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WrapCT PRESENTS: Utilizing The Wraparound Planning Process: An Introduction And Orientation

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Title: Basic to Wraparound Author: agadmin Last modified by: tcunningham Created Date: 7/7/2011 7:01:47 PM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Title: WrapCT PRESENTS: Utilizing The Wraparound Planning Process: An Introduction And Orientation


1
WrapCT PRESENTSUtilizing The
Wraparound Planning Process An Introduction
And Orientation
2
Myth Busters
  • Wraparound is not
  • A service or an intervention
  • A program or a project
  • Just a new way to spend money
  • Wraparound is
  • A process which when done according to the values
    and principles leads to good outcomes for
    children and families

3
Wraparound Putting Values into Action
Technology Cluster
4
IS THIS COLLABORATION?
  • Goals are defined by one group, then shared with
    another group?

5
EXAMPLES OF A COLLABORATIVE PROCESS?
  • Individual Education Plans
  • Medical Appointments
  • Therapy Sessions
  • Staffings
  • Other

6
CATEGORICAL APPROACH
  • Assess Problems
  • Look at Services that are Available
  • Plug Services into the Family

7
EXAMPLES OF A CATEGORICAL APPROACH
  • Services reflect whats available and has been
    tried rather than whats really needed

8
WHAT IS A CHILD AND FAMILY TEAM
  • The child and family identify a group of people
    who will work with them and help prepare the
    plan of care.
  • Composed of informal and formal members who will
    continue to support the family after leaving the
    program.
  • The Child and Family Team should meet as
    frequently as needed (at least once a month).

9
CARE PLAN COMPONENTS
  • Crisis Plan
  • Strengths
  • Vision
  • Needs
  • Strategies

10
Strengths Discovery
  • Ongoing - Changes with Time
  • Functional
  • All Family Members
  • Whole Team
  • Community and Environment
  • Used to Create Strategies

11
Key Elements of Strength Discovery
  • Attitudes and Values
  • Sets the tone style of the interaction
  • Skills and Abilities
  • Building blocks of change
  • Attributes and History
  • Point the way to natural connections
  • Preferences
  • Build participation and validity

12
STRENGTHS CHAT
13
Family Vision
  • Concise
  • In familys words
  • Reflects familys hopes and dreams
  • Where the family wants to be in 6 mo. to a year
  • May change over time

14
Needs Statements
  • Needs help with . . .
  • What is needed/barriers to reaching the Vision ?
  • Not Problems or Deficits
  • Not - Services or Goals
  • Answer to the question why (underlying need)

15
Strategies
  • Builds on Strengths
  • Designed to Meet Needs
  • Be Creative Brainstorm the possibilities
  • Remember Normalization
  • Use as many Natural Supports as Possible
  • Be Specific ? Who -- What -- When -- How

16
PLANNING WITH STRENGTHS EXERCISE
17
NATURAL/INFORMAL SUPPORTS AND COMMUNITY RESOURCES
18
Natural Support
  • Family or friend relationship
  • Examples
  • Parent
  • Childhood friend
  • Sibling
  • Cousin

19
Informal Support
  • Community relationship
  • Examples
  • Spiritual Leader
  • Next Door Neighbor
  • Sponsor
  • Support Group Leader

20
Formal Support
  • System representatives
  • Examples
  • Therapist/Provider
  • Child Welfare Worker
  • Probation or Parole Officer
  • School Representative

21
Community Resources
  • Goodies in a community that can be
    supportive, at little or no cost to the family.

22
Examples of Community Resources
  • Place of Worship
  • YMCA/YWCA
  • Libraries
  • Park and Recreational Programs
  • Free Health Clinics
  • Community Support Groups
  • Boys and Girls Club

23
Identifying Supports
  • Listen to the Familys Story
  • As you hear the familys story, listen for past
    supports and resources they have utilized. Also
    listen for what has worked in the past. Ask who
    the family would call during at crisis at 2
    oclock in the morning.

