Welcome to Wraparound Ohio

NEW RESOURCE | Using Data to Improve Child and Adolescent Mental Health (CAMH): The Opening Playbook
The Child Development Studies team within the National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention (CDC) collaborated with the Public Health Informatics Institute (PHII) to create this playbook as a resource for state, territorial, local, and tribal (STLT) health departments to assess and improve child and adolescent mental health (CAMH).

Visit Site to Learn More

To this end, the playbook highlights the rationale for public health engagement in CAMH, suggests ways that health departments can form partnerships to assess and improve CAMH, and proposes three indicators – data that schools generally have available or can make available, such as attendance, disciplinary actions, and school readiness – that can be used to begin assessing CAMH at the population-level. The playbook also includes information and resources related to legal considerations, terminologies, and data standards related to the collection and use of CAMH data.

NEW TRAININGS ANNOUNCED | CANS Training Dates for December
With leadership from Governor DeWine’s Children’s Initiative, the Ohio Department of Medicaid in partnership with state child-serving agencies and the Praed Foundation created an Ohio-specific Child and Adolescent Needs and Strengths (CANS) tool and Decision Support Model that all Ohio CANS assessors will be expected to utilize.

Learn More about Training Series Here | PDF of Overview and Registration Information Here

The CANS is a support tool in the clinical decision-making process to determine eligibility into OhioRISE and level of care and service planning. The Ohio CANS assessment tool has been developed for broad application across multiple systems, including youth involved in child protection, developmental disability, department of youth services, and mental health and addiction. This ensures youth only need to go through one assessment across multiple providers. The tool gathers all dimensions of the youth and family story to determine needs and strengths and integrates multiple storytellers capturing the voice of the youth and family to produce a full consensus-based assessment. The CANS is updated routinely over the course of treatment to continue ongoing care planning.

December (Specific Training in Parenthesis)

1 | 9:00 a.m.-12:30 p.m. (CANS)                  2 | 9:00-11:30 a.m. (Booster)
6 | 9:00 a.m.-12:30 p.m. (TCOM)                7 | 9:00 a.m-12:30 p.m.. (Booster)

8 | 1:00-3:30 p.m. (Booster)                        9 | 1:00-4:30 p.m. (CANS)

13 | 9:00 a.m.-12:30 p.m. (TCOM)               14 | 1:00-4:30 p.m. (CANS)
15 | 9:00 a.m.-12:30 p.m. (CANS)                16 | 1:00-3:30 p.m. (Booster)

Download: PDF of Updated CANS Training Certification and FAQs October 14, 2021 Here | PDF of December Training Schedule Here | CANS Interim Medicaid Billing Guidance (Revised October 14, 2021) Here

NEW RESOURCE | Integrating Early Childhood Mental Health Policy to Grow Healthy Kids & Families in Ohio
Groundwork is developing and operating a “center of excellence” for Maternal and Young Child Health to build the capacity of Groundwork Ohio and our external partners to match the needs of communities across the state in this policy space. The mission of the Center is to prepare Ohio for a better future by building and transforming systems that improve maternal and young child health, promote health equity, and prioritize prevention through policy development, research and collaboration so that all Ohio mothers and young children thrive. Download PDF | Visit Website

Evidence-Based Practice Implementation Support
Funding Grants for Multisystemic Therapy (MST) and Functional Family Therapy (FFT) FY22 Application due date:  December 13, 2021
The Child and Adolescent Behavioral Health Center of Excellence (CABH COE) at Case Western Reserve University’s Begun Center for Violence Prevention, Research and Education, with support from the Ohio Department of Job and Family Services, is excited to announce the release of this Request for Applications.

Click on images to the right to download PDF or:

Download: PDF of Application Overview Here | Download Budget and Budget Narrative Forms Here | Initiative FAQs Here.

The purpose of this solicitation is to support the State of Ohio’s FFPSA Implementation goal to increase statewide access to approved Title IV-E Clearing House prevention services. Through this RFA and grant awards, CABH COE will provide awardees training, technical assistance and grant funding for program startup and implementation of new or expansion MST and FFT teams that serve at risk youth with open case plans with local Title IV-E Public Children Services Agencies (PCSAs) or Title IV-E Juvenile Courts. Please download and review the above RFA and Budget template documents to learn more about this exciting opportunity.

