Children/Adolescents > High Fidelity Wraparound
Bullet Overview
Bullet The Youth and Family Training Institute
Bullet How HFW Differs From BHRS
Bullet Resources on High Fidelity Wraparound
Bullet The HFW Workforce
Bullet User Guides for Youth and Families
Bullet Youth and Family Training Institute

 

Overview

The Children’s Bureau in the Office of Mental Health and Substance Abuse Services (OMHSAS) works with the University of Pittsburgh and its community partners to manage the Pennsylvania Youth and Family Training Institute (YFTI). The Institute has an Advisory Board composed of equal representation of youth, families, and professionals. Shannon Fagan, former Westmoreland County CASSP Coordinator, is the Director. More information is available on the Institute’s website.

The Youth and Family Training Institute was given the responsibility by the State of Pennsylvania to train, coach and credential the PA High Fidelity Wraparound (HFW) workforce. HFW is not a specific service or intervention, but rather a process for youth with multifaceted behavioral health needs and their families that follows a series of steps to help youth and their families realize their hopes and dreams. It is a process that allows more youth to grow up in their homes and communities. It is a planning process that brings people together (natural supports and providers) from various parts of the youth's and family’s life. High Fidelity Wraparound must involve family voice and choice, be a team-based approach, use natural supports, facilitate collaboration and integration, be community based, be carried out in a culturally competent manner, be individualized, strengths based and persistent, and be based on outcome measures and cost effectiveness. The model was formally defined by the U.S. National Wraparound Initiative (NWI). Members of this initiative have identified standards for conducting wraparound and the means for measuring successful outcomes.

The Youth and Family Training Institute

The Youth and Family Training Institute (YFTI) is now in its sixth year. YFTI is a member of the PA System of Care Partnership. YFTI is the agency that has the responsibility of training, coaching and credentialing the High Fidelity Wraparound (HFW) workforce for the state of Pennsylvania.

YFTI’s website  explains what the Youth and Family Training Institute is, and more importantly, what High Fidelity Wraparound is. The website includes information on current behavioral health news impacting youth and families in Pennsylvania. We share uplifting and poignant stories of youth and families who have been successful in High Fidelity Wraparound. Included on our site are pages specifically for our workforce, information about the counties involved, pages for youth and family members, training information, current news, YFTI’s Advisory Board and PA System of Care Partnership updates.  The HFW workforce uses the website to obtain documents, keep in touch with other workforce members who work in their HFW role, and access links to our training videos.

The Youth and Family Training Institute now supports the workforce in 13 Pennsylvania counties: Allegheny, Bucks, Chester, Delaware, Erie, Fayette, Lehigh, Montgomery, Northumberland, Philadelphia, Venango/Crawford, and York. Additional counties have expressed interest in knowing more about High Fidelity Wraparound and the PA System of Care Partnership.

Implementing the Peer Support Specialist Role: Youth Peer Support in Wraparound: article featuring the Youth and Family Training Institute, from the January 2014 National Wraparound Initiative newsletter.

How High Fidelity Wraparound differs from Pennsylvania’s Behavioral Health Rehabilitation Services (often commonly called wraparound):
Although the process is referred to as ‘wraparound’ by NWI and Vroon VanDenBerg, it is called High Fidelity Wraparound in Pennsylvania. This was, in part, a way to form a distinction between the HFW process and wraparound services. Wraparound services are for youth under the age of 21 who have mental health diagnoses. They are usually rendered necessary when the youth’s mental health needs exceed what is typically able to be accomplished in standard outpatient therapy. Behavioral Staff Consultant (BSC), Therapeutic Staff Support (TSS), and Mobile Therapy (MT) services were added to the Medical Assistance fee schedule in 1994 and are intended to accomplish the following: provide one-to-one services in a youth’s home, school or other community setting; prevent the youth’s need for a more restrictive treatment setting; assist primary caregivers and school personnel in learning and providing direct behavioral support; be carried out in a culturally competent manner; and be individualized to meet the social, emotional and/or behavioral needs of the child. These services have been and continue to be commonly referred to as “wraparound” services in Pennsylvania, although the state now refers to these positions as Behavioral Health Rehabilitative Services (BHRS).

Behavioral Health Rehabilitative Services are intended to be carried out according the principles set forth by the Pennsylvania Child and Adolescent Service System Program (CASSP). CASSP stipulates that BHRS provided to children and families be child-centered, family focused, community-based, multi-systemic, culturally competent, and least restrictive/least intrusive. BHRS and the HFW process can work together, but they are not the same. YFTI has adapted the HFW model to the needs of Pennsylvania, and includes Youth Support Partners as part of the HFW workforce.

High Fidelity Wraparound in Pennsylvania, PA CASSP Newsletter, December 2009

Resources on High Fidelity Wraparound for counties, agencies, providers, families and youth.

This information is intended to clarify the process involved in carrying out High Fidelity Wraparound for all parties who would potentially be involved.

The HFW Workforce:

The HFW Team:
HFW Coaches, Facilitators, Family Support Partners and Youth Support Partners are considered the HFW workforce. They make up just a part of the HFW team. The HFW team can be comprised of the HFW workforce members, the youth and family, family and community natural supports that the youth and family have chosen, and professional providers involved with the youth and family. Professionals can include those involved with the youth and/or family on a regular basis such as counselors/therapists, doctors, speech therapists, occupational therapists, etc. These professionals should count for no more than 50% of the entire team composition.

User guides for youth and families:

More information related to BHRS services in Pennsylvania and CASSP principles:

Youth and Family Training Institute

Outcome and Cost-Effectiveness Analysis of High Fidelity Wraparound in Pennsylvania, March 2012