Is the process working for the family and team?.What are the strategies to meet each need?.Allow transparency in information sharing. Drive positive outcomes – CANS data, youth and family support, residential status, educational environment and behavior, youth functioningįidelityEHR is intended to facilitate more effective Wraparound care coordination – for a single youth, or for an initiative that supports thousands. Track and enhance service processes – Family Satisfaction, Fidelity, Progress toward needs.times, meeting notes, contact histories, critical incidents, services and costs Collect and manage key documentation – Plans of care, strengths, needs, family stories, family history timeline, meeting and appt.Supports individuals engaged in the process – Youth and family members, team members, providers, natural and community supports, coordination of care.Read Case StudyįidelityEHR provides a way to manage and access key information throughout the care coordination process “FidelityEHR offers a way electronically that allows facilitators to invest more time with families rather than with paperwork.”įor an example of our Wraparound Coordinated Care Organization, review this FidelityEHR Case Study: Lutheran Social Services of Southern California FidelityEHR Success Story. Together, through FidelityEHR’s partnerships with National Wraparound Initiative (NWI), and the University of Washington Wraparound Evaluation & Research Team (UW-WERT), FidelityEHR is committed to improving care coordination outcomes by ensuring critical components of a plan of care are entered and managed, making it easy to measure progress, and ensuring data relevant and reliable data are available to practitioners, supervisors, and administrators alike. Over the past three years, development and testing of FidelityEHR was supported by two Small Business Technology Transfer grants that aimed support development, testing, and commercialization of a next-generation EHR developed to improve collaborative care outcomes. FidelityEHR uniquely addresses this need, providing providers, initiatives and states with a full featured Electronic Health Record that fully supports the 10 principles of Wraparound. States, initiatives, and providers have often struggled to find ways to manage data and information in a way that both aligns with the Wraparound principles and practice model and meets needs for documentation, billing, and high-level reporting on costs and outcomes. All rights reserved.Implementing the Wraparound practice model just got easier with FidelityEHR electronic health record software. Nonetheless, the results should aid decisions around resource allocation, referral practices, and system partnerships among child psychiatrists and other behavioral health professionals.Ĭare coordination mental health meta-analysis wraparound youth.Ĭopyright © 2021 The Authors. However, many studies showed methodological weaknesses, and fidelity measurement was largely absent, suggesting a need for additional research. Results indicate positive effects for Wraparound, especially for maintaining youths with SED in the home and community. Larger effects were found for peer-reviewed studies, quasi-experimental designs, samples with a larger percentage of youths of color, and Wraparound conditions with higher fidelity. 007) small effects were found for mental health symptoms (g = 0.358, CI = 0.030-0.687, p =. Medium-sized effects favored Wraparound-enrolled youths for costs (g = 0.391, CI = 0.282-0.500, p <. Homogeneity of effects were assessed using Q statistics. Effect sizes were calculated using Hedges g. Random effects modeling was conducted using Comprehensive Meta-Analysis Version 3.0. The current systematic review and meta-analysis estimated effects on youth outcomes (symptoms, functioning, school, juvenile justice, and residential placement) and costs.Ī literature search identified 17 peer-reviewed and gray literature studies meeting criteria, which were coded on characteristics of sample, design, implementation, and outcomes. Wraparound is a common method for coordinating care for children and adolescents with serious emotional disorders (SED), with nearly 100,000 youths served annually in the United States.
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