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Administration and Policy in Mental Health and Mental Health Services Research

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01.05.2015 | Original Article

Effectiveness of Wraparound Versus Case Management for Children and Adolescents: Results of a Randomized Study

verfasst von: Eric J. Bruns, Michael D. Pullmann, April Sather, Ramona Denby Brinson, Michelle Ramey

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 3/2015

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Abstract

In this study, we compared service experiences and outcomes for youths with serious emotional disorder (SED) randomly assigned to care coordination via a defined wraparound process (n = 47) versus more traditional intensive case management (ICM; n = 46) The wraparound group received more mean hours of care management and services; however, there ultimately were no group differences in restrictiveness of residential placement, emotional and behavioral symptoms, or functioning. Wraparound implementation fidelity was found to be poor. Organizational culture and climate, and worker morale, were poorer for the wraparound providers than the ICM group. Results suggest that, for less-impaired youths with SED, less intensive options such as ICM may be equally effective to poor-quality wraparound delivered in the absence of wraparound implementation supports and favorable system conditions.

American Psychological Association. (2000). Diagnostic and statistical manual of mental disorders-fourth edition-text revised (4th ed.). Washington, DC: American Psychological Association.CrossRef

Austin, C. D. (1993). Case management: A systems perspective. Families in Society, 74, 451–459.

Bender, K., Kapp, S., & Hahn, S. A. (2011). Are case management services associated with increased utilization of adolescent mental health treatment? Children and Youth Services Review, 33, 134–138.CrossRef

Bickman, L., Smith, C. M., Lambert, E. W., & Andrade, A. R. (2003). Evaluation of a congressionally mandated wraparound demonstration. Journal of Child and Family Studies, 12, 135–156.CrossRef

Bourdon, K. H., Goodman, R., Rae, D. S., Simpson, G., & Koretz, D. S. (2005). The strengths and difficulties questionnaire: US normative data and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 44(6), 557–564.CrossRefPubMed

Brannan, A. M., Sonnichsen, S., & Heflinger, C. A. (1996). Measuring satisfaction with children’s mental health services: Validity and reliability of the satisfaction scales. Evaluation & Program Planning, 19, 131–141.CrossRef

Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The wraparound fidelity index. Journal of Emotional & Behavioral Disorders, 12(2), 79.CrossRef

Bruns, E. J., Leverentz-Brady, K. M., & Suter, J. C. (2008). Is it wraparound yet? Setting quality standards for implementation of the wraparound process. Journal of Behavioral Health Services & Research, 35(3), 240–252.CrossRef

Bruns, E. J., Rast, J., Peterson, C., Walker, J. M., & Bosworth, J. (2006). Spreadsheets, service providers, and the statehouse: Using data and the wraparound process to reform systems for children and families. American Journal of Community Psychology, 38(3–4), 201–212.CrossRefPubMed

Bruns, E. J., & Sather, A. (2007). User’s manual to the wraparound team observation measure. Seattle, WA: University of Washington, Wraparound Evaluation and Research Team, Division of Public Behavioral Health and Justice Policy.

Bruns, E.J., Sather, A., & Pullmann, M.D. (2010). The wraparound fidelity assessment system: Psychometric analyses to support refinement of the wraparound fidelity index and team observation measure. Paper presented at 24th Annual Children’s Mental Health Research Conference, Tampa, FL.

Bruns, E. J., Suter, J. C., Force, M. M., & Burchard, J. D. (2005). Adherence to wraparound principles and association with outcomes. Journal of Child and Family Studies, 14(4), 521–534.CrossRef

Bruns, E. J., Walker, J. S., Chorpita, B. F., & Daleiden, E. (2013). Family voice with informed choice: Coordinating wraparound with research-based treatment for children and adolescents. Journal of Clinical Child and Adolescent Psychology, 43(2), 256–269.CrossRefPubMedCentralPubMed

Bruns, E. J., Walker, J. S., Zabel, M., Matarese, M., Estep, K., Harburger, D., et al. (2010b). 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.CrossRefPubMedCentralPubMed

Burns, B. J., Farmer, E. M. Z., Angold, A., Costello, E. J., & Behar, L. (1996). A randomized trial of case management for youths with serious emotional disturbance. Journal of Clinical Child Psychology, 25(4), 476–486.CrossRef

Burns, B., & Goldman, K. (Eds.). (1999). Systems of care: Promising practices in children’s mental health (Vol. IV). Washington, DC: Center for Effective Collaboration and Practice.

