Swipe om te navigeren naar een ander artikel
Wraparound is a widely-implemented team-based care coordination process for youth with serious emotional and behavioral needs. Wraparound has a positive evidence base; however, research has shown inconsistency in the quality of its implementation that can reduce its effectiveness. The current paper presents results of three studies used to examine psychometrics, reliability, and validity of a measure of wraparound fidelity as assessed during team meetings called the Team Observation Measure (TOM). Analysis of TOM results from 1,078 team observations across 59 sites found good overall internal consistency (α = 0.80), but constrained variability, with the average team rated as having 78 % of indicators of model adherent wraparound present, 11 % absent, and 11 % not applicable. A study of N = 23 pairs of raters found a pooled Kappa statistic of 0.733, indicating substantial inter-rater reliability. Higher agreement was found between external evaluators than for pairs of raters that included an external evaluator and an internal rater (e.g., supervisor or coach). A validity study found no correlation between the TOM and an alternate fidelity instrument, the Wraparound Fidelity Index (WFI), at the team level. However, positive correlations between mean program-level TOM and WFI scores provide support for TOM validity as a summative assessment of site- or program-level fidelity. Implications for TOM users, measure refinement, and future research are discussed.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Aspland, H., & Gardner, F. (2003). Observational measures of parent child interaction. Child and Adolescent Mental Health, 8, 136–144. CrossRef
Bruns, E. J. (2008). Measuring wraparound fidelity. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to wraparound. Portland, OR: National Wraparound Initiative, Research and Training Center for Family Support and Children’s Mental Health.
Bruns, E. J., Burchard, J., Suter, J., & Force, M. D. (2005). Measuring fidelity within community treatments for children and families. In M. Epstein, A. Duchnowski, & K. Kutash (Eds.), Outcomes for children and youth with emotional and behavioral disorders and their families (Vol. 2). Austin, TX: Pro-ED.
Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K. M., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The wraparound fidelity index. Journal of Emotional & Behavioral Disorders, 12(2), 79. CrossRef
Bruns, E. J., Pullmann, M. P., Brinson, R. D., Sather, A., & Ramey, M. (2014). Effectiveness of wraparound vs. case management for children and adolescents: Results of a randomized study. Manuscript submitted for publication.
Bruns, E. J., & Sather, A. (2007). User’s manual to the wraparound team observation measure. Seattle, WA: University of Washington, Wraparound Evaluation and Research Team, Division of Public Behavioral Health and Justice Policy.
Bruns, E. J., & Sather, A. (2013). Team Oversation Measure (TOM) manual for use and scoring. Wraparound fidelity assessment system (WFAS). Seattle, WA: University of Washington School of Medicine, Division of Public Behavioral Health and Justice Policy.
Bruns, E. J., Sather, A., & Pullmann, M. D. (2010). The wraparound fidelity assessment system- psychometric analyses to support refinement of the wraparound fidelity index and team observation measure. Paper presented at the the 23rd Annual Children’s Mental Health Research and Policy Conference, Tampa, FL.
Bruns, E. J., & Suter, J. C. (2010). Summary of the wraparound evidence base. In E. J. Bruns & J. S. Walker (Eds.), The resouce guide to wraparound. National Wraparound Initiative: Portland, OR.
Bruns, E. J., Suter, J. C., Force, M. M., Sather, A., & Leverentz-Brady, K. M. (2009). Wraparound Fidelity Index 4.0: Manual for training, administration, and scoring of the WFI 4.0. Seattle: Division of Public Behavioral Health and Justice Policy, University of Washington.
Bruns, E. J., Walker, J. S., Bernstein, A., Daleiden, E., Pullmann, M. D., & Chorpita, B. F. (2013). Family voice with informed choice: coordinating wraparound with research-based treatment for children and adolescents. Journal of Clinical Child & Adolescent Psychology. (Online First Publishing),. doi: 10.1080/15374416.2013.859081.
Bruns, E. J., Walker, J. S., & The National Wraparound Initiative Advisory Group. (2008). Ten principles of the wraparound process. In E. J. Bruns & J. S. Walker (Eds.), Resource guide to wraparound. Portland, OR: National Wraparound Initiative, Research and Training Center for Family Support and Children’s Mental Health.
Bruns, E. J., Walker, J. S., Zabel, M., Estep, K., Matarese, M., Harburger, D., et al. (2010b). The wraparound process as a model for intervening with youth with complex needs and their families. American Journal of Community Psychology, 46(3–4), 314–331. doi: 10.1007/s10464-010-9346-5. CrossRefPubMedCentralPubMed
Burchard, J. D., Bruns, E. J., & Burchard, S. N. (2002). The wraparound process. In B. J. Burns, K. Hoagwood, & M. English (Eds.), Community-based interventions for youth (pp. 69–90). New York: Oxford University Press.
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20(1), 37–46. CrossRef
Cooper, J. L., Aratani, Y., Knitzer, J., Douglas-Hall, A., Masi, R., Banghart, P., et al. (2008). Unclaimed children revisited: The status of children’s mental health policy in the United States. New York: National Center for Children. in Poverty.
