Four Phases of Wraparound Implementation - PBIS

Four Phases of Wraparound Implementation - PBIS Four Phases of Wraparound Implementation OVERVIEW OF PHASES Team Preparation , Get people ready to be a team , Complete strengths/needs chats (baseline data) Initial Plan Development , Hold initial planning meetings (integrate data) , Develop a team “culture” (use data to establish voice) Plan Implementation & Refinement , Hold team meetings to review plans (ongoing data collection and use) , Modify, adapt & adjust team plan (based on data) Plan Completion & Transition , Define good enough (data-based decision-making) , “Unwrap” First Phase of Wraparound: Team Development Facilitator , Meets with family & stakeholders , Gathers perspectives on strengths & needs , Assess for safety & rest , Provides or arranges stabilization response if safety is compromised , Explains the wraparound process , Identifies, invites & orients Child & Family Team members , Completes strengths summaries & inventories , Arranges initial wraparound planning meeting Completed Products , A strength summary detailing the family’s story , A strength inventory listing of family strengths , List of potential team members , Initial needs list , Referral-Disposition Tool , Educational Information Form , Home/School/Community Tool , Big Behavior Tool Details , Distribution of Plan of Care to all team members , A schedule for ongoing meetings , Individualized arrangements to assure maximum team participation in meeting Benefits & Enhancements , Defines the starting point , Creates a common reality for all team members , Sets foundation for future measurement , Creates capacity to gather a range of responses , What are yours? Challenges & Questions , Integrating data tools into basic wraparound patterns , What if responses are vastly different? , Avoiding the “paper-driven” trap , How to share your information as you move to Phase II , Balancing family-driven & directive interviewing , Introducing Wraparound Evaluation Tool , What are yours? Second Phase of Wraparound: Plan Development Facilitator , Holds an initial (or 2) wraparound plan development meeting , Introduces process & team members , Presents strengths & distributes strength summary , Solicits additional strength information from gathered group , Leads team in creating a mission , Introduces needs statements & solicits additional perspectives on needs from team , Creates a way for team to prioritize needs , Leads the team in generating brainstormed methods to meet needs , Solicits or assigns volunteers , Documents & distributes the plan to team members Completed Products A written plan of care that: , Details the Mission Statement , Needs selected for action , Interventions/actions including who will do what when & what strengths are built on , A written crisis response plan detailing anticipated event & response as well as a notification plan , Family-Caregiver Satisfaction Tool , Youth Satisfaction Tool , Wraparound Integrity Tool , All previously introduced Tools Details , Distribution of Plan of Care to all team members , A schedule for ongoing meetings Benefits & Enhancements , Gathers child & family input from a variety of sources , Rates your practice across operational values , Ties to results rather than just process , What are yours? Challenges & Questions , Timing, timing, timing , Balancing parent/caregiver & youth satisfaction is tricky , Age of child respondent , Summarizing relevant data for this team, how do you choose? , Introducing a structured decision making process in passionate circumstances , What are yours? Third Phase of Wraparound: Plan Implementation & Refinement Facilitator , Sponsors & holds regular team meetings , Solicits team feedback on accomplishments & documents , Leads team members in assessing & analyzing the plan , For Follow Through , For Impact , Creates an opportunity for modification , Adjust services or interventions currently provided , Stop services or interventions currently provided , Maintains services or interventions currently provided , Solicits volunteers to make changes in current plan array , Documents & distributes team meeting minutes Completed Products , Ongoing meeting minutes that detail changes in the Plan of Care , Quarterly reports that detail progress toward meeting , needs/achieving outcomes (the graphs) , Ongoing record of team member participation detailing who has attended & who has not , All Tools Details , Method for communication for team members , Process for orienting new team members as circumstances change Benefits & Enhancements , Gets the facts in front of the team , Allows for reasoned modification, takes the personal out of it , What are yours? Challenges & Questions , Integrating data summaries with other inputs , Strategically choosing best summaries , Following a disciplined decision making process , Relating the data to the intervention rather than just the location , What are yours? Fourth Phase of Wraparound: Plan Completion & Transition Facilitator , Holds meetings , Solicits all team members sense of progress , Charts sense of met need , Has team discuss what life would like after Wraparound , Reviews underlying context/conditions that brought family to the system in the first place to determine if situation has changed , Identifies who else can be involved , Facilitates approach of “post-system” wraparound resource people , Creates or assigns rehearsals or drills with a “what if” approach , Formalizes structured follow-up if needed , Creates a commencement ritual appropriate to family & team Completed Products , Written Transition Plan that details how to access ongoing services/supports if necessary , Written crisis plan that details who & how to contact individuals , Follow up phone numbers for team members , Formal Discharge Plan detailing strengths & interventions that were successful & those that weren’t , All Tools Details , Written letters of introduction for anticipated next formal service access P. Miles AT THE INITIAL TEAM MEETING: 1. Clarify Roles/goals 2. Determine Logistics 3. Agree on Rule of Interaction 4. Summarize Strengths, issues, Perspectives, Normalized Needs 5. Set Mission/goals 6. Identify needs 7. Prioritize needs 8. Action planning 9. Commitment 10. Follow-up TIPS FOR RUNNING A SCHOOL-BASED PLANNING MEETING , Check for opportunities to build alliances and communication between the parent and teacher. Often if communication can occur between these two players the student's performance will naturally improve. , Cover academic as well as behavioral concerns. This allows the teacher to be seen as an expert who can bring knowledge and resources to the table. , Draw outcome statements and goals from the concerns of school and family stakeholders. , Avoid allowing the facilitator to become the primary provider. The key to successful plans involves having those people already involved with the students being supported to try simple interventions. , Consider concerns of the building administrator in developing a plan. Administrator concerns may be most helpful in setting reasonable outcomes for the student. , Keep the meeting positive and action oriented. If significant administrative or treatment concerns do come up, refer them to another setting. , Avoid over-programming in any area. Often the simplest solutions are most effective.