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

Within each of the Four Phases of HFW there are required activities and corresponding documentation. The facilitator ensures that these activities and documentation are completed and disseminated to team members and funding sources as required. Read More

The Virginia Wraparound Implementation Center (VWIC) provides High Fidelity Wraparound (HFW) training, coaching, and technical assistance for the Commonwealth of Virginia. HFW training is provided in collaboration with the Office of Children’s Services. 

VWIC was established in 2019 in order to carry on the work of the Virginia Wraparound Center of Excellence (COE). VWIC was developed from funds from a SAMHSA federal grant award and is currently operated by United Methodist Family Services (UMFS). VWIC’s Advisory Board is comprised of one-third youth, parents, and community stakeholders respectively. The Advisory Board assists in ensuring youth and family voice in the design and implementation of all VWIC activities. 

VWIC continues to collaborate with OCS to provide HFW training. All HFW Training opportunities are announced through the ICC Listserv. If you would like to be added to the Listserv or have questions regarding training please complete the “Contact Us” form on the VWIC website at www.vwic.org  

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