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Phases and Activities of the Wraparound Process - Los Angeles ...

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WFI 4-<strong>Wraparound</strong> Facilitator Form August 13, 2007 version<br />

Now I am going to ask you a number <strong>of</strong> questions about how [name youth/family]’s plan has been<br />

implemented <strong>and</strong> how team meetings are conducted. First, can you tell me what team meetings are like<br />

currently? How do those meetings go?<br />

Phase 3: Implementation<br />

3.1<br />

FVC<br />

3.2<br />

Ind<br />

3.3<br />

SB<br />

3.4<br />

NS<br />

3.5<br />

Col<br />

3.6<br />

NS<br />

3.7<br />

Per<br />

3.8<br />

CB<br />

Are important decisions ever made about <strong>the</strong> child or family<br />

when <strong>the</strong>y are not <strong>the</strong>re?<br />

When <strong>the</strong> wraparound team has a good idea for a support or<br />

service for <strong>the</strong> child, can it find <strong>the</strong> resources or figure out some<br />

way to make it happen?<br />

Does <strong>the</strong> wraparound team get <strong>the</strong> child involved with activities<br />

she or he likes <strong>and</strong> does well?<br />

Please give two examples <strong>of</strong> those activities:<br />

1.<br />

2.<br />

*Follow scoring rules<br />

Does <strong>the</strong> team find ways to increase <strong>the</strong> support <strong>the</strong> family gets<br />

from its friends <strong>and</strong> family members?<br />

Do <strong>the</strong> members <strong>of</strong> <strong>the</strong> team hold each ano<strong>the</strong>r responsible for<br />

doing <strong>the</strong>ir part <strong>of</strong> <strong>the</strong> wraparound plan?<br />

Is <strong>the</strong>re a friend or advocate <strong>of</strong> <strong>the</strong> child or family who actively<br />

participates on <strong>the</strong> wraparound team?<br />

Does <strong>the</strong> team come up with new ideas for <strong>the</strong> wraparound plan<br />

whenever <strong>the</strong> family’s needs change?<br />

SAMPLE ONLY<br />

Circle one: YES NO<br />

Does <strong>the</strong> team come up with new ideas for <strong>the</strong> wraparound plan<br />

whenever something is not working?<br />

Circle one: YES NO<br />

Are <strong>the</strong> services <strong>and</strong> supports in <strong>the</strong> wraparound plan difficult for<br />

<strong>the</strong> family to access?<br />

(SUGGESTED PROMPTS: Because <strong>of</strong> scheduling or transportation<br />

issues or because services <strong>and</strong> supports are far away or hard to get to.)<br />

Yes<br />

Sometimes<br />

Somewhat No Missing<br />

0 1 2<br />

2 1 0<br />

Two<br />

examples <strong>of</strong><br />

activities<br />

youth likes<br />

<strong>and</strong> does<br />

well.<br />

One<br />

example <strong>of</strong><br />

an activity<br />

youth likes<br />

<strong>and</strong> does<br />

well.<br />

No<br />

examples <strong>of</strong><br />

activities<br />

youth likes<br />

<strong>and</strong> does<br />

well.<br />

2 1 0<br />

2 1 0<br />

2 1 0<br />

2 1 0<br />

YES to both<br />

questions<br />

YES to only<br />

one<br />

question<br />

NO to both<br />

questions<br />

2 1 0<br />

0 1 2<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

666 777<br />

888 999<br />

Missing Data Codes: 666 Not Applicable; 777 Refused; 888 Don’t Know; 999 Missing/Question Was Not Asked<br />

FOR AUTHORIZED USE ONLY – DO NOT DISTRIBUTE<br />

Copyright 2006 <strong>Wraparound</strong> Evaluation <strong>and</strong> Research Team / Eric J. Bruns, Ph.D., University <strong>of</strong> Washington; 206-685-2477; depts.washington.edu/wrapeval<br />

666 777<br />

888 999<br />

Page 6

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