Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model

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Family Culture Resiliency Factors Ensuring
Fidelity To The Wraparound Model

• Family Partnership Institute
• Bradley D. Norman, LCSW, Director
• Gerry R. Rodriguez, Associate Director

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Seven Keys To Personal Resiliency

• Mind Power - Creating the positive attitudes and
  belief systems to achieve lifelong personal
  power, success and happiness.
• Emotional Intelligence - Acquiring the knowledge,
  self-discipline and skills that support healthy
  emotional, cognitive and social functioning.
• Positive Relationships - Attaining the knowledge
  and skills that build healthy self-esteem and
  strengthen interpersonal relationships.

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• Mastery Learning - Developing Multiple
  Intelligences to maximize cognitive potential
  accelerate learning and enhance natural talents.
• Moral Intelligence - Acquiring the personal
  values and principles that support living with
  respect, responsibility, integrity and
  compassion.
• Compelling Future - Clarifying your personal
  vision and developing meaningful goals to create
  an exciting, positive and hopeful future.
• Principled Leadership - Modeling and teaching the
  personal

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Culture

• Definition of Culture The integrated pattern of
  human behavior that includes
• thoughts
• communications
• actions
• customs
• beliefs
• values
• and institutions of a racial, ethnic, religious
  or social group

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Family Culture

• The integrated pattern of family behavior that
  includes
• thoughts
• communications
• actions
• customs
• beliefs
• values
• and institutions of a racial, ethnic, religious
  or social group

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Cultural Competence (Responsiveness)

• A set of congruent behaviors, attitudes, and
  policies that come together in a system, agency,
  or among professionals, and enable that system,
  agency, or those professionals to work
  effectively in cross-cultural situations.
• (Cross, Bazron, Dennis, Isaacs, 1998)

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Being Culturally Relevant With Families

• The culturally relevant service provider
• Holds culture and elements of culture in high
  esteem
• Understands that cultural competence is a
  continuous process of assessing and broadening
  knowledge and respect for diverse individuals and
  communities
• As a result
• Relationships and interactions between service
  providers and families become less strained and
  goals are accomplished.

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Fate of Children Families With Most Complex
Needs
Mental Health
Social Services
Probation
Service Portals
Traditional Services
1 Fall Through The Cracks
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Overview of Redesign Objectives

• Partner to prevent child abuse and neglect
• Act early to preserve and strengthen families
• Broaden efforts to restore family capacity
• Strengthen alternatives to rebuild permanent
  families for children
• Systematically prepare youth for success in
  adulthood.

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Wraparound Is

• Keeping kids at home, in the community,
• with people who know, and love them in
  family-like settings.

Wraparound is a planning process which creates a
gateway for natural and community services It
is not an intervention.
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Wraparound Processing Path
1. Concerns Strengths
2. Identify Team Strengths
10. Report and Evaluate
ASK
3. Create Family Vision
9. Document and Implement
LEARN
LISTEN
4. Needs Identification
8. Secure Commitments
5. Prioritize Needs
RESPOND
6. Develop Safety Plan
7. Create Strategies That Match Strengths
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Wraparound

• The following values and essential elements
  form the bases for the Wraparound Standards
  adopted by the State of California in April of
  1999.
• California Wraparound Standards

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Wraparound ValuesCalifornia Wraparound
Standards

• Family-Centered
• Strengths-Based
• Consumer-Driven
• Needs-Driven
• Individualized
• Culturally Relevant
• Unconditional
• Community-Based
• Team-Based

• Accountable
• Accessible
• Outcome-Based
• Cost- Effective
• Flexible
• Promoting Self-sufficiency
• Comprehensive
• Collaborative

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Essential ElementsTen Essential Elements of
Wraparound (Adopted from Burns and Goldman, 1998)

• These values can also be found in the following
  essential elements list articulated, in May 1998,
  by a group of fifteen leaders and critical
  thinkers (representing the perspective of
  families, system and program developers,
  trainers, administration, program staff and
  researchers) in Wraparound. California
  Wraparound Standards

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1. Families have a high level of decision-making
power at every level of the Wraparounds process.

• Families and children are an essential part of
  the planning process. No discussions or decisions
  are appropriate without their participation.
• The child and family express their vision. What
  you like to have going on in your life when you
  graduate from Wraparound? Where would you like to
  be five years from now? The vision is created and
  all goals of the team are aligned with the
  vision.

