Community Mental Health Journal

, Volume 50, Issue 8, pp 903–908 | Cite as

Measuring Wraparound Fidelity to Make Quality Improvements

  • Joan B. KernanEmail author
Brief Report


Wraparound care coordination has offered an individualized family approach to providing services to families in our county for the past decade. Instigated by our county mental health department interested in providing quality improvements to mental health services for families, we assessed the wraparound care coordination process through use of the Wraparound Fidelity Index (WFI), which measures adherence to established principles of wraparound. This article reports on findings from WFI data collected over three summers and reported back to the management team and family organization. Improvements were decided through consensus and included recommendations of parents and care coordinators. The goal of our study was to identify which activities and supports of wraparound were in need of improvement, enact quality improvements to address these areas and determine whether we were doing a better job over time.


Wraparound process Treatment fidelity Care coordination Children’s mental health Wraparound Fidelity Index 



The author thanks the youth, parents, caregivers, and care coordinators for their input and participation in this project which has improved services to all families. The Substance Abuse Mental Health Services Administration, Children’s Mental Health Services Grant SM-03-009 and Erie County, NY Department of Mental Health funded this work.


  1. Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The wraparound fidelity index. Journal of Emotional and Behavioral Disorders, 12(2), 79–89.CrossRefGoogle Scholar
  2. Bruns, E. J., Sather, A., Pullmann, M. D., & Stambaugh, L. F. (2011). National trends in implementing wraparound: Results from the state wraparound survey. Journal of Child and Family Studies, 20(6), 726–735.CrossRefGoogle Scholar
  3. Bruns, E. J., Suter, J. C., Force, M. M., & Burchard, J. D. (2005). Adherence to wraparound principles and association with outcomes. Journal of Child and Family Studies, 14(4), 521–534.CrossRefGoogle Scholar
  4. Bruns, E. J., Suter, J. C., & Leverentz-Brady, K. (2008). Is it wraparound yet? Setting quality standards for implementation of the wraparound process. The Journal of Behavioral Health Services & Research, 35(3), 240–252.CrossRefGoogle Scholar
  5. Bruns, E. J., Walker, J. S., Zabel, M., Matarese, M., Estep, K., Harburger, D., et al. (2010). Intervening in the lives of youth with complex behavioral health challenges and their families: The role of the wraparound process. American Journal of Community Psychology, 46, 314–331.PubMedCentralPubMedCrossRefGoogle Scholar
  6. Burns, B. J., & Goldman, S. K. (Eds.). (1998). Promising practices in wraparound for children with serious emotional disturbance and their families ( Vol. IV, p. 14). Washington, D.C.: Center for Effective Collaboration and Practice, American Institutes for Research.Google Scholar
  7. Effland, V. S., Walton, B. A., & McIntyre, J. S. (2011). Connecting the dots: Stages of implementation, wraparound fidelity and youth outcomes. Journal of Child and Family Studies, 20, 736–746.CrossRefGoogle Scholar
  8. Kernan, J., Pagkos, B., & Grieco, J. (2009). Family voices network of Erie County: One community’s story of implementing system reform. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to wraparound. (Chap. 5b.2). Portland, OR: National Wrap-around Initiative.Google Scholar
  9. Sather, A., Pullmann, M., & Bruns, E. (2011). What predicts wraparound fidelity? Findings from the wraparound fidelity index. Poster presented at the 24th Annual Systems of Care Conference in Tampa, FL. Retrieved February 19, 2014 from
  10. Walker, J. S., & Bruns, E. J. (2012). Wraparound basics: What takes place during the wraparound process? Retrieved January 10, 2013 from
  11. Walker, J. S., & Bruns, E. J. (2013). Wraparound fidelity assessment system. Wraparound evaluation and research team. Retrieved January 10, 2013 from
  12. Walker, J. S., Koroloff, N., & Schutte, K. M. (2003). Implementing high-quality collaborative individualized service/support planning: Necessary conditions. Portland, OR: Portland State University, Research and Training Center on Family Support and Children’s Mental Health.Google Scholar
  13. Walker, J. S., & Schutte, K. M. (2004). Practice and process in wraparound teamwork. Journal of Emotional and Behavioral Disorders, 12(3), 182–192.CrossRefGoogle Scholar
  14. Walton, B., Effland, V. S., & Bruns, E. (2010). Relationship of fidelity to wraparound and outcomes for youth and families. Paper presented at the 6th Annual CANS Conference, San Francisco, CA. Retrieved February 19, 2014 from

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Family MedicineUniversity at BuffaloBuffaloUSA

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