Burns, B. J., Hoagwood, K., & Maultsby, L. T. (1998). Improving outcomes for children and adolescents with serious emotional and behavior disorders: Current and future directions. In M. H. Epstein, K. Kutash, & A. J. Duchnowski (Eds.), Outcomes for children and youth with emotional and behavioral disorders and their families: Programs and evaluations best practices. Austin, TX: Pro-Ed.

Carney, M. M., & Buttell, F. (2003). Reducing juvenile recidivism: Evaluating the wraparound services model. Research on Social Work Practice, 13(5), 551–568.CrossRef

Clark, H. B., Lee, B., Prange, M. E., & McDonald, B. A. (1996). Children lost within the foster care system: Can wraparound service strategies improve placement outcomes? Journal of Child and Family Studies, 5, 39–54.CrossRef

Clark, H. B., Prange, M., Lee, B., Stewart, E. S., McDonald, B. A., & Boyd, L. A. (1998). An individualized wraparound process for children in foster care with emotional/behavioral disturbances: Follow-up findings and implications from a controlled study. In M. Epstein, K. Kutash, & A. Duchnowski (Eds.), Outcomes for children and youth with emotional and behavioral disorders and their families (pp. 513–542). Austin, TX: Pro-Ed.

Cooper, J. L., Aratani, Y., Knitzer, J., Douglas-Hall, A., Masi, R., Banghart, P., et al. (2008). Unclaimed children revisited: The status of children’s mental health policy in the United States. New York: National Center for Children in Poverty.

Drake, R., Goldman, H., Leff, H., Lehman, A., Dixon, L., Mueser, K., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52, 179–182.CrossRefPubMed

Evans, M. E., Armstrong, M. I., Kuppinger, A. D., Huz, S., & McNulty, T. L. (1998). Preliminary outcomes of an experimental study comparing treatment foster care and family-centered intensive case management. In M. H. Epstein, K. Kutash, & A. J. Duchnowski (Eds.), Outcomes for children and youth with emotional and behavioral disorders and their families: Programs and evaluation best practices (pp. 543–580). Austin, TX: PRO-ED.

Farmer, T. W., & Farmer, E. M. Z. (2001). Developmental science, systems of care, and prevention of emotional and behavioral problems in youth. American Journal of Orthopsychiatry, 7(12), 10.

Garland, A. F., Brookman-Frazee, L., Hurlburt, M. S., Accurso, E. C., Zoffness, R. J., Haine-Schlagel, R., et al. (2010). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61(8), 788–795.CrossRefPubMedCentralPubMed

Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse and Neglect, 22(5), 401–421.CrossRefPubMed

Glisson, C., & James, L. R. (2002). The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior, 23(6), 767–794.CrossRef

Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health, 35, 98–113.CrossRefPubMed

Glisson, C., & Schoenwald, S. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Mental Health Services Research, 7, 243–259.CrossRefPubMed

Glisson, C., Schoenwald, S. K., Hemmelgarn, A., Green, P., Dukes, D., Armstrong, K. S., et al. (2010). Randomized trial of MST and ARC in a two-level evidence-based treatment implementation strategy. Journal of Consulting and Clinical Psychology, 78(4), 537–550.CrossRefPubMedCentralPubMed

Goodman, R., & Scott, S. (1999). Comparing the strengths and difficulties questionnaire and the child behavior checklist: Is small beautiful? Journal of Abnormal Child Psychology, 27(1), 17–24.CrossRefPubMed

Grimes, K., Schulz, M., Cohen, S., Mullin, B., Lehar, S., & Tien, S. (2011). Pursuing cost-effectiveness in mental health service delivery for youth with complex needs. Journal of Mental Health Policy and Economics, 14, 73–86.PubMed

Hatcher, R. L., & Gillaspy, J. (2006). Development and validation of a revised short version of the working alliance inventory. Psychotherapy Research, 16(1), 12–25.CrossRef

Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1998). Multisystemic treatment of substance abusing and dependent delinquents: Outcomes, treatment fidelity, and transportability. New York: Guilford Press.

