Connecting the Dots: Stages of Implementation, Wraparound Fidelity and Youth Outcomes

Autor/inn/en	Effland, Vicki Sprague; Walton, Betty A.; McIntyre, Janet S.
Titel	Connecting the Dots: Stages of Implementation, Wraparound Fidelity and Youth Outcomes
Quelle	In: Journal of Child and Family Studies, 20 (2011) 6, S.736-746 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1062-1024
DOI	10.1007/s10826-011-9541-5
Schlagwörter	Anxiety; Youth; Program Implementation; Predictor Variables; Behavior; Risk; Outcomes of Education; Health Behavior + Suchen Sie Ihr Suchwort? Angst; Jugend; Jugendlicher; Jugendalter; Prädiktor; Risiko; Lernleistung; Schulerfolg; Health behaviour; Gesundheitsverhalten
Abstract	Several necessary system and organizational support conditions for wraparound have been identified (Walker et al. 2003). Yet, the relationship between these necessary system level conditions and wraparound fidelity has only recently begun to be examined. Similarly, few studies have included a measure of wraparound fidelity when examining the relationship between wraparound implementation and youth outcomes. The statewide implementation of a wraparound demonstration grant offers the opportunity to explore these relationships and to identify factors that predict improvement in functioning for youth receiving wraparound. Findings suggest that significant relationships exist between (1) the stage of development of necessary support conditions for wraparound and wraparound fidelity and (2) wraparound fidelity and improvement in youth outcomes. Specific elements of wraparound (i.e., outcomes based and community based) and baseline needs and strengths (e.g., high levels of anxiety and conduct issues, poor functioning at home and in school, judgment, and risks) were found to predict a reduction in youth needs. Other unexpected relationships between youth outcomes and the cultural competence element of wraparound and being multi-racial were also discovered. These findings reinforce the importance of supporting high fidelity wraparound for youth and their families in a recovery focused behavioral health system. (Contains 2 figures and 5 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10