Adapting Community-Based Wraparound for Use as an Intensive Intervention in Schools

Abstract

Multi-Tiered System of Supports and Positive Behavioral Interventions and Supports frameworks focus on providing effective Tier 1 (universal), Tier 2 (selected), and Tier 3 (individualized) strategies to meet all students’ behavioral and emotional needs. However, there are few Tier 3 models that provide support spanning home, community, and school for students with serious emotional and behavioral challenges (SEBC). This U.S. study used expert and local input to (a) develop practice guidelines and implementation supports for a school-based Wraparound care planning and coordination model and (b) evaluate school feasibility and readiness to implement systems, practices, and data. Using mixed methods followed by a Nominal Group Process to generate recommendations, national experts, school leaders, and school staff reviewed, rated relevance, and revised school and district materials related to school-based Wraparound. Results found existing materials developed for community Wraparound programs required significant adaptation for school context and feasibility. Specific recommendations are being used to design a Wraparound in Schools model for feasibility and efficacy testing in schools. Findings hold promise for aiding schools to implement effective Tier 3 supports for students with SEBC, and for bridging the gap from theory to practice on use of Wraparound as an intensive Tier 3 strategy.

Keywords

Wraparound education positive behavior supports care coordination behavior

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References

Algozzine

Barrett

Eber

George

Horner

Lewis

Putnam

Swain-Bradway

McIntosh

Sugai

(2014). School-wide PBIS tiered fidelity inventory. OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports. https://www.pbis.org/resource/tfi

Algozzine

Horner

R. H.

Sugai

Barrett

Dickey

S. R.

Eber

Tobin

(2010). Evaluation blueprint for school-wide positive behavior support. National Technical Assistance Center on Positive Behavior Interventions and Support.

Anderson

C. M.

Rodriguez

B. J.

Campbell

(2015). Functional behavior assessment in schools: Current status and future directions. Journal of Behavioral Education, 24, 338–371. https://doi.org/10.1007/s10864-015-9226-z

Anderson

J. A.

Houser

J. H.

Howland

(2010). The Full Purpose Partnership model for promoting academic and socio-emotional success in schools. School Community Journal, 20(1), 31–54. https://www.adi.org/journal/ss10/AndersonHouserHowlandSpring2010.pdf

(2011). Teaching under the new Taylorism: High-stakes testing and the standardization of the 21st century curriculum. Journal of Curriculum Studies, 43(1), 25–45. https://doi.org/10.1080/00220272.2010.521261

Averill

O. H.

Rinaldi

Collaborative

U. S. E. L

. (2011). Multi-Tier System of Supports (MTSS). District Administration, 48(8), 91–95.

Barth

R. P.

Lee

B. R.

Lindsey

M. A.

Collins

K. S.

Strieder

Chorpita

B. F.

Becker

K. D.

Sparks

J. A.

(2012). Evidence-based practice at a crossroads: The timely emergence of common elements and common factors. Research on Social Work Practice, 22(1), 108–119. https://doi.org/10.1177/1049731511408440

Becker

K. D.

Boustani

Gellatly

Chorpita

B. F.

(2018). Forty years of engagement research in children’s mental health services: Multidimensional measurement and practice elements. Journal of Clinical Child and Adolescent Psychology, 47(1), 1–23. https://doi.org/10.1080/15374416.2017.1326121

Brantlinger

Jimenez

Klingner

Pugach

Richardson

(2005). Qualitative studies in special education. Exceptional Children, 71(2), 195–207. https://doi.org/10.1177/001440290507100205

10.

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

11.

Bruhn

A. L.

Lane

K. L.

Hirsch

S. E.

(2014). A review of tier 2 interventions conducted within multitiered models of behavioral prevention. Journal of Emotional and Behavioral Disorders, 22(3), 171–189. https://doi.org/10.1177/1063426613476092

12.

Bruns

E. J.

Walker

J. S.

, & The National Wraparound Initiative Advisory Group. (2008). Ten principles of the wraparound process. In Bruns

E. J.

Walker

J. S.

(Eds.), The resource guide to wraparound (pp. 1–10). National Wraparound Initiative. https://nwi.pdx.edu/NWI-book/

13.

Bruns

E. J.

Walker

J. S.

Zabel

Matarese

Estep

Harburger

Mosby

Pires

S. A.

(2010). Intervening in the lives of youth with complex behavioral health challenges and their families: The role of the wraparound process. American Journal of Community Psychology, 46(3–4), 314–331. https://doi.org/10.1007/s10464-010-9346-5

14.