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2. Team members are persevering in there
commitment to the child and family.

• Many solutions are tried until one is found that
  truly fits the family. The solution or strategy
  comes from the voice, choice, and access of the
  family. The strategy is implemented and tested
  overtime to ensure that it will continue to work
  after the wrap process is complete.

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3. Wraparound efforts are based in the community
and encourage the familys use of their natural
supports and resources.

• Natural supports are essential! Without natural
  and community supports increasing over time there
  is no wraparound. The State of California has
  already acknowledged that the word encourage is
  weak in this instance. Meetings are held in the
  child and familys home unless the child or
  family would prefer to meet somewhere else in the
  community. The idea is that we are teaching youth
  and families to have informal community meetings
  so that when we are gone they will continue to
  feel that they can call informal meetings to meet
  future needs. This is a skill we want them to
  graduate with.

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4. The Wraparound approach is a team-driven
process involving the family, child, natural
supports, agencies, and community services
working together to develop, implement, and
evaluate the individualized service plan.

• This defines the approach to the planning process
  as being an inclusive process that covers all
  areas of the childs life. The process covers all
  community mandates and familys desires within
  one plan that allows for normal family
  functioning.

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5. Services and supports are individualized,
built on strengths, and meet the needs of
children and families across the life domains to
promote success, safety, and permanency in home,
school, and the community.

• The descriptors Individualized and Customized
  highlight that wraparound is custom made for each
  family.
• Functional strengths are identified. Example
  Strength, Mother is an avid reader. Therefore,
  Mother will read a book on family rules and bring
  the information to the next meeting.
• The purpose of this is to build strategies for
  families that are culturally relevant and that
  will be implemented because they are the familys
  natural mode of operating

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6. The process is culturally competent, building
on the unique values, preferences, and strengths
of children, families and their communities.

• When we bring in natural and community supports
  there is automatic culturally responsiveness.
• If a plan is not culturally responsive it implies
  that the process did not employ family voice,
  choice and access.

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7. The plan is developed and implemented based on
an interagency, community/neighborhood
collaborative process.

• This element refers to the fact that we want one
  comprehensive plan that fits in naturally with
  normal family life.
• The key word here is collaborative process the
  familys involvement is central to this process.
• No discussions or decisions are held without the
  family and child.

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8. Wraparound plans include a balance of formal
services and informal community and family
resources, with eventually greater reliance on
informal services.

• This refers to the fact that wraparound families
  are usually isolated when they began the process.
  
• As the wraparound process begins to take effect
  there will naturally be less and less formal
  supports.
• Some families will become independent of all
  formal supports and some will have continued need
  of life long formal support in some area.

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9. Wraparound teams have adequate and flexible
funding.

• This refers to the mandated availability of funds
  for emergency, one-time, expenses that cannot be
  funded through any other source.
• Agencies need these funds to hire and maintain
  staff and other expenses.
• There is no specific amount that families
  receive.
• All flexible fund expenditures are decided upon
  at team meetings with the thought in mind that we
  are working towards the familys
  self-sufficiency.
• The team never wants to procure anything that the
  family will not be able to sustain on their own
  once the wraparound process is complete.

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10. Outcomes are determined and measured for the
system, for the program, and for the individual
child and family.

• Outcomes for the individual child and family team
  are evaluated at every team meeting through the
  wraparound agenda and minutes process.
• Outcomes are measured for the program internally
  through the supervisor and externally through the
  community review team.
• Outcomes are determined for the system through
  county and state review processes.
•  

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National Published StudiesTwo Randomized
Published Studies

• Increase in home, school, community functioning
• Improved permanency
• Decrease in days and number of suspensions
• Decrease in runaway behavior
• Decreased incarceration (2.6 times less likely)
• Decrease in delinquency and conduct disorder
• Decrease in problem behavior.

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Eleven National Published Pre-Post Studies

• Improvement in permanency
• Improvement in self-control
• Improvements in home, school, and community, role
  performance
• Decrease in problem behaviors
• 85 decrease in arrests
• Decrease in hyperactivity
• Decrease in abuse related behaviors
• Decrease in substance use
• Decrease in hospital admissions
• Decrease in out-of-home placements.

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Wraparound Research

• Body of Research
• WFI
• WOF
• National Wraparound Initiative

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Thank You!

• Contact Information
• grodriguez_at_emq.org
• 408-437-8356