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High Fidelity Wraparound

What is Wraparound?
High Fidelity Wraparound is a team-based care-coordination approach that involves children, families, supports, and professional service providers. Wraparound is for children with serious emotional or behavioral health diagnoses whose family needs assistance keeping its children in their home, school, or community. If a child is currently out of his or her home or community, Wraparound can assist with planning for a successful return to his or her family, school, and friends.

Typically, children spend 12 to 18 months in Wraparound. The Child & Family Team meets once a month until it decides that the child is ready to transition out of the program, and Wraparound care coordination is no longer needed. Wraparound has been shown to help avoid out of home placement, improve school attendance and performance, decrease interactions with the legal system, and enhance a family’s quality of life.

Created by the South Carolina Legislature in 1983, COC’s mission is to ensure continuing development and delivery of appropriate services to children with the most severe and complex emotional and behavioral health challenges whose needs are not being adequately met by existing services and programs. Children must meet the initial screen criteria to be eligible for our services. To learn more and access the application, visit coc.sc.gov.

Ten Principles of Wraparound

  1. Family Voice & Choice - Family and child perspectives are intentionally elicited and prioritized during all four phases of the Wraparound process. Planning is grounded in a family members’ perspectives, and the team strives to provide options and choices so the Plan of Care reflects family values and preferences.
  2. Individualized - To achieve the goals laid out in the Wraparound plan, the team develops and implements a customized set of strategies, supports, and services.
  3. Strength Based - The Wraparound process and the Wraparound plan identify, build on, and enhance the capabilities, knowledge, skills, and assets of the child and family, their community, and other team members.
  4. Natural Supports - The team actively seeks out and encourages the full participation of team members drawn from family members’ networks of interpersonal and community relationships. The Wraparound plan reflects activities and interventions that draw on sources of natural support.
  5. Collaboration - Team members work cooperatively and share responsibility for developing, implementing, monitoring, and evaluating a single Wraparound plan. The plan reflects a blending of team members’ perspectives, mandates, and resources.
  6. Unconditional Care - Despite challenges, the team persists in working toward the goals included in the Wraparound plan until the team reaches agreement that a formal Wraparound process is no longer required.
  7. Community Based - The Wraparound team implements services and support strategies that take place in the most inclusive, most responsive, most accessible, and least restrictive settings possible; and that safely promote child and family integration into home and community life.
  8. Culturally Competent - The Wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the child and family, and their community.
  9. Team Based - The Wraparound team consists of individuals agreed upon by the family and committed to them through informal, formal, and community support and service relationships.
  10. Outcomes Based - The team ties the goals and strategies of the Wraparound plan to measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly.

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