Hoagwood, K. E. (2005). Family-based services in children’s mental health: A research review and synthesis. Journal of Child Psychology and Psychiatry, 46(7), 690–713.CrossRefPubMed

Hodges, K. (1997). Child and adolescent functional assessment scale. Ypsilanti, MI: Department of Psychology, Eastern Michigan University.

Hodges, K., & Kim, C. S. (2000). Psychometric study of the child and adolescent functional assessment scale: Prediction of contact with the law and poor school attendance. Journal of Abnormal Child Psychology, 28(3), 287–297.CrossRefPubMed

Hodges, K., Xue, Y., & Wotring, J. (2004). Outcomes for children with problematic behavior in school and at home served by public mental health. Journal of Emotional and Behavioral Disorders, 12(2), 109–119.CrossRef

Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223–233.CrossRef

Horwitz, S. M., Hoagwood, K., Stiffman, A. R., Summerfeld, T., Weisz, J. R., Costello, E. J., et al. (2001). Reliability of the services assessment for children and adolescents. Psychiatric Services, 52, 1088–1094.CrossRefPubMed

Hyde, K. L., Burchard, J. D., & Woodworth, K. (1996). Wrapping services in an urban setting. Journal of Child and Family Studies, 5, 67–82.CrossRef

Kataoka, S., Zhang, L., & Wells, K. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159(9), 1548–1555.CrossRefPubMed

Kazak, A. E., Hoagwood, K., Weisz, J. R., Hood, K., Kratochwill, T. R., Vargas, L. A., et al. (2010). A meta-systems approach to evidence-based practice for children and adolescents. American Psychologist, 65(2), 85–97.CrossRefPubMed

Knitzer, J. (1982). Unclaimed children: The failure of public responsibility to children and adolescents in need of mental health care. New York: Children’s Defense Fund.

Koren, P. E., DeChillo, N., & Friesen, B. J. (1992). Measuring empowerment in families whose children have emotional disabilities: A brief questionnaire. Rehabilitation Psychology, 37(4), 305–321.CrossRef

McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). The relationship between model fidelity and client outcomes in the New Hampshire dual disorders study. Psychiatric Services, 50, 818–824.CrossRefPubMed

Mears, S. L., Yaffe, J., & Harris, N. J. (2009). Evaluation of wraparound services for severely emotionally disturbed youths. Research on Social Work Practice, 19(6), 678–685.CrossRef

New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America (No. DHHS Pub. No. SMA-03-3832). Rockville, MD: DHHS.

Penn, M., & Osher, T. (2008). The application of the ten principles of the wraparound process to the role of family partners on wraparound teams. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to wraparound. Portland, OR: National Wraparound Initiative, Research and Training Center for Family Support and Children’s Mental Health.

Pires, S. A. (2002). Building systems of care: A primer. Washington, DC: National Technical Assistance Center for Children’s Mental Health, Georgetown University Child Development Center.

Pullmann, M. D., Bruns, E. J., & Sather, A. (2013). Evaluating fidelity to the wraparound service model for youth: Application of item response theory to the wraparound fidelity index. Psychological Assessment, 25(2), 583–598.CrossRefPubMedCentralPubMed

Pullmann, M. D., Kerbs, J., Koroloff, N., Veach-White, E., Gaylor, R., & Sieler, D. D. (2006). Juvenile offenders with mental health needs: Reducing recidivism using wraparound. Crime & Delinquency, 52(3), 375–397.CrossRef

Pullmann, M. D., VanHooser, S., Hoffman, C., & Heflinger, C. A. (2010). Barriers to and supports of family participation in a rural system of care for children with serious emotional problems. Community Mental Health Journal, 46(3), 211–220.CrossRefPubMedCentralPubMed

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.

