Development of Wraparound Team Monitoring System (Wrap-TMS)

描述(由申请人提供)：综合服务模式(WSM)是一种针对患有严重情绪和行为障碍(SEBD)的儿童和青少年的个性化护理计划和管理流程，在美国近1000个地点实施。这项第一阶段小型企业技术转让提案的目的是开发和试行一个基于网络的监测和反馈系统，以支持决策管理和水资源管理的全面实施。综合团队监测系统(WRAP-TMS)将由四个评估部分组成，通过理论和研究将它们与提高WSM的忠诚度和成果联系在一起：(1)目标设定和跟踪，(2)团队运作，(3)家庭与自然和社区支持的联系，以及(4)青年成果。每个WRAP-TMS组件将具有可管理的输入数量(5-8个)，使其对工作人员和主管来说是可行的。MFS将生成客户级别的“仪表盘”报告，以支持WSM员工和团队的保真度和临床决策，以及项目级别的报告，这些报告汇总这些数据以满足评估和质量改进需求。在第一阶段STTR项目期间，研究小组将确定拟议的WRAP-TMS及其原型报告功能的可行性和实用性。在项目期间，研究团队将：(1)对构成WRAP-TMS的四个组成部分进行用户测试；(2)评估WRAP-TMS项目和量表的心理测量学；(3)以实际的WSM团队对WRAP-TMS的“团队仪表板”报告功能的效用进行试点测试和评估；(4)对WRAP-TMS的原型项目级报告功能的效用进行试点测试和评估；以及(5)使用所有上述活动的结果来确定支持WRAP-TMS传播的其他方法，并制定第二阶段STTR提案和商业化计划。该项目具有很高的创新性，因为它将动员对WSM和MFS技术的研究，以提供全国数百个WSM站点所需但目前尚未提供的重要功能：一种临床决策支持技术，有助于提供高质量、符合模型的综合护理管理。通过开发这些技术，供提供者组织、州和地方监督机构、管理保健实体、区域和国家培训人员以及研究人员使用，该项目将成为弥合“研究与实践”差距的努力的重要组成部分，同时也促进对这一模式和这一群体的研究。 与公共卫生相关：这一第一阶段STTR项目将开发和试点测试基于网络的监测和反馈系统(MFS)，该系统将支持决策管理和全面实施综合服务模式(WSM)，这是一种针对患有严重情绪和行为障碍的儿童的个性化护理管理干预措施。这样的系统将动员对WSM和MFS技术的研究，以提供全国数百个WSM站点所需但目前尚未提供的重要功能：促进交付高质量、符合模型的WSM的临床决策支持技术。通过开发这些技术，供提供者组织、州和地方监督机构、管理保健实体、区域和国家培训人员以及研究人员使用，该项目将成为弥合“研究与实践”差距的努力的重要组成部分，同时也促进对这一模式和这一群体的研究。

DESCRIPTION (provided by applicant): The wraparound service model (WSM) is an individualized care planning and management process for children and youth with serious emotional and behavioral disorders (SEBD) that is implemented in nearly 1000 sites in the United States. The purpose of this Phase I Small Business Technology Transfer (STTR) proposal is to develop and pilot test a web-based monitoring and feedback system (MFS) that will support decision management and overall implementation of WSM. The Wraparound Team Monitoring System (Wrap-TMS) will consist of four assessment components that are linked by theory and research to achievement of improved fidelity and outcomes of WSM: (1) Goal Setting and Tracking, (2) Team Functioning, (3) Family Connection to Natural and Community Supports, and (4) Youth Outcomes. Each Wrap-TMS component will have a manageable number of inputs (5-8) that make it feasible for staff persons and supervisors. The MFS will produce client-level "dashboard" reports to support fidelity and clinical decision-making by WSM staff and teams, as well as program-level reports that aggregate these data to meet evaluation and quality improvement needs. During this Phase I STTR project, the research team will determine the feasibility and utility of the proposed Wrap-TMS and its prototype reporting features. During the project, the research team will: (1) Conduct user testing of the four components that comprise the Wrap-TMS with a diverse group of users nationwide; (2) Assess psychometrics of Wrap-TMS items and scales; (3) Pilot test and evaluate the utility of the "team dashboard" reporting function of Wrap-TMS with actual WSM teams; (4) Pilot test and evaluate utility of a prototype program-level reporting function of the Wrap-TMS; and (5) Use results from all the above activities to determine additional methods for supporting Wrap-TMS dissemination and develop a Phase II STTR proposal and commercialization plan. This project is highly innovative in that it will mobilize research on WSM and MFS technologies to provide an important function that is needed but not currently available to hundreds of WSM sites nationally: A clinical decision support technology that facilitates delivery of high-quality, model-adherent wraparound care management. By developing such technologies for use by provider organizations, state and local oversight agencies, managed care entities, regional and national trainers, and researchers, this project will serve as an important part of the effort to bridge the "research to practice" gap, while also facilitating research on this model and this population. PUBLIC HEALTH RELEVANCE: This Phase I STTR project will develop and pilot test a web-based monitoring and feedback system (MFS) that will support decision management and overall implementation of the wraparound service model (WSM), an individualized care management intervention for children with serious emotional and behavioral disorders. Such a system will mobilize research on WSM and MFS technologies to provide an important function that is needed but not currently available to hundreds of WSM sites nationally: A clinical decision support technology that facilitates delivery of high-quality, model-adherent WSM. By developing such technologies for use by provider organizations, state and local oversight agencies, managed care entities, regional and national trainers, and researchers, this project will serve as an important part of the effort to bridge the "research to practice" gap, while also facilitating research on this model and this population.