Bruns

E. J.

Suter

J. C.

(2018). Tier 3 Wraparound theory of change and domains of interest [Figure]. Wraparound Evaluation and Research Team, University of Washington.

15.

Burchard

Bruns

E. J.

Burchard

S. N.

(2002). The Wraparound Approach. In Burns

Hoagwood

(Eds.), Community Treatment for Youth: Evidence-based interventions for severe emotional and behavioral disorders (pp. 69–90). New York: Oxford University.

16.

Center on PBIS. (2024). PBIS Tier 3. https://www.pbis.org/pbis/tier-3

17.

Centers for Disease Control and Prevention. (2023). YRBS data summary & trends report. U.S. Department of Health and Human Services. https://www.cdc.gov/healthyyouth/data/yrbs/

18.

Coldiron

J. S.

Bruns

Hensley

Paragoris

(2016). Wraparound implementation and practice quality standards. National Wraparound Initiative. https://nwi.pdx.edu/

19.

Coldiron

J. S.

Bruns

E. J.

Quick

(2017). A comprehensive review of wraparound care coordination research, 1986–2014. Journal of Child and Family Studies, 26(5), 1245–1265. https://doi.org/10.1007/s10826-016-0639-7

20.

Cook

C. R.

Lyon

A. R.

Locke

Waltz

Powell

B. J.

(2019). Adapting a compilation of implementation strategies to advance school-based implementation research and practice. Prevention Science, 20(6), 914–935. https://doi.org/10.1007/s11121-019-01017-1

21.

Delbecq

A. L.

VandeVen

A. H.

(1971). A group process model for problem identification and program planning. Journal of Applied Behavioral Science, 7(4), 466–491. https://doi.org/10.1177/002188637100700404

22.

Eber

Hyde

Suter

J. C.

(2011). Integrating wraparound into a schoolwide system of positive behavior supports. Journal of Child and Family Studies, 20, 782–790. https://doi.org/10.1007/s10826-010-9424-1

23.

Eber

Sugai

Smith

C. R.

Scott

T. M.

(2002). Wraparound and positive behavioral interventions and supports in the schools. Journal of Emotional and Behavioral Disorders, 10(3), 171–180. https://doi.org/10.1177/10634266020100030501

24.

Ivey-Stephenson

A. Z.

Demissie

Crosby

A. E.

Stone

D. M.

Gaylor

Wilkins

Lowry

Brown

(2020). Suicidal ideation and behaviors among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Supplements, 69(1), 47–55. https://dx.doi.org/10.15585/mmwr.su6901a6

25.

Kelley

S. D.

de Andrade

A. R. V.

Sheffer

Bickman

(2010). Exploring the black box: Measuring youth treatment process and progress in usual care. Administration and Policy in Mental Health and Mental Health Services Research, 37, 287–300. https://doi.org/10.1007/s10488-010-0298-8

26.

Kelly

M. S.

Frey

A. J.

Anderson-Butcher

(2011). Writing the job description for school social workers in 2031. Children & Schools, 33(2), 67–69. https://doi.org/10.1093/cs/33.2.67

27.

Lambert

M. J.

Hansen

N. B.

Finch

A. E.

(2001). Patient-focused research: Using patient outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69(2), 159–172. https://doi.org/10.1037/0022-006X.69.2.159

28.

Lee

Gage

N. A.

McLeskey

Huggins-Manley

A. C.

(2021). The impacts of school-wide Positive Behavior Interventions and Supports on school discipline outcomes for diverse students. The Elementary School Journal, 121(3), 410–429. https://doi.org/10.1086/712625

29.

Leeb

R. T.

Price

Sliwa

Kimball

Szucs

Caruso

Godfred-Cato

Lozier

(2020). COVID-19 trends among school-aged children—United States, March 1–September 19, 2020. Morbidity and Mortality Weekly Report, 69(39), 1410–1415. https://dx.doi.org/10.15585/mmwr.mm6939e2

30.

Linstone

H. A.

Turoff

(2011). Delphi: A brief look backward and forward. Technological Forecasting and Social Change, 78(9), 1712–1719. https://doi.org/10.1016/j.techfore.2010.09.011

31.