24
IDENTIFYING SUPPORTS (CONT.)
  • Get to know the Family
  • Spend time with the family.
  • Who does the family identify as family members?
  • How does the family describe themselves?
  • What activities are they involved in and with
    whom?

25
CIRCLES OF SUPPORTEXERCISE
26
IDENTIFYING SUPPORTS (CONT.)
  • Miracle Question
  • Who/What is involved?
  • Feeling Questions
  • Who can you really laugh with?
  • Who are you comfortable crying with?
  • Who would you trust with your deepest thoughts?
  • Practical Questions
  • Who helps watch your kids?
  • What does your daily schedule involve?
  • What do you do for fun?

27
IDENTIFYING SUPPORTS (CONT.)
  • Get to know the Familys Community/Neighborhood
  • When you familiarize yourself with the familys
    surroundings, you learn what is available in
    their community.

28
IDENTIFYING SUPPORTS (CONT.)
  • Get to know the Familys Culture
  • Family culture is the unique way a family forms
    itself in terms of rules, roles, habits,
    activities, beliefs, and other areas. Every
    family will have a different culture, despite
    similarities in ethnic and/or cultural
    background. Who shares the familys ideas,
    values, and beliefs?

29
IDENTIFYING SUPPORTS (CONT.)
  • Recognize Team Resources
  • Recognize personal as well as professional
    strengths
  • Each team member is an expert, and may have
    different resources
  • Use strengths as a way to help members change
    roles

30
Utilizing Support Options
  • After natural supports have been identified, it
    is up to the family to decide which resources to
    utilize. With the team, the family then decides
    to what extent these supports will be utilized
    and how they will be contacted. Be prepared to
    assist the family in re-establishing
    relationships that may have deteriorated.
  • Remember you are looking for 50 50
    representation.

31
INCORPORATING NATURAL INFORMAL SUPPORTS
  • Remember the importance of Family culture and
    Preferences
  • Normalize the Process
  • Explain the benefits
  • Share success stories

32
Utilizing Supports
  • Look beyond the reason theyre at the table and
    utilize other areas of expertise
  • Keep an open line of communication to avoid a
    decrease in participation
  • Recognize that these natural supports are just
    as knowledgeable as everyone else on the
    team.

33
Best Practice Bench Marks
  • 50/50 Balanced Team
  • within 3 months
  • 20/80 Formal/Informal
  • 6 months and beyond

34
EXPLAINING WRAPAROUND
35
Four Phases of Wraparound Implementation
  • Team Preparation / Engagement Welcoming
  • Get people ready to be a team
  • Complete strengths/needs chats
  • Initial Plan Development
  • Hold initial planning meetings
  • Develop a team culture
  • Plan Implementation Refinement
  • Hold team meetings to review plans
  • Modify, adept adjust team plan
  • Plan Completion Transition
  • Define good enough, needs met
  • Unwrap

Pat Miles
36
Steps for Developing an Individualized Plan
  • Step 1 Getting to Know the Family
  • Step 2 Begin Strengths /Needs Discovery
  • Step 3 Setting the Vision / Mission
  • Step 4 Family and Team Identify Needs
  • Step 5 Prioritize Needs/Set Benchmarks
  • Step 6 Action Planning
  • Step 7 Commitments
  • Step 8 Evaluation
  • Step 9 Documentation
  • Step 10 Distribute the Plan

37
Getting Started
  • Meet Immediate Needs
  • Listen to Concerns
  • Stabilize Situation
  • Begin Building Trust
  • Family and Systems Homework
  • Understand History/Timeline
  • What has Worked in the Past?
  • Find Ignored and Hidden Strengths
  • Identify Potential Formal and Informal Supports
  • Learn Preferences, Open Cultural Bridges

38
SEEK FIRST TO UNDERSTAND
  • Seek first to understand involves a very deep
    shift in paradigm. We typically seek first to be
    understood. Most people do not listen with the
    intent to understand they listen with the intent
    to reply. They are either speaking or preparing
    to speak.

