1. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WrapCT PRESENTS: Utilizing The Wraparound Planning Process: An Introduction And Orientation

2. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com MYTH BUSTERS Wraparound is not: A service or an intervention A program or a project Just a new way to spend money Wraparound is: A process which when done according to the values and principles leads to good outcomes for children and families

3. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com Community Based Strengths Technology Cluster Unconditional Care Normalization Cultural Competency Collaboration Needs Driven Refinancing Family Centered System Integration WRAPAROUND: PUTTING VALUES INTO ACTION

4. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IS THIS COLLABORATION? Goals are defined by one group, then shared with another group?

5. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EXAMPLES OF A COLLABORATIVE PROCESS? Individual Education Plans Medical Appointments Therapy Sessions Staffings Other

6. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com CATEGORICAL APPROACH Assess Problems Look at Services that are Available… Plug Services into the Family

7. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EXAMPLES OF A CATEGORICAL APPROACH Services reflect what’s available and has been tried rather than what’s really needed

8. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WHAT IS A CHILD AND FAMILY TEAM The child and family identify a group of people who will work with them and help prepare the plan of care. Composed of informal and formal members who will continue to support the family after leaving the program. The Child and Family Team should meet as frequently as needed (at least once a month).

9. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com CARE PLAN COMPONENTS Crisis Plan Strengths Vision Needs Strategies

10. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STRENGTHS DISCOVERY Ongoing - Changes with Time Functional All Family Members Whole Team Community and Environment Used to Create Strategies

11. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com KEY ELEMENTS OF STRENGTH DISCOVERY Attitudes and Values Sets the tone & style of the interaction Skills and Abilities Building blocks of change Attributes and History Point the way to natural connections Preferences Build participation and validity

12. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STRENGTHS CHAT

13. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com FAMILY VISION Concise In family’s words Reflects family’s hopes and dreams Where the family wants to be in 6 mo. to a year May change over time

14. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com NEEDS STATEMENTS Needs help with... What is needed/barriers to reaching the Vision ? Not Problems or Deficits Not - Services or Goals Answer to the question –“why” (underlying need)

15. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STRATEGIES Builds on Strengths Designed to Meet Needs Be Creative – Brainstorm the possibilities Remember “Normalization” Use as many Natural Supports as Possible Be Specific  Who -- What -- When -- How

16. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com PLANNING WITH STRENGTHS EXERCISE

17. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com NATURAL/INFORMAL SUPPORTS AND COMMUNITY RESOURCES

18. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com NATURAL SUPPORT Family or friend relationship Examples: Parent Childhood friend Sibling Cousin

19. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com INFORMAL SUPPORT Community relationship Examples: Spiritual Leader Next Door Neighbor Sponsor Support Group Leader

20. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com FORMAL SUPPORT System representatives Examples Therapist/Provider Child Welfare Worker Probation or Parole Officer School Representative

21. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com COMMUNITY RESOURCES “Goodies” in a community that can be supportive, at little or no cost to the family.

22. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EXAMPLES OF COMMUNITY RESOURCES Place of Worship YMCA/YWCA Libraries Park and Recreational Programs Free Health Clinics Community Support Groups Boys’ and Girls’ Club

23. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS Listen to the Family’s Story As you hear the family’s story, listen for past supports and resources they have utilized. Also listen for what has worked in the past. Ask who the family would call during at crisis at 2 o’clock in the morning.

24. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS (CONT.) Get to know the Family Spend time with the family. Who does the family identify as family members? How does the family describe themselves? What activities are they involved in and with whom?

25. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com CIRCLES OF SUPPORT EXERCISE

26. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS (CONT.) Miracle Question Who/What is involved? Feeling Questions Who can you really laugh with? Who are you comfortable crying with? Who would you trust with your deepest thoughts? Practical Questions Who helps watch your kids? What does your daily schedule involve? What do you do for fun?

27. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS (CONT.) Get to know the Family’s Community/Neighborhood When you familiarize yourself with the family’s surroundings, you learn what is available in their community.

28. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS (CONT.) Get to know the Family’s Culture Family culture is the unique way a family forms itself in terms of rules, roles, habits, activities, beliefs, and other areas. Every family will have a different culture, despite similarities in ethnic and/or cultural background. Who shares the family’s ideas, values, and beliefs?

29. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IDENTIFYING SUPPORTS (CONT.) Recognize Team Resources Recognize personal as well as professional strengths Each team member is an expert, and may have different resources Use strengths as a way to help members change roles

30. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com UTILIZING SUPPORT OPTIONS After natural supports have been identified, it is up to the family to decide which resources to utilize. With the team, the family then decides to what extent these supports will be utilized and how they will be contacted. Be prepared to assist the family in re-establishing relationships that may have deteriorated. Remember you are looking for 50 – 50 representation.

31. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com INCORPORATING NATURAL & INFORMAL SUPPORTS Remember the importance of Family culture and Preferences Normalize the Process Explain the benefits Share success stories

32. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com UTILIZING SUPPORTS Look beyond the reason they’re at the table and utilize other areas of expertise Keep an open line of communication to avoid a decrease in participation Recognize that these natural supports are just asknowledgeable as everyone else on the team.

33. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com BEST PRACTICE BENCH MARKS 50/50 – Balanced Team within 3 months 20/80 – Formal/Informal 6 months and beyond

34. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EXPLAINING WRAPAROUND

35. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com FOUR PHASES OF WRAPAROUND IMPLEMENTATION Team Preparation / Engagement & Welcoming Get people ready to be a team Complete strengths/needs chats Initial Plan Development Hold initial planning meetings Develop a team “culture” Plan Implementation & Refinement Hold team meetings to review plans Modify, adept & adjust team plan Plan Completion & Transition Define good enough, needs met Unwrap Pat Miles

36. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STEPS FOR DEVELOPING AN INDIVIDUALIZED PLAN Step 1:Getting to Know the Family Step 2:Begin Strengths /Needs Discovery Step 3:Setting the Vision / Mission Step 4:Family and Team Identify Needs Step 5:Prioritize Needs/Set Benchmarks Step 6:Action Planning Step 7:Commitments Step 8:Evaluation Step 9:Documentation Step 10:Distribute the Plan

37. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com GETTING STARTED Meet Immediate Needs Listen to Concerns Stabilize Situation Begin Building Trust Family and Systems Homework Understand History/Timeline What has Worked in the Past? Find Ignored and Hidden Strengths Identify Potential Formal and Informal Supports Learn Preferences, Open Cultural Bridges

38. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com SEEK FIRST TO UNDERSTAND “Seek first to understand” involves a very deep shift in paradigm. We typically seek first to be understood. Most people do not listen with the intent to understand; they listen with the intent to reply. They are either speaking or preparing to speak. Stephen R Covey

39. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com PRACTICING THE STEPS Step 1:Getting to Know the Family Meet Immediate Needs Begin Crisis Planning Identify Potential Team Members Step 2:Begin the Strengths and Needs Discovery Step 3:Family Identifies Vision

40. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com  Social/Fun  Emotional  Family  A Place to Live  School/Work  Cultural  Spiritual  Safety  Legal  Medical/Health  Finances  Relationships  Other LIFE DOMAIN AREAS FOR PLANNING

41. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TEAM BUILDING Preparation Does Everyone Know What to Expect? Set an Agenda Ground Rules Positive Focus Avoid Jargon Outcome Driven Membership Goal: 50% Formal / 50% Informal Multiple Perspectives (Family & System) Represent Family’s Culture and Community

42. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WRAPAROUND FACILITATOR TOOL KIT: VISUAL TOOLS Why? Creates a sense of where you’re going Creates a sense of where you’ve been Builds clarity among team members Helps facilitator keep track of what’s going on Helps focus group’s attention

43. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com COMMON TOOLS Flip Charts/Markers Agendas Ground Rules Anything else that works

44. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TIPS FOR FACILITATORS Plan Ahead Materials Gather your materials Test your supplies Know your environment Tape on walls? Enough space? Practice Get used to the tools Make it visually attractive Have fun

45. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TIPS FOR TEAM MEMBERS Focus on benefits of working on a team Learn to forgive Stay focused Speak out loud about risks Speak from strengths Support other team members Use the team as your primary communication device

46. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EFFECTIVE COMMUNICATION TOOLS FOR CONFLICT MANAGEMENT Verbal Open Ended Questions: avoid “yes” or “no” Reflecting: repeating/make sure person felt heard Reframing: Negative to Positive Summarizing: Recaps Non-Verbal Body Language: Address self Tone or Inflection: Maintain calm Position: Arrangements of team members

47. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com FACILITATOR SKILL : FACILITATING THE MEETING Maintains a Strength Based Agenda Manages & Communicates Ground Rules Purpose Decision Making Process Facilitates Agreement Participation Family Centered Approach

48. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TEAM MEETING PRACTICING THE STEPS Step 1:Introductions Step 2:Share Vision / Mission Step 3:List Strengths / Teams Adds To Step 4:Family and Team Identify Needs Step 5:Prioritize Needs  Set Benchmarks

49. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com SETTING BENCHMARKS Descriptive Measurable in a realistic way Tells team how we will know we are getting closer to need met If this need were met, the behavior we would see is _______________

50. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com BRAIN STORMING EXERCISE

51. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WHATEVER THE MIND CAN CONCEIVE AND BELIEVE, THE MIND CAN ACHIEVE Dr. Napoleon Hill

52. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TIPS FOR ADDRESSING NEEDS Start with specific and relevant strengths Speak to the need not the problem Check for understanding of your perspective not agreement Avoid prescribing the solution, allow the team to identify options Think personally: it could be any of us Assume positive intent Pat Miles

53. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com TIPS TO ASSURE CLINICAL NEEDS ARE BEING ADDRESSED Explore underlying needs of reason for referral Utilize clinical expertise within team process Seek out clinical consultation Excel in crisis / safety planning Be knowledgeable about common diagnoses medications child developmental stages family systems

54. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STRATEGIES Based on functional strengths Includes natural/informal supports and resources Practical Creative Tells team exactly what will be done by whom and by when

55. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com PRACTICING THE STEPS Step 6:Brainstorm Strategies/Action Planning Step 7:Obtain Commitments Who will do what, when and how? Create a spirit of Volunteerism!

56. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com PRACTICING THE STEPS Step 8:Evaluation Access, Voice and Ownership Does the Family Think this Plan Will Actually Work? Continuously Monitor and Record Progress

57. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STEPS FOR MANAGING ONGOING MEETINGS Step 1:Accomplishments Step 2:Evaluate progress Step 3:Adjust the plan Step 4:Make new commitments Pat Miles

58. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com ACCOMPLISHMENTS Why start with accomplishments? Starts on a positive note Keeps strengths perspective How to review accomplishments? Check with family first Check with team members Record on visuals Celebrate progress Pat Miles

59. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EVALUATE PROGRESS Why evaluate progress? Builds continuity Assures Accountability How to evaluate progress? Check for follow through Did you actually do it? Check for impact Did it actually help? Check with family about needs met rather than services provided Refer to the original vision statement Are you moving towards the family’s vision? Are you strengthening the family’s social network? Pat Miles

60. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com ADJUST THE PLAN Why adjust the plan? Because needs are met To stop doing things which aren’t working How to adjust the plan? Use strengths Focus on needs Review strategies Keep, stop, or change Move closer to your vision Pat Miles

61. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com MAKE NEW COMMITMENTS Why make new commitments? Allows team member roles to change Creates accountability How to make new commitments? Reward volunteers Build on new found strengths Family, team, community Develop a timeline Distribute the newly documented Plan of Care Pat Miles

62. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EVALUATING PLANS Does the proposed plan: Lead to the family receiving real help in a timely fashion? Let the family know what they can expect from their team? Demonstrate a unified effort to support the family’s progress? If the family had to pick their plan out from a stack of ten, could they? Does the family feel free to let the team know if something’s not working for them? Has the team provided the family with a feeling of hope for a better future?

63. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WRAPCT LEARNING COLLABORATIVE OUR VISION AS A STATEWIDE LEARNING COLLABORATIVE IS TO EDUCATE, TRAIN, AND PROMOTE THE BENEFITS OF THE VALUES AND PRINCIPLES OF SYSTEM OF CARE AND THE WRAPAROUND PROCESS. WrapCT Steering Team Gabrielle Hall, Clifford Beers; Paige Trevethan, Bridges; Tabor Napiello, Wheeler Clinic-Plainville; Victor Gonzalez, Wheeler Clinic-Hrtfd.; Virginia Lopez, Child & Family Guidance; Hal Gibber, FAVOR; Cheryl Tedesco, Child & Family Guidance; Tim Cunningham, WellPath; Jill Coffin, United Community and Family Services; Mark Plourd, Wheeler Clinic-Hrtfd.; Dorothy Contrastano, FAVOR; Tim Marshall, DCF; Jan Bendall, Rushford; Kristen Penta, Bridgeport Schools; Aminah Ali, Klingberg; Ray Bieber, Child & Family Guidance; National Consultants: Mary Jo Meyers, Wraparound Milwaukee; Verneesha Banks, Wraparound Milwaukee; Mark Horwitz, Westfield State University. Contact information for WrapCT: Tim Marshall 860 550 6531 tim.marshall@ct.govtim.marshall@ct.gov Contact for training material: Mary Jo Meyers 414.251.7521 consultmjm@hotmail.comconsultmjm@hotmail.com