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Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez, Associate Director

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Page 1: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Family Culture Resiliency Factors: Ensuring Fidelity To

The Wraparound Model

Family Partnership Institute

Bradley D. Norman, LCSW, Director

Gerry R. Rodriguez, Associate Director

Page 2: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Seven Keys To Personal Resiliency

• Mind Power - Creating the positive attitudes and belief systems to achieve lifelong personal power, success and happiness.

• Emotional Intelligence - Acquiring the knowledge, self-discipline and skills that support healthy emotional, cognitive and social functioning.

• Positive Relationships - Attaining the knowledge and skills that build healthy self-esteem and strengthen interpersonal relationships.

Page 3: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

• Mastery Learning - Developing Multiple Intelligences to maximize cognitive potential accelerate learning and enhance natural talents.

• Moral Intelligence - Acquiring the personal values and principles that support living with respect, responsibility, integrity and compassion.

• Compelling Future - Clarifying your personal vision and developing meaningful goals to create an exciting, positive and hopeful future.

• Principled Leadership - Modeling and teaching the personal

Page 4: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

CultureCulture

• Definition of Culture: The integrated pattern of human behavior that includes:– thoughts– communications– actions– customs– beliefs– values– and institutions of a racial, ethnic, religious or social

group

Page 5: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Family CultureFamily Culture

• The integrated pattern of family behavior that includes:– thoughts– communications– actions– customs– beliefs– values– and institutions of a racial, ethnic, religious or social

group

Page 6: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Cultural Competence Cultural Competence (Responsiveness) (Responsiveness)

• A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals, and enable that system, agency, or those professionals to work effectively in cross-cultural situations.

(Cross, Bazron, Dennis, Isaacs, 1998)

Page 7: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Being Culturally Relevant Being Culturally Relevant With FamiliesWith Families

• The culturally relevant service provider– Holds culture and elements of culture in high esteem– Understands that cultural competence is a continuous

process of assessing and broadening knowledge and respect for diverse individuals and communities

• As a result– Relationships and interactions between service

providers and families become less strained and goals are accomplished.

Page 8: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Fate of Children & Families With Most Complex Needs

Service Portals

Traditional Services

1% Fall Through The Cracks

Mental Mental HealthHealth

Social Social ServicesServices

ProbationProbation

Page 9: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Overview of Redesign Objectives

• Partner to prevent child abuse and neglect

• Act early to preserve and strengthen families

• Broaden efforts to restore family capacity

• Strengthen alternatives to rebuild permanent families for children

• Systematically prepare youth for success in adulthood.

Page 10: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Wraparound Is…

Keeping kids at home, in the community,

with people who know, and love them in family-like settings.

Wraparound is a planning process Wraparound is a planning process which creates a gateway for which creates a gateway for

natural and community services… natural and community services…

It is not an intervention.It is not an intervention.

Page 11: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Wraparound Processing Path

ASKASK

RESPONDRESPOND

LE

AR

NL

EA

RNL

IST

EN

LIS

TE

N

1. Concerns & Strengths 1. Concerns & Strengths

4. Needs 4. Needs IdentificationIdentification

3. Create Family 3. Create Family VisionVision

5. Prioritize Needs5. Prioritize Needs

7. Create Strategies That Match 7. Create Strategies That Match StrengthsStrengths

9. Document 9. Document and and ImplementImplement

8. Secure 8. Secure CommitmentsCommitments

10. Report and 10. Report and EvaluateEvaluate

2. Identify Team Strengths2. Identify Team Strengths

6. Develop Safety 6. Develop Safety PlanPlan

Page 12: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Wraparound

“The following values and essential elements form the bases for the Wraparound Standards adopted by the State of California in April of 1999.”

California Wraparound Standards

Page 13: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Wraparound ValuesCalifornia Wraparound Standards

• Family-Centered

• Strengths-Based

• Consumer-Driven

• Needs-Driven

• Individualized

• Culturally Relevant

• Unconditional

• Community-Based

• Team-Based

• Accountable

• Accessible

• Outcome-Based

• Cost- Effective

• Flexible

• Promoting Self-sufficiency

• Comprehensive

• Collaborative

Page 14: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Essential ElementsTen Essential Elements of Wraparound (Adopted

from Burns and Goldman, 1998)

“These values can also be found in the following essential elements list articulated, in May 1998, by a group of fifteen leaders and critical thinkers (representing the perspective of families, system and program developers, trainers, administration, program staff and researchers) in Wraparound.” California Wraparound Standards

Page 15: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

1. Families have a high level of decision-making power at every level of the Wraparounds process.

a. Families and children are an essential part of the planning process. No discussions or decisions are appropriate without their participation.

b. The child and family express their vision. What you like to have going on in your life when you graduate from Wraparound? Where would you like to be five years from now? The vision is created and all goals of the team are aligned with the vision.