Lyon

A. R.

Cook

C. R.

Locke

Davis

Powell

B. J.

Waltz

T. J.

(2019). Importance and feasibility of an adapted set of implementation strategies in schools. Journal of School Psychology, 76, 66–77. https://doi.org/10.1016/j.jsp.2019.07.014

32.

Lyons

J. S.

(2009). Communimetrics: A communication theory of measurement in human service settings. Springer.

33.

Maggin

D. M.

Zurheide

Pickett

K. C.

Baillie

S. J.

(2015). A systematic evidence review of the check-in/check-out program for reducing student challenging behaviors. Journal of Positive Behavior Interventions, 17, 197–208. https://doi.org/10.1177/1098300715573630

34.

Malloy

J. M.

Sundar

Hagner

Pierias

Viet

(2010). The efficacy of the RENEW model: Individualized school-to-career services for youth at risk of school dropout. Journal of At-Risk Issues, 15(2), 19–26. https://dropoutprevention.org/resources/journals/journal-of-at-risk-issues-online-issues/

35.

McKay

M. M.

Bannon

W. M.

Jr. (2004). Engaging families in child mental health services. Child and Adolescent Psychiatric Clinics, 13(4), 905–921. https://doi.org/10.1016/j.chc.2004.04.001

36.

Merikangas

K. R.

J. P.

Brody

Fisher

P. W.

Bourdon

Koretz

D. S.

(2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125(1), 75–81. https://doi.org/10.1542/peds.2008-2598

37.

Metz

Louison

(2018). The hexagon tool: Exploring context. National Implementation Research Network, Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill. https://implementation.fpg.unc.edu/resource/the-hexagon-an-exploration-tool/

38.

Midwest PBIS Network. (2015). Tier 3 student action plan. https://www.midwestpbis2.org/training-content/tier-3/wraparound

39.

Midwest PBIS Network. (2017). Wraparound integrity tool. https://www.midwestpbis2.org/coaches/starting-pbis-at-each-tier/starting-pbis-tier-3

40.

Midwest PBIS Network. (2021). Recommended qualities, attributes & role. https://www.midwestpbis2.org/training-content/tier-3/wraparound

41.

Midwest PBIS Network. (n.d.-a). Wraparound educational information tool.

42.

Midwest PBIS Network. (n.d.-b). Wraparound home, school, community tool.

43.

Mitchell

B. S.

Kern

Conroy

M. A.

(2019). Supporting students with emotional or behavioral disorders: State of the field. Behavioral Disorders, 44(2), 70–84. https://doi.org/10.1177/0198742918816518

44.

Molloy

L. E.

Moore

J. E.

Trail

Van Epps

J. J.

Hopfer

(2013). Understanding real-world implementation quality and “active ingredients” of PBIS. Prevention Science, 14(6), 593–605. https://doi.org/10.1007/s11121-012-0343-9

45.

National Center for Education Statistics. (2022, April 25). Mental health and well-being of students and staff during the pandemic, results from the April 2022 school pulse panel. U.S. Department of Education, Institute of Education Sciences. https://ies.ed.gov/schoolsurvey/spp/

46.

National Wraparound Implementation Center. (n.d.). Wraparound plan of care [Microsoft Word template]. https://www.nwic.org/

47.

Olson

J. R.

Benjamin

P. H.

Azman

A. A.

Kellogg

M. A.

Pullmann

M. D.

Suter

J. C.

Bruns

E. J.

(2021). Systematic review and meta-analysis: Effectiveness of wraparound care coordination for children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 60(11), 1353–1366. https://doi.org/10.1016/j.jaac.2021.02.022

48.

Owens

J. S.

Lyon

A. R.

Brandt

N. E.

Masia Warner

Nadeem

Spiel

Wagner

(2014). Implementation science in school mental health: Key constructs in a developing research agenda. School Mental Health, 6(2), 99–111. https://doi.org/10.1007/s12310-013-9115-3

49.

Santiago-Rosario

M. R.

McIntosh

Izzard

Cohen Lissman

Calhoun

T. E.

(2023). Is Positive Behavioral Interventions and Supports (PBIS) an evidence-based practice? Center on PBIS, University of Oregon. https://www.pbis.org/resource/is-school-wide-positive-behavior-support-an-evidence-based-practice

50.

Sather

Bruns

E. J.

(2016). National trends in implementing wraparound: Results of the state wraparound survey, 2013. Journal of Child and Family Studies, 25, 3160–3172. https://doi.org/10.1007/s10826-016-0469-7

51.

