Wraparound Retrospective Factors Predicting Positive Outcomes

• Published in: Journal of emotional and behavioral disorders Vol. 18; no. 1; pp. 3 - 13
• Main Authors: Cox, Kathy, Baker, Dawniel, Wong, Mary Ann
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.03.2010; SAGE Publications and Hammill Institute on Disabilities; SAGE PUBLICATIONS, INC
• Subjects: Academic Achievement; Adherence; At risk; Behavior disorders; Behavior Problems; California; Child psychology; Child Welfare; Client Characteristics; Clinical outcomes; Community Relations; Control Groups; Delivery Systems; Demonstration Programs; Emotional disorders; Emotional Disturbances; Emotional Problems; Family Involvement; Fidelity; Goals; Health care delivery; Likert Scales; Mental health care; Mental Health Programs; Outcomes of Treatment; Performance Factors; Predictor Variables; Pretests Posttests; Program Implementation; Quasiexperimental Design; Regression (Statistics); Research Design; Residential Care; Wraparound programmes; Young people; Youth Programs; California; children’s mental health; wraparound; outcome predictors
• ISSN: 1063-4266; 1538-4799
• DOI: 10.1177/1063426609336955

While research regarding the effectiveness of the wraparound process is steadily mounting, little is known about how this service delivery model works and for whom. Using data gathered on 176 youth who participated in the wraparound process, the authors examine client and service factors associated with outcomes. Bivariate logistic regression analyses were conducted to determine the likelihood of treatment success based on select child and service characteristics. Results reveal that youth who exhibited lower levels of impairment at service entry were most successful in transitioning to and preserving a home placement, while those who possessed higher numbers of collateral supports were more likely to attain treatment goals. Findings also underscore the value of a planning process that promotes youth and family involvement in community activities. High adherence to this element of practice was found to predict both goal attainment and youth success in transitioning to a home setting. Implications for the implementation of the wraparound process with youth who are in residential care or at risk of out-of-home placement are discussed.