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Wraparound services definition2/21/2023 ![]() ![]() Wraparound has been described variously as a philosophy, a process, an approach, and a service. We conclude with a discussion of the opportunities and challenges presented by the wraparound model, and recommendations for federal actions that have the potential to improve the likelihood of wraparound’s positive contribution to improving the well-being of youth with the most serious behavioral and emotional needs and their families. ![]() In the pages that follow, we will review the place of the wraparound process in behavioral health and discuss related systems changes that accompany successful wraparound implementation. In this paper, we take a fresh look at the wraparound philosophy and intervention model, to understand its role in children’s mental health systems. Recognizing the considerable work that has been done in children’s mental health over the past 25 years and with an eye toward the future, we present reason for optimism and a belief that research and practices exist that can inform new approaches and policies. ![]() While all of this may be true, we are poised at a moment in history in which health care reforms are being proposed, access to care is being emphasized, and coordination of care for specialty mental health populations has become a focal point for change efforts. And, for many youth, the result is all too often placement in restrictive out-of-community placements, use of which continues to increase nationally despite a lack of evidence for their long-term effectiveness ( Burns et al. Moreover, when a child’s needs are complex and overlapping, services are not likely to be coordinated across key providers and helpers and/or engaging of parents, teachers, family members, and the youth themselves ( McKay and Bannon 2004 New Freedom Commission 2003 Stroul and Friedman 1994). 2004 US Department of Health and Human Services 2005a), and that when it is provided, the services will be unlikely to be based on current evidence of what will be most effective ( Hoagwood et al. It is true that it has become standard operating procedure to preface articles on children’s mental health with a recitation of bad news- that the children’s mental health system is “in shambles” and getting worse ( Knitzer 1982 New Freedom Commission on Mental Health 2003 Tolan and Dodge 2005), that access to services for youth with mental health problems is limited ( Huang et al. With the recent change in presidential administrations and ongoing scrutiny of the nature of our nation’s health care system, it is incumbent upon those of us who work in the arena of children’s mental health to take stock of recent research and promising frameworks, in the name of improving our policies and practices. ![]()
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