Raudenbush, S. W., & Xiao-Feng, L. (2001). Effects of study duration, frequency of observation, and sample size on power in studies of group differences in polynomial change. Psychological Methods, 6(4), 387–401.CrossRefPubMed

Rauktis, M. E., Huefner, J., O’Brien, K., Pecora, P., Doucette, A., & Thompson, R. (2009). Measuring restrictiveness of living environments for children and youth: Reconceptualizing restriction. Journal of Emotional and Behavioral Disorders., 17(3), 147.CrossRef

Rauso, M., Ly, T., Lee, M. H., & Jarosz, C. J. (2009). Improving outcomes for foster care youth with complex emotional and behavioral needs: A comparison of outcomes for wraparound vs. residential care in Los Angeles county. Emotional & Behavioral Disorders in Youth, 9(3), 63–68.

Rosenblatt, A. (1996). Bows and ribbons, tape and twine: Wrapping the wraparound process for children with multi-system needs. Journal of Child and Family Studies, 5, 101–116.CrossRef

Schoenwald, S. K., Henggeler, S. W., Brondino, M. J., & Rowland, M. D. (2000). Multisystemic therapy: Monitoring treatment fidelity. Family Process, 39(1), 83–103.CrossRefPubMed

Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis. New York: Oxford University Press.CrossRef

Snyder, E. H., Lawrence, C., & Dodge, K. A. (2012). The impact of system of care support in adherence to wraparound principles in child and family teams in child welfare in North Carolina. Children and Youth Services Review, 34(4), 639–647.CrossRefPubMedCentralPubMed

Stambaugh, L., Mustillo, S. A., Burns, B. J., Stephens, R. L., Baxter, B., Edwards, D., et al. (2007). Outcomes from wraparound and multisystemic therapy in a center for mental health services system-of-care demonstration site. Journal of Emotional and Behavioral Disorders, 15(3), 143–155.CrossRef

Suter, J. C., & Bruns, E. J. (2009). Effectiveness of the wraparound process for children with emotional and behavioral disorders: A meta-analysis. Clincial Child and Family Psychology Review, 12(4), 336–351.CrossRef

Tolan, P. H., & Dodge, K. A. (2005). Children’s mental health as a primary care and concern: A system for comprehensive support and service. American Psychologist, 60(6), 601–614.CrossRefPubMedCentralPubMed

US Public Health Service. (2000). Report of the surgeon general’s conference on children’s mental health: A national action agenda. Washington, DC: Department of Health and Human Services.

Walker, J. S., & Bruns, E. J. (2006). Building on practice-based evidence: Using expert perspectives to define the wraparound process. Psychiatric Services, 57(11), 1579–1585.CrossRefPubMed

Walker, J. S., Bruns, E. J., & Penn, M. (2008). Individualized services in systems of care: The wraparound process. In B. A. Stroul & G. Blau (Eds.), The system of care handbook: Transforming mental health services for children and families. Brookes: Baltimore.

Walker, J. S., & Matarese, M. (2011). Using a theory of change to drive human resource development for Wraparound. Journal of Child and Family Studies, 20(6), 791–803.CrossRef

Walker, J. S., & Sanders, B. (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.CrossRef

Weisz, J. R., Sandler, I. N., Durlak, J. A., & Anton, B. S. (2005). Promoting and protecting youth mental health through evidence-based prevention and treatment. American Psychologist, 60, 628–648.CrossRefPubMed

Ziguras, S., & Stuart, G. W. (2000). A meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatric Services, 51, 1410–1421.CrossRefPubMed

Titel: Effectiveness of Wraparound Versus Case Management for Children and Adolescents: Results of a Randomized Study
verfasst von: Eric J. Bruns
Michael D. Pullmann
April Sather
Ramona Denby Brinson
Michelle Ramey
Publikationsdatum: 01.05.2015
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 3/2015
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-014-0571-3

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