NEW FUNDING ANNOUNCED | OhioRISE Transition Grants Offered to Ohio Communities
On Tuesday, October 26, 2021, the Ohio Department of Medicaid (ODM) announced the intent to award $25 million in grants to expedite readiness and support the transition to OhioRISE. ODM’s grants are being made to catalyze our collective work to serve the urgent needs of children who will be eligible for OhioRISE next year. Two new types of Medicaid providers, Care Management Entities (CMEs) and Mobile Response and Stabilization Services (MRSS) providers, will be offered grant opportunities to support workforce and organizational development so they can serve future OhioRISE enrollees.

Learn More Here | Download a PDF Overview Here | Download FAQs Here

These Transition Grants will ensure a strong start for OhioRISE, which is a key component of Governor DeWine’s efforts to better serve the needs of multi-system youth and is vitally important to the overall success of implementing Ohio Medicaid’s Next Generation of Managed Care. ODM designed the OhioRISE Transition Program, including this grant opportunity, to support the following goals:
· Prepare for a successful OhioRISE go-live with the rest of the Next Generation of Managed Care Program
· Promote Governor DeWine’s Children’s Initiative and recognize the Administration’s extensive work to better serve Multi-System Youth
· Assist the Ohio Department of Jobs and Family Services (ODJFS) and local Public Children Services Agencies (PCSAs) with implementation of the Family First Prevention Services Act (FFPSA)
· Recognize and build on the extensive work of OhioRISE’s Advisory Council and Workgroups

Learn More about the OhioRISE Program Here | Visit of the Ohio Medicaid Managed Care Procurement Website Here

NEW WRAPAROUND TOOL | Wraparound Fidelity Index (WFI-EZ) Short Form Index
The WFI-EZ is a self-report measure that assesses the degree to which Wraparound care coordination is implemented with adherence to its principles and practice model. The measure also includes items related to satisfaction with Wraparound and basic youth outcomes. The WFI-EZ can be administered via interview or as
self-report and can be completed in about 5 to 10 minutes. There are 4 versions of the measure, one for each of the following types of respondents: Caregiver, Youth, Care Coordinator, and Other Team Member.

Download Three-Page PDF Here

All versions of the WFI-EZ include 25 items designed to assess Wraparound fidelity. Participants are asked to indicate the extent to which they agree that each indicator of Wraparound fidelity has been achieved. Each item is rated on a 5-point index ranging from “Strongly Disagree” to “Strongly Agree.” Fidelity items are organized by the five core elements of Wraparound as promoted by the National Wraparound Implementation Center (NWIC): 1) Outcomes-Based; 2) Team-Based; 3) Natural Supports; 4) Needs-Based; and 5) Strengthsand Family-Driven. WrapStat provides scores for each of these core elements along with a Total WFI-EZ score that reflects overall fidelity. Scores are computed as percentages and can range from 0 to 100.

NEW RESOURCE | Youth and Policing in Cleveland
A Five-Minute Video ToolKit for Community and Neighborhood Action

For several years following the police shooting of 12-year-old Tamir Rice, a number of Cleveland community partners, in collaboration with Case Western Reserve University’s Schubert Center and Strategies for Youth, worked to bring attention to the importance of having officers recognize and protect the youthfulness of the children and teens they encounter.


This requires the Cleveland Division of Police (CDP) to develop policies, training and ongoing support to ensure understanding of age-appropriate expectations by officers during their interactions with young people.

In 2021, the CDP adopted a first-of-its-kind Interactions with Youth Policy, part of a comprehensive set of policy reforms, which recognizes how children and teenagers are developmentally less mature than adults and require age-appropriate protections and care.

