High Fidelity Wraparound (HFW) is a process, not a service. The services of Therapeutic Staff Support (TSS), Mobile Therapist (MT) and Behavior Specialist Consultant (BSC) have been called wraparound for many years. They are more properly referred to as Behavioral Health Rehabilitative Services or BHRS. High Fidelity Wraparound is different, although the High Fidelity Wraparound team, the BHRS staff and staff from other involved agencies often work together to assist the youth and family in achieving their goals.
High Fidelity Wraparound is a process defined by ten Principles and works through four specific Phases and related activities. The HFW team works to ensure that the youth and family are heard and respected, and that the goals they have identified are built into the High Fidelity Wraparound plan and the recovery process. The building of a natural support system, instead of a reliance on professionals is also a different concept than what families have been accustomed to in the past. The High Fidelity Wraparound team helps the youth and family members identify those who can serve as reliable natural supports. The High Fidelity Wraparound team will also work with service providers from the various systems involved to assist the youth and family, such as mental health therapists and staff, school personnel, probation officers in the juvenile justice system and case managers from the Office of Children, Youth and Families in achieving their goals. The HFW team helps to ensure that all the players are on the same page, serving the very goals that the child and family have identified.
Sometimes the youth involved in the behavioral health system have several different systems involved in their lives. These systems can include mental health, education, drug and alcohol, juvenile justice, and Children, Youth and Families. High Fidelity Wraparound is a collaborative process, and it works best when there are multiple systems involved. The HFW team can help bring clarity and support in a strength-based, youth and family focused way to a situation wrought with daily drama and crisis. Targeting the needs of the youth and family, and utilizing their natural supports and other providers can help halt the behaviors that are putting the youth at risk of leaving their home and community.
An important use of High Fidelity Wraparound is when youth are leaving a residential treatment facility, shelter or psychiatric hospital. The HFW team can become a member of the child or adolescent’s team at any time. They can therefore become involved prior to the youth’s discharge helping to ensure that the youth is appropriately prepared for home, family and community and the family, home and community are prepared for the youth’s return.