Frequently Asked Questions
Here are answers to a few questions we get asked:
1. Does the Youth and Family Training Institute do training other than training for High Fidelity Wraparound?
The Youth and Family Training Institute (YFTI) was established to train, coach and credential the HFW workforce to maintain the fidelity of the High Fidelity Wraparound (HFW) process. The YFTI will also work to prepare counties to implement the HFW. At this time, we train the HFW workforce to teach the HFW process. We also train Youth Mental Health First Aid for the counties involved in the PA System of Care Partnership, which YFTI is a partner of along with the System of Care Implementation Team, the Evaluation Team and Pennsylvania Families, Inc.
2. If my family and I decide to try the High Fidelity Wraparound process, can I choose my own team?
The HFW Facilitator is assigned to a youth and family. If a Youth Support Partner (YSP) and a Family Support Partner (FSP) are requested, they will be assigned by the county provider agency. If the Facilitator, YSP or FSP are not a good fit, changes can be made. The youth and family can then decide who they would like to be a part of their HFW team. The other members can be current providers of services, clinical team and/or neighbors, family members, and other people in the community identified as natural supports.
3. How do I know this can help me?
Research has shown that HFW has been effective in engaging and empowering families, and producing good outcomes for youth and families while reducing costs. More importantly, High Fidelity Wraparound is a process that builds confidence in youth with behavioral health needs, and their families. The HFW process enables the youth and family to learn how to manage their recovery plan. The process of High Fidelity Wraparound also helps the youth and family identify those in their circle of family, friends and community who can be natural supports to them, in other words, non-professionals they can turn to in their time of need. In many circumstances, the HFW process helps to re-establish relationships that have been interrupted due to the child’s behavioral health issues.
4. What does family-driven and youth-guided mean?
Family driven and youth guided means that the youth and family decide what issues and barriers to recovery are most important to them. They determine the direction of the team.
5. How long does the High Fidelity Wraparound process last?
High Fidelity Wraparound can last as long as the process is needed for the youth and family. Part of the process is to guide the youth and family to no longer need the involvement of the HFW staff because they are able to utilize their own resources to problem-solve and continue towards recovery. There are several indicators to identify when a youth and family are ready to transition out of HFW. As an example, youth and their family are ready to move on when they feel more confident and there are fewer behavioral crises. They are ready to graduate when they are able to run their team meetings, and use their skills to reach out to natural support, schools, providers and resources to help them achieve the goals they have identified.
6. Will I be able to do my regular activities and have time with my friends if I get a High Fidelity Wraparound team?
High Fidelity Wraparound is a process. You are a member of the team, and you prioritize what you feel you need in order to continue in your recovery. If your activities are important to you, then you will maintain your activities. If your friends are positive, encouraging and important to you, they can be part of your natural supports. Any good life-long social and recovery plan needs to include the people who are most important to you.
7. If I work as a Probation Officer, what does High Fidelity Wraparound team involvement look like for me?
Most who work in the child-serving system understand that the juvenile justice system tends to have the final say in many decisions involving the youth. The High Fidelity Wraparound process should include the probation officer as a team member. Thoughtful and responsible strengths-based actions that are inspired and prescribed by youth and families is what is expected from all HFW team members, regardless of the system they work in or their relationship with the youth and family.
8. Do I have to choose a Youth Support Partner?
No. If you as the youth involved do not feel that a Youth Support Partner (YSP) will be beneficial to your recovery, you will not have a YSP on your team.
9. Do I have to choose a Family Support Partner?
No. If you, as the parent or guardian involved do not feel that a Family Support Partner (FSP) will be beneficial to you, and your child and family's recovery, you will not have a FSP on your team.
10. Is High Fidelity Wraparound the same kind of wraparound our family has had in the past? What differences are there?
High Fidelity Wraparound is not the same as the “wraparound” families in PA have been getting in the past. Those services are called Behavioral Health Rehabilitative Services (BHRS), and “wraparound” was the term people used to describe them. HFW staff can work with the BHRS staff, such as a Therapeutic Staff Supports (TSS), a Mobile Therapists (MT) and/or a Behavioral Specialist Consultants (BSC) because if they are providing a service to the youth and family, they are included as members of the team. Behavioral Health Rehabilitation Services provides access to more community-based services but does not meet some of the Principles and Theory of Change components now known as HFW (please refer to question #10).
High Fidelity Wraparound is not a service, but a process. High Fidelity Wraparound’s principles, phases and the Theory of Change are maintained by the HFW Coaches, HFW Supervisors, HFW Facilitators, HFW Family Support Partners and in Pennsylvania, the HFW Youth Support Partners assigned to families involved in High Fidelity Wraparound.
11. Can anyone who wants HFW get it?
No. Youth with a primary diagnosis on the Autism Spectrum are not eligible for High Fidelity Wraparound in Pennsylvania at this time. The counties who have implemented HFW have a variety of eligibility requirements. Eligibility requirements include youth who have a mental illness, substance abuse disorder or behavioral health diagnosis are eligible. Eligible youth are those with complex behavioral health service coordination needs that are documented in the Individualized Care Plan, and defined by the severity of symptoms or how complex their service needs are. Ages of eligible youth are from 0 to 21. Youth who have imminent, current or previous placement in a restrictive, intensive or intrusive level of behavioral healthcare such as residential treatment facilities, inpatient, or intensive use of BHRS are eligible. Currently there are 10 counties that are implementing High Fidelity Wraparound.
13. Who pays for High Fidelity Wraparound?
Many aspects of HFW are covered under Medical Assistance (MA) and are billed under Joint Treatment Planning (42 CFR 438.208) which requires the identification, assessment and development of treatment plans for youth with complex needs. This includes some of the activities that staff will perform to support joint treatment planning such as family and youth support. HFW teams are also referred to as Joint Planning Teams.
Joint treatment planning is delivered as an administrative function under contract from the Behavioral Health Managed Care Organization (BH-MCO). Joint treatment planning activities are paid through direct contractual arrangements between BH-MCO’s and the Joint Planning Team (High Fidelity Wraparound) providers.