
It works! But fidelity to the process is the key to success. Research indicates that there were significantly higher success rates in communities practicing High Fidelity Wraparound. The more a wraparound team sticks to the established principles, the better the results in both measured outcomes and in family satisfaction.
There are different ways to measure fidelity- through surveys asking the participants questions regarding their experience; through assessment tools, and/or through structured team observation.
Montana is implementing Wraparound Process facilitation by offering training to grow our own experts. The goal is to train trainers, as well as increase the number of wrap around facilitators available in communities. To assure that wrap around facilitation is high fidelity, the Children’s Mental Health Bureau is developing a certification process for wraparound facilitators.
Ongoing certification requirements may include…..
For more information on Wraparound training visit www.wraparoundmt.org
As of September 02, 2008 Montana’s System of care has served 120 families. Of these families 67 have been enrolled in an extensive longitudinal study which follows families for three years after enrollment into services.
Also as of September 02, 2008 22 families have baseline and 6 month follow up data collected from numerous different instruments. So far the Child Behavioral Checklist (CBCL) has been analyzed comparing the 22 families who have been served by our Montana system of Care. Below is a chart showing averages of eleven different CBCL scores at intake into System of Care Services and the averages at the six month follow up interview.
Scale |
Baseline T score mean |
6 month follow-up T score mean |
Significance Level |
Change |
1. Anxious Depressed |
76.04 |
68.3 |
0.01 |
7.74 |
2. Withdrawn 3.Depressed |
72.04 |
66.65 |
0.05 |
5.39 |
4.Thought Problems |
76.22 |
72.65 |
0.05 |
3.57 |
5.Attention Problems |
76.61 |
70.09 |
0.01 |
6.52 |
6.Rule Breaking 7.Behavior |
71.65 |
66.78 |
0.05 |
4.87 |
8.Aggressive Behavior |
77.26 |
71.96 |
0.05 |
5.3 |
9.Internalizing |
74.3 |
68.74 |
0.05 |
5.56 |
10.Externalizing |
74.04 |
69.43 |
0.05 |
4.61 |
11.Total Problem |
76.65 |
72.3 |
0.05 |
4.35 |
Score Interpretation
For the first eight scales: (syndrome scales)
For scales nine through eleven: (competency scales)
Highlights:
1. All scales show a reduction at the 6 month interview.
2. The largest reduction occurred in the Anxious/Depressed scale going from an average T-score above clinical range to an average T-score within borderline range.
3. All eight syndrome scales averaged within clinical range. At six months the depressed scale and rule breaking behavior scale presented within “normal” range.