Stephen R Covey
39
PRACTICING THE STEPS
  • Step 1 Getting to Know the Family
  • Meet Immediate Needs
  • Begin Crisis Planning
  • Identify Potential Team Members
  • Step 2 Begin the Strengths and Needs
    Discovery
  • Step 3 Family Identifies Vision

40
LIFE DOMAIN AREAS FOR PLANNING
  • Spiritual
  • Safety
  • Legal
  • Medical/Health
  • Finances
  • Relationships
  • Other
  • Social/Fun
  • Emotional
  • Family
  • A Place to Live
  • School/Work
  • Cultural

41
TEAM BUILDING
  • Preparation
  • Does Everyone Know What to Expect?
  • Set an Agenda
  • Ground Rules
  • Positive Focus
  • Avoid Jargon
  • Outcome Driven
  • Membership
  • Goal 50 Formal / 50 Informal
  • Multiple Perspectives (Family System)
  • Represent Familys Culture and Community

42
Wraparound Facilitator Tool Kit Visual Tools
  • Why?
  • Creates a sense of where youre going
  • Creates a sense of where youve been
  • Builds clarity among team members
  • Helps facilitator keep track of whats going on
  • Helps focus groups attention

43
COMMON TOOLS
  • Flip Charts/Markers
  • Agendas
  • Ground Rules
  • Anything else that works

44
TIPS FOR FACILITATORS
  • Plan Ahead
  • Materials
  • Gather your materials
  • Test your supplies
  • Know your environment
  • Tape on walls?
  • Enough space?
  • Practice
  • Get used to the tools
  • Make it visually attractive
  • Have fun

45
TIPS FOR TEAM MEMBERS
  • Focus on benefits of working on a team
  • Learn to forgive
  • Stay focused
  • Speak out loud about risks
  • Speak from strengths
  • Support other team members
  • Use the team as your primary communication device

46
Effective Communication Tools for Conflict
Management
  • Verbal
  • Open Ended Questions avoid yes or no
  • Reflecting repeating/make sure person felt heard
  • Reframing Negative to Positive
  • Summarizing Recaps
  • Non-Verbal
  • Body Language Address self
  • Tone or Inflection Maintain calm
  • Position Arrangements of team members

47
Facilitator Skill Facilitating the Meeting
  • Maintains a Strength Based Agenda
  • Manages Communicates
  • Ground Rules
  • Purpose
  • Decision Making Process
  • Facilitates
  • Agreement
  • Participation
  • Family Centered Approach

48
Team MeetingPracticing the Steps
  • Step 1 Introductions
  • Step 2 Share Vision / Mission
  • Step 3 List Strengths / Teams Adds To
  • Step 4 Family and Team Identify Needs
  • Step 5 Prioritize Needs
  • Set Benchmarks

49
SETTING BENCHMARKS
  • Descriptive
  • Measurable in a realistic way
  • Tells team how we will know we are getting closer
    to need met

If this need were met, the behavior we would see
is _______________
50
BRAIN STORMING EXERCISE
51
WHATEVER THE MIND CAN CONCEIVE AND BELIEVE, THE
MIND CAN ACHIEVE
  • Dr. Napoleon Hill

52
TIPS FOR ADDRESSING NEEDS
  • Start with specific and relevant strengths
  • Speak to the need not the problem
  • Check for understanding of your perspective not
    agreement
  • Avoid prescribing the solution, allow the team to
    identify options
  • Think personally it could be any of us
  • Assume positive intent

Pat Miles
53
Tips to Assure Clinical Needs Are Being Addressed
  • Explore underlying needs of reason for referral
  • Utilize clinical expertise within team process
  • Seek out clinical consultation
  • Excel in crisis / safety planning
  • Be knowledgeable about
  • common diagnoses
  • medications
  • child developmental stages
  • family systems

54
STRATEGIES
  • Based on functional strengths
  • Includes natural/informal supports and resources
  • Practical
  • Creative
  • Tells team exactly what will be done by whom and
    by when

55
PRACTICING THE STEPS
  • Step 6 Brainstorm Strategies/Action Planning
  • Step 7 Obtain Commitments
  • Who will do what, when and how?
  • Create a spirit of Volunteerism!

