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Wraparound programs

Health Factors: Community Safety
Decision Makers: Local Government State Government Federal Government Healthcare Professionals & Advocates Nonprofit Leaders
Evidence Rating: Some Evidence
Population Reach: 1-9% of WI's population
Impact on Disparities: Likely to decrease disparities

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Description

Wraparound programs provide individualized, comprehensive, community-based services and supports to children and adolescents with serious emotional and/or behavioral disturbances so they can be reunited and/or remain with their families and communities. Family members/natural supports, service providers, and agency representatives collaboratively develop a plan of care, implement this plan, and evaluate success over time. Examples of wraparound programs include: SNAP™ Under 12 Outreach Project; All Children Excel; Multidisciplinary Team Home Run Program; and Philadelphia Youth Violence Reduction.

Expected Beneficial Outcomes

Reduced recidivism for multiple types of offenses including sex, property, assault, and weapons offenses
Increased functioning at home, school, and in community
Reduced institutional stays
Increased school, social, behavioral and emotional function

Evidence of Effectiveness

Burchard 2002 indicates that there is significant evidence supporting the effectiveness of wraparound programs. The article cites two randomized clinical trials examining these programs. One demonstrates more favorable outcomes for children receiving wraparound, evidenced by a greater decline in behavioral symptoms, lower overall impairment, and fewer externalizing, social problems and thought problems. The other finds fewer placement changes and days absent from school for the wraparound group. In addition, the boys in the wraparound group showed lower rates of delinquency and better externalizing adjustment than the boys in standard foster care

OJJDP Model Programs considers SNAP™ Under 12 Outreach Project an exemplary intervention for delinquent youths. The following programs are considered promising: All Children Excel; Multidisciplinary Team Home Run Program; and Philadelphia Youth Violence Reduction.

Implementation

United States

The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that wraparound programs are being utilized in nearly all states, although likely with varying consistency.

Wisconsin

Wraparound Milwaukee has been recognized as a promising program by the OJJDP Model Programs Guide.

Implementation Resources

NIJ-SNAP - National Institute of Justice (NIJ). SNAPĀ® Under 12 Outreach Project. Accessed on February 5, 2016

Citations - Evidence

Burchard 2002 - Burchard JD, Bruns EJ, Burchard SN. The Wraparound process: An overview. In: Burns BJ, Hoagwood K, eds. Community-Based Treatment for Youth. New York: Oxford University Press; 2002 Accessed on November 25, 2015
OJJDP Model Programs - Office of Juvenile Justice and Delinquency Prevention (OJJDP). OJJDP model programs guide. Accessed on September 9, 2016

Page Last Updated

January 1, 2011