoming safe group environment
• Intervening to manage group dynamics
• Listening, validating, observing, clarifying,
  confronting, coaching, guiding the process
• Evaluating effectiveness

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The art of facilitation

• Facilitator styles supportive, directive,
  inquisitive
• Leading from the center create an environment
  for working together
• Optimism
• Authenticity
• Flexibility
• Reliability

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Team meetings

• Start with accomplishments
• Solicit team feedback
• Start on a positive note
• Celebrate successes
• Honor unique contributions
• Keep a strengths perspective
• Maintain team energy

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Team meeting

• Assess where we are right now and progress made
• Check for follow through
• Check for impact did it help?
• Adjust the plan
• Should you stop doing something?
• Should you keep doing something?
• What should change?
• Assign new strategies what is next?

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Managing conflict

• Establish ground rules
• Have an agenda and stick to it
• Clearly define the issue
• Seek first to understand
• Remain calm
• Identify options for resolution

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Crisis and safety plans

• Proactive Plans
• Focus on preventing crisis
• Define potential crisis
• Reflect prior successful coping strategies
• Document who is responsible for what and when

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Crisis and safety plans

• Reactive Plans
• Insure safety
• Focus on what to do when something happens
• Develop clear roles for team members
• Maintain lines of communication

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safety Plan

• Identify risks
• Plan to reduce the frequency, duration and
  intensity of the safety issues
• Goal is to keep everyone safe
• Describe the situation clearly
• Prioritize tasks to maintain safety
• Determine who will be involved and what they will
  do
• Create a back-up plan

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Identify system supports and barriers

• What supports exist for case managers, families
  and team members?
• What are the challenges?
• What are the barriers?
• What is needed to make
• wraparound a success?
• What needs to change?