Splett

J. W.

Perales

Al-Khatib

A. M.

Raborn

Weist

M. D.

(2020). Preliminary development and validation of the Interconnected Systems Framework-Implementation Inventory (ISF-II). School Psychology, 35(4), 255–266. https://doi.org/10.1037/spq0000369

52.

Steege

M. W.

Pratt

J. L.

Wickerd

Guare

Watson

T. S.

(2019). Conducting school-based functional behavioral assessments (3rd ed.). Guilford Press.

53.

Stoiber

Gettinger

(2016). Multi-tiered systems of support and evidence-based practices. In Jimerson

Burns

VanDerHeyden

(Eds.), Handbook of response to intervention (pp. 121–141). Springer. https://doi.org/10.1007/978-1-4899-7568-3_9

54.

Stormshak

E. A.

Dishion

T. J.

(2009). A school-based, family-centered intervention to prevent substance use: The Family Check-Up. The American Journal of Drug and Alcohol Abuse, 35(4), 227–232. https://doi.org/10.1007/s11121-009-0131-3

55.

Sugai

Horner

R. H.

(2009). Responsiveness-to-intervention and positive behavior supports: Integration of multi-tiered system approaches. Exceptionality, 17(4), 223–237. https://doi.org/10.1080/09362830903235375

56.

Sugai

Horner

R. H.

(2020). Sustaining and scaling positive behavioral interventions and supports: Implementation drivers, outcomes, and considerations. Exceptional Children, 86(2), 120–136. https://doi.org/10.1177/0014402919855331

57.

Townes

Weiss

Devoe

Ferris

Adams

Dimitropoulos

Arnold

P. D.

(2023). Tier 2 Mental Health Interventions: A Scoping Review. School Mental Health, 15(1), 36–48. https://doi.org/10.1007/s12310-022-09554-x

58.

U.S. Department of Education. (2021a). American Rescue Plan Act of 2021. Elementary and Secondary School Emergency Relief Fund (ARP ESSER) [Fact sheet]. https://oese.ed.gov/files/2021/03/FINAL_ARP-ESSER-FACT-SHEET.pdf

59.

U.S. Department of Education. (2021b). Education demographic and geographic estimates geocodes: Public Schools File 2021-22 [Data File]. https://nces.ed.gov/programs/edge/Geographic/SchoolLocations

60.

U.S. Department of Education. (2023). 44th annual report to congress on the implementation of the individuals with disabilities education act, 2022. https://sites.ed.gov/idea/files/44th-arc-for-idea.pdf

61.

Vermont Positive Behavior Interventions & Supports. (2014). School and supervisory union / district steps to readiness: Intensive level Wraparound. https://www.pbisvermont.org/training-resources/intensive-wraparound-training/

62.

Walker

J. S.

Bruns

E. J.

Penn

(2008). Individualized services in systems of care: The wraparound process. In Stroul

B. A.

Blau

G. M.

(Eds.), The system of care handbook: Transforming mental health services for children, youth, and families (pp. 127–153). Paul H. Brookes Publishing Co.

63.

Walker

J. S.

Bruns

E. J.

, & The National Wraparound Initiative Advisory Group. (2008). Phases and activities of the wraparound process: Building agreement about a practice model. In Bruns

E. J.

Walker

J. S.

(Eds.), The resource guide to wraparound (pp. 1–14). National Wraparound Initiative. https://nwi.pdx.edu/NWI-book/

64.

Walker

J. S.

Sanders

(2011). The community supports for Wraparound inventory: An assessment of the implementation context for Wraparound. Journal of Child and Family Studies, 20(6), 747–757. https://doi.org/10.1007/s10826-010-9432-1

65.

Yard

Radhakrishnan

Ballesteros

M. F.

Sheppard

Gates

Stein

Hartnett

Kite-Powell

Rodgers

Adjemian

Ehlman

Holland

Idaikkadar

Ivey-Stephenson

Martinez

Law

Stone

D. M.

(2021). Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic—United States, January 2019–May 2021. Morbidity and Mortality Weekly Report, 70(24), 888–894. https://dx.doi.org/10.15585/mmwr.mm7024e1

66.

Haddock

Womack

(2022). Integrating Supports For Students With wraparound. Contemporary School Psychology, 26, 155–163. https://doi.org/10.1007/s40688-020-00284-y