Outcomes of the Wraparound Service Model

环绕式服务模式的成果

基本信息

批准号：
7456614
负责人：
ERIC J. BRUNS
金额：
$ 17.26万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-07-01 至 2010-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7456614
关键词：
Adherence Adolescent Automobile Driving Behavioral Burn injury Caring Case Management Child Clinical Commit Communities Condition Consensus County Data Data Collection Development Effectiveness Emotional Disturbance Ensure Evaluation Family Funding Future Grant Health Services Intervention Justice Label Measures Mental Health Mental Health Services Methodology Methods Modeling NIH Program Announcements National Institute of Mental Health Nature Nevada Numbers Outcome Parents Policies Procedures Process Provider Psychometrics Randomized Reporting Research Research Infrastructure Research Personnel Role Services Site Specific qualifier value Staging Standardization Surgeon Testing United States Public Health Service United States Substance Abuse and Mental Health Services Administration Universities Walkers Washington Youth base behavioral health care systems child mental health service community based service design experience foster care functional outcomes improved functioning indexing interest medical schools member programs quality assurance youth violence

项目摘要

DESCRIPTION (provided by applicant): Over the past several years, consensus has begun to emerge on the principles, procedures, and implementation measures for the wraparound service model (WSM), a popular individualized and team based care management process for children with serious emotional disturbance (SED) and their families. The proposed study will use a randomized design to pilot test a well-specified and manualized WSM for children and adolescents experiencing SED and being served within the Clark County, Nevada, system of care. This exploratory study of a standardized WSM will serve as an important first pilot test; despite being implemented in hundreds of communities nationally, determination of WSM's potential for impact has been hampered by inadequate specification of the intervention procedures and a poorly-developed research base. Capitalizing on an opportunity presented through a legislatively mandated behavioral health care services redesign in Nevada, associated with the state's SAMHSA-funded system-of-care grant, and supported by the state's recent receipt of a SAMHSA state infrastructure grant (SIG), the proposed study will accomplish three primary aims. First, it will determine if implementation of WSM in Nevada using manualized and standardized quality assurance methods results in greater adherence to wraparound principles than for children randomized to a non-wraparound case management program (typical case management or TCM). Second, it will determine if children and adolescents experiencing SED and randomized to WSM experience superior behavioral and functional outcomes than children randomized to the TCM condition and determine the role of fidelity to the WSM process as a moderator of clinical and functional outcomes. Third, in keeping with the study's exploratory nature, data will be analyzed to extend the current understanding of psychometrics of the WSM fidelity measures employed in the study, examine outcomes for subpopulations of children and youth, and explore differences in services received by the two study groups. Given the widespread interest and implementation of "wraparound" type processes in systems of care nationwide, results of the study will have immediate policy implications, as well as set the stage for further large scale efficacy and effectiveness studies.

描述（由申请人提供）：在过去的几年中，共识已经开始在环绕式服务模型（WSM）的原理，程序和实施措施上，这是一种流行的个性化和团队基于团队的护理管理流程，适用于严重的情感干扰（SED）及其家人及其家人。拟议的研究将使用随机设计来试点测试一个良好的和手动的WSM，适用于经历SED并在内华达州克拉克县（Clark County）服务的儿童和青少年进行护理系统。对标准WSM的探索性研究将作为重要的第一个试点测试。尽管在全国数百个社区中实施，但由于规格不足，干预程序的规范不足和发展不足的研究基础，对WSM的影响潜力的确定受到了阻碍。通过在内华达州重新设计的立法行为保健服务提供的机会，利用与该州由SAMHSA资助的护理机构赠款有关的机会，并得到该州最近收到SAMHSA国家基础设施赠款（SIG）的支持，该拟议的研究将达到三个主要目标。首先，它将确定使用手动和标准化质量保证方法在内华达州实施WSM是否会导致对环绕原理的依从性，而不是随机分配给非折磨案例管理计划（典型案例管理或TCM）的儿童。其次，它将确定与随机分配到TCM条件的儿童相比，经历SED并随机分配给WSM的儿童和青少年是否经历了卓越的行为和功能结果，并确定忠诚度对WSM过程的作用，作为临床和功能结果的主持人。第三，为了符合研究的探索性质，将分析数据，以扩展对研究中WSM忠诚度措施的心理计量学的当前理解，检查对儿童和青少年的亚群的结果，并探索两个研究组所接受的服务差异。鉴于全国护理系统中“环绕式”类型过程的广泛兴趣和实施，该研究的结果将具有直接的政策影响，并为进一步的大规模效能和有效性研究奠定了基础。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Psychometrics, Reliability, and Validity of a Wraparound Team Observation Measure.

DOI：
10.1007/s10826-014-9908-5
发表时间：
2015-04-01
期刊：
Journal of child and family studies
影响因子：
2.1
作者：
Bruns EJ;Weathers ES;Suter JC;Hensley S;Pullmann MD;Sather A
通讯作者：
Sather A

Effectiveness of wraparound versus case management for children and adolescents: results of a randomized study.

DOI：
10.1007/s10488-014-0571-3
发表时间：
2015-05
期刊：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
影响因子：
2.6
作者：
Bruns, Eric J.;Pullmann, Michael D.;Sather, April;Brinson, Ramona Denby;Ramey, Michelle
通讯作者：
Ramey, Michelle

Evaluating fidelity to the wraparound service model for youth: application of item response theory to the Wraparound Fidelity Index.

评估青年环绕服务模型的保真度：项目响应理论在环绕保真度指数中的应用。