Page 16: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

2. Team members are persevering in there commitment to the child and family.

a. Many solutions are tried until one is found that truly fits the family. The solution or strategy comes from the voice, choice, and access of the family. The strategy is implemented and tested overtime to ensure that it will continue to work after the wrap process is complete.

Page 17: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

3. Wraparound efforts are based in the community and encourage the family’s use of their natural supports and resources.a. Natural supports are essential! Without natural and

community supports increasing over time there is no wraparound. The State of California has already acknowledged that the word “encourage” is weak in this instance. Meetings are held in the child and family’s home unless the child or family would prefer to meet somewhere else in the community. The idea is that we are teaching youth and families to have informal community meetings so that when we are gone they will continue to feel that they can call informal meetings to meet future needs. This is a skill we want them to graduate with.

Page 18: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

4. The Wraparound approach is a team-driven process involving the family, child, natural supports, agencies, and community services working together to develop, implement, and evaluate the individualized service plan.

a. This defines the approach to the planning process as being an inclusive process that covers all areas of the child’s life. The process covers all community mandates and family’s desires within one plan that allows for “normal” family functioning.

Page 19: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

5. Services and supports are individualized, built on strengths, and meet the needs of children and families across the life domains to promote success, safety, and permanency in home, school, and the community.

a. The descriptors “Individualized” and “Customized” highlight that wraparound is custom made for each family.

b. Functional strengths are identified. Example: Strength, Mother is an avid reader. Therefore, Mother will read a book on family rules and bring the information to the next meeting.

c. The purpose of this is to build strategies for families that are culturally relevant and that will be implemented because they are the family’s natural mode of operating

Page 20: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

6. The process is culturally competent, building on the unique values, preferences, and strengths of children, families and their

communities.

a. When we bring in natural and community supports there is automatic culturally responsiveness.

b. If a plan is not culturally responsive it implies that the process did not employ family voice, choice and access.

Page 21: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

7. The plan is developed and implemented based on an interagency, community/neighborhood collaborative process.

a. This element refers to the fact that we want one comprehensive plan that fits in naturally with “normal” family life.

b. The key word here is “collaborative process” the family’s involvement is central to this process.

c. No discussions or decisions are held without the family and child.

Page 22: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

8. Wraparound plans include a balance of formal services and informal community

and family resources, with eventually greater reliance on informal services.

a. This refers to the fact that wraparound families are usually isolated when they began the process.

b. As the wraparound process begins to take effect there will naturally be less and less formal supports.

c. Some families will become independent of all formal supports and some will have continued need of life long formal support in some area.

Page 23: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

9. Wraparound teams have adequate and flexible funding.

a. This refers to the mandated availability of funds for emergency, one-time, expenses that cannot be funded through any other source.

b. Agencies need these funds to hire and maintain staff and other expenses.

c. There is no specific amount that families receive.d. All flexible fund expenditures are decided upon at team

meetings with the thought in mind that we are working towards the family’s self-sufficiency.

e. The team never wants to procure anything that the family will not be able to sustain on their own once the wraparound process is complete.

Page 24: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

10. Outcomes are determined and measured for the system, for the program, and for

the individual child and family.

a. Outcomes for the individual child and family team are evaluated at every team meeting through the wraparound agenda and minutes process.

b. Outcomes are measured for the program internally through the supervisor and externally through the community review team.

c. Outcomes are determined for the system through county and state review processes.

 

Page 25: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

National Published StudiesTwo Randomized Published Studies

• Increase in home, school, community functioning• Improved permanency• Decrease in days and number of suspensions• Decrease in runaway behavior• Decreased incarceration (2.6 times less likely)• Decrease in delinquency and conduct disorder• Decrease in problem behavior.

Page 26: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Eleven National

Published Pre-Post Studies

• Improvement in permanency

• Improvement in self-control

• Improvements in home, school, and community, role performance

• Decrease in problem behaviors

• 85% decrease in arrests

• Decrease in hyperactivity

• Decrease in abuse related behaviors

• Decrease in substance use

• Decrease in hospital admissions

• Decrease in out-of-home placements.

Page 27: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Wraparound Research

• Body of Research

• WFI

• WOF

• National Wraparound Initiative

Page 28: Family Culture Resiliency Factors: Ensuring Fidelity To The Wraparound Model Family Partnership Institute Bradley D. Norman, LCSW, Director Gerry R. Rodriguez,

Thank You!

Contact Information:

[email protected]

• 408-437-8356