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Wraparound in Washington State: Coordinating Care and Why it Matters

Wraparound in Washington State: Coordinating Care and Why it Matters. Skagit Results: Dawn Scott and Terrance Ellison Pilot Site Results: Ericka Wiggins. Skagit Wraparound. Program Status From: July 08 – June 10. Client Demographics. Total of 20 youth and their families

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Wraparound in Washington State: Coordinating Care and Why it Matters

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  1. Wraparound in Washington State: Coordinating Care and Why it Matters Skagit Results: Dawn Scott and Terrance Ellison Pilot Site Results: Ericka Wiggins

  2. Skagit Wraparound Program Status From: July 08 – June 10

  3. Client Demographics • Total of 20 youth and their families • One (1) youth was a readmission, resulting in an actual unduplicated count of 19 • Six (6) were non-Medicaid clients

  4. Racial Demographics

  5. Age Range at Intake • Boys from 6 – 18 • Mean: 12 • Median: 12 • Girls from 7 – 17 • Mean: 12 • Median: 11

  6. Living Situation at Intake • Two Parents: 6 30% • Biological Mother Only 6 30% • Biological Father Only 2 10% • Home Of Relative 2 10% • Foster Care 1 5% • Adopted 3 15%

  7. Referral Source

  8. Services Six (6) Months Prior to Wraparound 14 IEP and One (1) 504

  9. New Services After Entering Wraparound Two (2) IEP and One (1) 504

  10. School StatusIntakeSix Months12 Months

  11. Youth Risk FactorsIntakeSix Months 12 Months

  12. Caregiver Risk FactorsIntake Six Months 12 Months

  13. Loss of Personal Time

  14. Loss of Personal Time • Not at All

  15. Loss of Personal Time • A Little

  16. Loss of Personal Time • Somewhat

  17. Loss of Personal Time • Quite a Bit

  18. Loss of Personal Time • Very Much

  19. Missing Work or Neglecting Other Duties

  20. Missing Work or Neglecting Other Duties • Not at all

  21. Missing Work or Neglecting Other Duties • A little

  22. Missing Work or Neglecting Other Duties • Somewhat

  23. Missing Work or Neglecting Other Duties • Quite a Bit

  24. Missing Work or Neglecting Other Duties • Very Much

  25. Family Members Having To Do Without Things

  26. Family Members Having To Do Without Things • Not at all

  27. Family Members Having To Do Without Things • A Little

  28. Family Members Having To Do Without Things • Somewhat

  29. Family Members Having To Do Without Things • Quite a Bit

  30. Family Members Having To Do Without Things • Very Much

  31. $$ COSTS BENEFITS $$ • Therapeutic Foster Care (CHAP): 4,000.00 (50% From NSMHA & 50% From CA) • Juvenile Detention: 3,720.00 (Detainees do not receive Mental Health Services) • Psychiatric Hospitalization: 41,666.00 • CLIP Facility: 9,166.00 • Wraparound: 1,500.00

  32. Program Growth

  33. Wraparound Washington Pilot Sites Skagit County, Grays Harbor, and Cowlitz County Combined Results

  34. Client Demographics at Intake

  35. Referral Source

  36. School Status at Intake, 6 Months, and 12 Months (n=34)

  37. Youth Risk Factors at Intake, 6 Months, and 12 Months

  38. Caregiver Risk Factors at Baseline, 6 Months, and 12 Months

  39. Community Supports for Wraparound Inventory (CSWI) Skagit County

  40. Community Supports for Wraparound Inventory (CSWI) A tool that assesses the level of development of a particular community’s system-level support for wraparound. Data collected December-January 08-09. 42 items grouped into 6 themes Community Partnership Collaborative Action Fiscal Policies and Sustainability Access to Needed Supports & Services Human Resource Development & Support Accountability

  41. Skagit County CSWI 39 invited to take the CSWI 30 of the 39 invitees responded = 76.9%

  42. CSWI Overall and Theme Means-Skagit County

  43. Theme Means: Pilot Sites and Comparison

  44. Wraparound Fidelity Index Wraparound Washington Total Fidelity Scores

  45. Youth Information

  46. Overall Fidelity for All Sites

  47. Fidelity Scores by Phase for All Sites

  48. Fidelity Scores by Principle for All Sites

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