Document Type

Research Brief

Publication Date

2019

Abstract

High Fidelity Wraparound (HFW) is a care coordination process that recommends rapid engagement and plan development. Quick movement is thought to provide stabilization, instill ownership of the HFW process, and promote team cohesion (Walker et al., 2004). Recent research, however, demonstrates high variability in the time it takes families to complete the required steps before reaching the first Child and Family Team Meeting (CFTM; Schreier & Kaufman, 2019). The focus of this research brief is to examine this variability within the New York State System of Care pilot implementation and the reasons for this variability.

The analysis used data from 2017 through 2019 of the NYS SOC pilot using a mixed-methods approach. Quantitative analysis utilized enrollment data for 126 families to explore relationships between several program- and family-level variables and days to first CFTM to identify factors associated with longer or shorter timeframes. Qualitative analysis involved review of care manager notes on reasons for “delays” in meeting any early milestones. This work served to identify contextual factors that may explain how or why the variables identified in the quantitative analysis impact timeframes.

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