High Fidelity Wraparound (HFW) is a team-based, collaborative planning process for developing and implementing individualized care plans for children with behavioral health challenges, and their families. HFW is an evidence-based process driven by 10 principles, four phases and a theory of change. HFW has four goals: To meet the stated needs (not services) prioritized by the youth and family, to improve the youth/family’s ability and confidence to manage their own services and supports, to develop or strengthen the youth/family’s natural support system over time, and to integrate the work of all child serving systems and natural supports into one streamlined plan.
The Intensive Care Coordinator (ICC) facilitates the HFW process. It is the job of the ICC worker (also known as the HFW Facilitator) to move the HFW team (to include the youth, family, system partners, service providers, and natural supports of the youth and family) through the 4 phases of HFW (Engagement, Planning, Implementation, and Transition). The ICC worker must understand the youth and family’s vision and prioritized needs (as well as the strengths, culture and people related to these needs), must ensure that the team understands these needs and corresponding strengths and culture, and must balance these needs with system partner mandates. HFW recognizes that needs are not services. Needs are what must change in order for the family to achieve their vision; services are one strategy for meeting needs. By breaking the larger prioritized needs into smaller goals, the action plans developed during HFW grow the family’s confidence and skillset. Each plan is developed and reviewed by the team and all plans have a measurable strategy. The HFW Facilitator maintains engagement with all members of the team and ensures that progress and success are continuously monitored and celebrated.
HFW is not a treatment intervention. HFW does not aim to “solve the family’s problems”. HFW is not a clinical expert making decisions for the family. The role of the ICC worker and the HFW team is to develop the self-efficacy of the youth and family such that they are more confident problem-solvers and can more successfully identify, plan for, and meet their own needs. In HFW, we do not do things for the family that they can do for themselves. Self-efficacy is achieved by transitioning and building the skills of the family and their natural support system. HFW is a process; positive outcomes result when the process is followed to fidelity. This requires commitment by all involved (Funders, Referral Source, ICC Facilitator, Youth and Family, and HFW team).
High Fidelity Wraparound (HFW) is an evidence-based planning process that is team-based as well as strengths and culturally driven. In HFW, the facilitator partners with the youth and family to develop a team that will help the family achieve their vision by developing individualized action plans to meet their prioritized needs. Read More
What is Wraparound? The TA Network created an Animated Short that highlights a collaborative-care approach that supports behavioral health reform efforts at the state, local, and program levels. Check it out here:
The Framework is the visual representation of the components of HFW. It is the HFW facilitator’s responsibility to ensure that the framework is honored, ensuring the process is completed to fidelity. Read More
The HFW Facilitator is the keeper of fidelity. The facilitator guides the team through the four phases of the process, ensuring all team members stay engaged and monitors for progress through the use of the Family Vision, Team Mission, and monthly Measurement Strategies. Read More
The Family Support Partner (FSP) is the workforce partner of the HFW Facilitator. FSP’s use their lived experience navigating the child-serving system to ensure that the family and youth’s voice, strengths, needs and culture drive the HFW process, and that the family understands the perspective and voice of other team members. The FSP can be the bridge to mend, develop and grow relationships and are often a wealth of information regarding community supports and resources. The FSP and HFW Facilitator work together as equal partners throughout the four phases of the process. Read More
Office of Children’s Services
The Wraparound Center of Excellence (COE) is responsible for the training, general oversight and Technical Assistance to providers, system partners, and CSA communities regarding the implementation of HFW in Virginia. The COE houses all current policy, training and informational material on HFW in Virginia.
The High Fidelity Wraparound (HFW) Coach ensures the HFW workforce has the skills and competencies needed to deliver services that align with the framework and skill rubrics of the HFW model. This occurs through individual and group sessions that follow a structured format known as the Coaching Circuit. Coaching is highly individualized process that targets the development of new skills and promotes continuous self-assessment and learning. The coaching process is a mirror of the HFW process where needs (in this case the skills of the workforce) are identified and prioritized, and monthly plans are developed to meet these needs.
For more information on Coaching click here: Youth and Family Training Institute
The Virginia Wraparound Implementation Center (VWIC) is a model for Virginia’s movement toward evidence-based practice workforce development, coaching, fidelity and outcome reporting. In the next couple of months, VWIC will become the statewide entity responsible for High Fidelity Wraparound (HFW) workforce training, as well as the development and implementation of measures to ensure quality and fidelity to the HFW model. This memo provides background on VWIC as well as an opportunity for providers of High Fidelity Wraparound to participate as a VWIC member.