Are Wraparound Services Effective? Here’s the Data.

The wraparound services model for behavioral health care has been around since the 1980s. 

Since then, it’s become more widely adopted. Nearly two-thirds of states currently provide centralized oversight for wraparound programs, and it’s estimated that more than 100,000 youths receive wraparound services annually.

Yet despite its growing popularity, the need for wraparound and intensive case management services continues to increase. Fifteen million children and adolescents in the U.S. have a diagnosable mental health disorder, and roughly half experience serious emotional disturbances (SED), which impair their overall functioning. The wraparound model aims to support these children and adolescents experiencing severe behavioral health conditions by leveraging each client’s unique strengths and natural supports in their community with individualized care planning.

But how effective are wraparound services? Is the investment in this time-intensive care model paying off for communities? 

The data suggests that while this model may require more resources and intensive care coordination, high-fidelity wraparound services are highly effective. This article will summarize fundamental research studies that have reviewed the efficacy of wraparound over the years.

The Need For Continued Study

Before we explore the literature, it’s worth noting researchers’ concerns about how accurately the wraparound model is deployed in different communities. 

Social scientists have been evaluating the wraparound model since the 90s to determine whether it’s more or less effective than traditional case management methodologies. While numerous studies emphasize the positive impact of wraparound services, some researchers note that the service model’s implementation lacks consistency. Therefore, some studies point out that future research should account for the level of fidelity that wraparound providers are adhering to while studying the long-term impacts. 

For example, a 2021 systematic review and meta-analysis of previous research about wraparound outcomes acknowledged that while “results indicate positive effects for wraparound, particularly for maintaining youth with severe emotional disturbances in the home and community […] many studies showed methodological weaknesses, and fidelity measurement was largely absent, suggesting a need for additional research.”

While wraparound research studies may lack consistency in how data is collected and evaluated, individual studies do show promising results.

How to Provide High-Fidelity Wraparound Services

Many organizations, systems of care, and continuums of care providing wraparound services rely on case management software to manage complex behavioral health cases – yet not all software solutions can accommodate the specific nuances of high-fidelity wraparound. 

Cloud-based case management software, like CaseWorthy, gives wraparound care providers the tools, flexibility, and ease of use they need. With CaseWorthy, wraparound case managers can easily:

• Engage the Youth, Family, and Team Members to Participate
• Securely Communicate with Team Members
• Coordinate Social Service Delivery, Setting Frequency, Automated Check-In Reminders, and Rules
• Quickly Find Referrals Based On Distance to Client
• Manage Workflows and Plans of Care Management
• Create Their Own Training Videos In CaseWorthy
• Quickly Generate Custom Reports

“We used to spend hours gathering data for satisfaction surveys, progress toward goals reports, dropout rates, CANS assessment scores, and macro-level demographic data for our committee reports. It would have taken us a fraction of the time to extract data with CaseWorthy.” 

– Julie at CaseWorthy, Former Wraparound Care Manager

CaseWorthy’s Flexible Platform Helps Wraparound Providers Manage Data, Deliver Programs, and Measure Impact

CaseWorthy is more than just a database. It’s a customizable tool that case managers and nonprofit personnel use to intake new clients, track case progress, and report out with ease. 

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