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Chapter 61. Systems of Care, Wraparound Services, and Home-Based Services

Yann Poncin, M.D.; Joseph Woolston, M.D.
DOI: 10.1176/appi.books.9781585623921.479086

Sections

Excerpt

Systems of care (SOCs) and wraparound services represent philosophies of care rather than programs with clearly specified elements of treatment. An SOC recognizes the importance of family, school, and the community at large in a child's overall health. The informal and formal supports and services available in a given community and their linkage comprise the SOC, and coordinating access to services within the larger community is an integral part of an SOC. Wraparound services are one approach to working with families using an SOC philosophy. Wraparound "wraps" services in the community around a child and family, according to the individualized needs of the family. Wraparound has a specifically defined clinical and theoretical orientation and is concerned with the process of how a child and family are engaged to create a service plan that accesses or creates the relevant services available in the community. Core features of wraparound and SOCs include engagement with the family from a strength-based and culturally competent perspective and respecting the family's own perception of their needs and goals, along with helping them to obtain services to meet those goals (Walker and Bruns 2006). The wraparound process became the favored approach to implementing the SOC philosophy when SOC programs first emerged; therefore, the two terms are closely linked.

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TABLE 61–1. System of care: core values
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TABLE 61–2. System of care: guiding principles
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TABLE 61–3. Key elements to a wraparound process
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TABLE 61–4. Examples of wraparound services and systems of care (SOCs)
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TABLE 61–5. Implementation of a wraparound approach
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TABLE 61–6. Potential sources of community support

References

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Sample questions:
1.
Which of the following statements regarding the historical roots of system of care (SOC) approaches and wraparound services is false?
2.
Which of the following is not a guiding principle of systems of care?
3.
Wraparound services are helpful when children and families have significant emotional and behavioral difficulties. Key elements of wraparound services include all of the following except
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