Cox, K., Baker, D., & Wong, M. A. (2010). Wraparound retrospective: Factors predicting positive outcomes. Journal of Emotional & Behavioral Disorders, 18(1), 3–13. CrossRef
De Vries, H., Elliott, M. N., Kanouse, D. E., & Teleki, S. S. (2008). Using pooled kappa to summarize interrater agreement across many Items. Field Methods, 20(3), 272–282. CrossRef
Eames, C. C., Daley, D. D., Hutchings, J. J., Hughes, J. C., Jones, K. K., Martin, P. P., et al. (2008). The leader observation tool: A process skills treatment fidelity measure for the incredible years parenting programme. Child: Care, Health and Development, 34(3), 391–400. doi: 10.1111/j.1365-2214.2008.00828.x.
Epstein, M. H., Jayanthi, M., McKelvey, J., Frankenberry, E., Hary, R., Potter, K., et al. (1998). Reliability of the wraparound observation form: An instrument to measure the wraparound process. Journal of Child and Family Studies, 7, 161–170. CrossRef
Epstein, M. H., & Sharma, J. M. (1998). Behavioral and emotional rating scale: A strength-based approach to assessment. Austin, TX: PRO-ED.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
Lyons, J. S., Weiner, D. A., & Lyons, M. B. (2004). Measurement as communication in outcomes management: The child and adolescent needs and strengths (CANS). The Use of Psychological Testing for Treatment Planning and Outcomes Assessment, 3, 461–476.
Miles, P., Brown, N., & The National Wraparound Initiative Implementation Work Group. (2011). The wraparound implementation guide: A handbook for administrators and managers. Portland, OR: National Wraparound Initative.
Sather, A., & Bruns, E. J. (2008). Wraparound fidelity index 4.0: Interviewer training toolkit. Seattle: Division of Public Behavioral Health and Justice Policy, University of Washington.
Schoenwald, S. K. (2011). It’s a bird, it’s a plane, it’s … fidelity measurement in the real world. American Journal of Orthopsychiatry, 76, 304–311.
Schoenwald, S. K., Garland, A. F., Chapman, J. E., Frazier, S. L., Sheidow, A. J., & Southam-Gerow, M. A. (2011). Toward the effective and efficient measurement of implementation fidelity. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 32–43. CrossRefPubMedCentralPubMed
Singh, N. N., Curtis, W. J., Wechsler, H. A., Ellis, C. R., & Cohen, R. (1997). Family friendliness of community-based services for children and adolescents with emotional and behavioral disorders and their families: An observational study. Journal of Emotional and Behavioral Disorders, 5(2), 82–92. doi: 10.1177/106342669700500203. CrossRef
Stroul, B. A. (2002). Issue brief—system of care: A framework for system reform in children’s mental health. Washington, DC: Georgetown University Child Development Center, National Technical Assistance Center for Children’s Mental Health.
Stroul, B. A., & Friedman, R. M. (1986). A system of care for severely emotionally disturbed children and youth. Tampa, FL: University of South Florida, Tampa Research Training Center for Improved Services for Seriously Emotionally Disturbed Children and Georgetown Univ. Child Development Center, Washington D. C. Cassp Technical Assistance Center.
Suter, J. C., & Bruns, E. J. (2009). Effectiveness of the wraparound process for children with emotional and behavioral disorders: A meta-analysis. Clincial Child and Family Psychology Review, 12(4), 336–351. CrossRef
United States Public Health Service (USPHS). (1999). Mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
van Dijk, J. (1990). Delphi method as a learning instrument: Bank employees discussing an automation project. Technological Forecasting and Social Change, 37, 399–407. CrossRef
VanDenBerg, J., Bruns, E., & Burchard, J. (2003). History of the wraparound process. Focal Point: A National Bulletin on Family Support and Children’s Mental Health: Quality and Fidelity in Wraparound, 17(2), 4–7.
Vetter, J. & Strech, G (2012, March). Using the ohio scales for assessment and outcome measurement in a statewide system of care. Paper presented at the 25th Annual Children’s Mental Health Research and Policy Conference, Tampa, FL.
Walker, J. S., Bruns, E. J., Conlan, L., & LaForce, C. (2011). The National Wraparound Initiative: A community-of-practice approach to building knowledge in the field of children’s mental health. Best Practices in Mental Health, 7(1), 26–46.
Walker, J. S., Bruns, E. J., & Penn, M. (2008a). Individualized services in systems of care: The wraparound process. In B. A. Stroul & G. M. Blau (Eds.), The system of care handbook: Transforming mental health services for children, youth, and families. Baltimore, MD: Paul H. Brookes Publishing Company.
Walker, J. S., Bruns, E. J., & The National Wraparound Initiative Advisory Group. (2008b). Phases and activities of the wraparound process. In E. J. Bruns & J. S. Walker (Eds.), Resource guide to wraparound. Portland, OR: National Wraparound Initiative, Research and Training Center for Family Support and Children’s Mental Health.
Webster-Stratton, C., & Hancock, L. (1998). Training for parents of young children with conduct problems: Contents, methods and therapeutic processes. In G. E. Schaefer & J. M. Breismeister (Eds.), Handbook of parent training (pp. 98–152). New York: Wiley.
Williams, N. J., & Glisson, C. (2013). Testing a theory of organizational culture, climate and youth outcomes in child welfare systems: A united states national study. Child Abuse & Neglect (Online first publication),. doi: 10.1016/j.chiabu.2013.09.003.
- Psychometrics, Reliability, and Validity of a Wraparound Team Observation Measure
Eric J. Bruns
Ericka S. Weathers
Jesse C. Suter
Michael D. Pullmann
- Springer US