56
PRACTICING THE STEPS
  • Step 8 Evaluation
  • Access, Voice and Ownership
  • Does the Family Think this Plan Will Actually
    Work?
  • Continuously Monitor and Record Progress

57
Steps for Managing Ongoing Meetings
  • Step 1 Accomplishments
  • Step 2 Evaluate progress
  • Step 3 Adjust the plan
  • Step 4 Make new commitments

Pat Miles
58
ACCOMPLISHMENTS
  • Why start with accomplishments?
  • Starts on a positive note
  • Keeps strengths perspective
  • How to review accomplishments?
  • Check with family first
  • Check with team members
  • Record on visuals
  • Celebrate progress

Pat Miles
59
EVALUATE PROGRESS
  • Why evaluate progress?
  • Builds continuity
  • Assures Accountability
  • How to evaluate progress?
  • Check for follow through
  • Did you actually do it?
  • Check for impact
  • Did it actually help?
  • Check with family about needs met rather than
    services provided
  • Refer to the original vision statement
  • Are you moving towards the familys vision?
  • Are you strengthening the familys social network?

Pat Miles
60
ADJUST THE PLAN
  • Why adjust the plan?
  • Because needs are met
  • To stop doing things which arent working
  • How to adjust the plan?
  • Use strengths
  • Focus on needs
  • Review strategies
  • Keep, stop, or change
  • Move closer to your vision

Pat Miles
61
MAKE NEW COMMITMENTS
  • Why make new commitments?
  • Allows team member roles to change
  • Creates accountability
  • How to make new commitments?
  • Reward volunteers
  • Build on new found strengths
  • Family, team, community
  • Develop a timeline
  • Distribute the newly documented Plan of Care

Pat Miles
62
EVALUATING PLANS
  • Does the proposed plan
  • Lead to the family receiving real help in a
    timely fashion?
  • Let the family know what they can expect from
    their team?
  • Demonstrate a unified effort to support the
    familys progress?
  • If the family had to pick their plan out from a
    stack of ten, could they?
  • Does the family feel free to let the team know if
    somethings not working for them?
  • Has the team provided the family with a feeling
    of hope for a better future?

63
WRAPCTLEARNING COLLABORATIVEOUR VISION AS A
STATEWIDE LEARNING COLLABORATIVE IS TO EDUCATE,
TRAIN, AND PROMOTE THE BENEFITS OF THE VALUES AND
PRINCIPLES OF SYSTEM OF CARE AND THE WRAPAROUND
PROCESS.
  • WrapCT Steering Team
  • Gabrielle Hall, Clifford Beers Paige Trevethan,
    Bridges Tabor Napiello, Wheeler
    Clinic-Plainville Victor Gonzalez, Wheeler
    Clinic-Hrtfd. Virginia Lopez, Child Family
    Guidance Hal Gibber, FAVOR Cheryl Tedesco,
    Child Family Guidance Tim Cunningham,
    WellPath Jill Coffin, United Community and
    Family Services Mark Plourd, Wheeler
    Clinic-Hrtfd. Dorothy Contrastano, FAVOR Tim
    Marshall, DCF Jan Bendall, Rushford Kristen
    Penta, Bridgeport Schools Aminah Ali, Klingberg
    Ray Bieber, Child Family Guidance National
    Consultants Mary Jo Meyers, Wraparound
    Milwaukee Verneesha Banks, Wraparound Milwaukee
    Mark Horwitz, Westfield State University.
  • Contact information for WrapCT Tim Marshall 860
    550 6531 tim.marshall_at_ct.gov
  • Contact for training material Mary Jo Meyers
    414.251.7521 consultmjm_at_hotmail.com
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