This 5-minute video and Toolkit are designed to spark dialogue, understanding and action among adults working with children and teens in our community – in organizations supporting youth,  recreational programs, schools and other settings. The goal is to help raise awareness about these important changes in our Cleveland community and to provide background information about the new CDP Interactions with Youth Policy. This Toolkit also offers discussion questions, links to other resources, and strategies and actions for the community groups who serve as valued partners in supporting our kids and helping to deter criminal justice system involvement.

RESOURCE and REVIEW | Two-Day Virtual Conference on Ohio’s Mobile Response Stabilization Services (MRSS)
As part of the Ohio Department of Mental Health and Addiction Services (OhioMHAS) partnership with Ohio Governor Mike DeWine’s Children’s Initiative and the Ohio Department of Medicaid, the Center for Innovative Practices (CIP) at Case Western Reserve University’s Begun Center for Violence Prevention hosted a two-day virtual conference on Mobile Response Stabilization Services (MRSS) September 21-22, 2021. The MRSS Virtual Conference was presented in partnership with SAMHSA’S ENGAGE 2.0 and OhioMHAS.  The Conference featured local, regional, state, and national MRSS experts presenting on a wide range of topics. Below are the videos of each individual presentation, each about an hour long. Just click on the picture to view the video. MRSS stands for Mobile Response and Stabilization Services. Families with youth and young adults up to age 22 who are experiencing difficulties or distress can receive assistance within 60 minutes after contacting MRSS. You may also receive up to 45 days of intensive, in-home services and linkage to on-going supports. Services provided by the MRSS team may include: safety assessments, de-escalation, peer support, and skill building, among others. Access to MRSS is available 24 hours per day, seven day a week. You make the call, together we respond.
View videos of individual conference sessions here.

NEW FALL TRAININGS ANNOUNCED | Mobile Response Stabilization Services (MRSS) Core Trainings Offered to Ohio Care Providers (All Virtual)
AS PART OF THE Ohio Department of Mental Health and Addiction Services (OhioMHAS) partnership with Ohio Governor Mike DeWine’s Children’s Initiative and the Ohio Department of Medicaid, the Center for Innovative Practices (CIP) will present a series of MRSS online trainings for Ohio care providers. MRSS help children/youth and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe.

Click here to register | Learn More about MRSS HERE.

This video series of the 13-part Wraparound Training provides in-depth overviews and instructionals involving the Wraparound System of Care and Ohio’s experience with the initiative. It is divided into subject segments, each followed by a review module.


The Wraparound process is a way to improve the lives of children with complex needs and their families. It is a team-based planning process used to develop plans of care that are individualized based on the strengths and culture of the children and their family. The plan is needs-driven rather than service-driven, although a plan may incorporate existing categorical services, if appropriate to meet the needs of the consumer.

NEW RESOURCE | Crisis Services White Paper Report from OhioMHAS
Across Ohio, people of all ages and their families are seeking care in record numbers for substance use disorder and mental health concerns. Frequently, these Ohioans are exhibiting severe symptoms, such as psychosis, suicidal ideation, agitation, aggression, and/ or are exhibiting symptoms of substance withdrawal or the toxic effects of substance misuse or abuse. In many communities, people rely on emergency departments that may lack the behavioral health resources to adequately assess, stabilize, and connect people to community services and supports. Also, emergency departments may not have sufficient resources to provide an adequate response to a psychiatric behavioral health emergency, particularly when people experience prolonged wait times for an available psychiatric bed. In the community, when a person is in crisis and suffering a behavioral health condition or other problem that affects the person’s emotional well-being and safety, law enforcement is often called to respond. The person in crisis may be arrested and jailed without access to the appropriate care. Jail is not the right place for people living with mental illness and their presence there creates difficulties for jail staff

Download PDF of Report Here

The Ohio Department of Mental Health and Addiction (OhioMHAS) and its partners are working to develop a supported quality crisis response system to serve as a timely and appropriate alternative to arrest, incarceration, unnecessary hospitalization, or placement in a setting with insufficient resources to address the acute nature of the situation a person is experiencing.

In addition, Governor Mike DeWine commissioned the RecoveryOhio initiative to coordinate the work of state departments, boards, and commissions by leveraging Ohio’s existing resources and seeking new opportunities. While engaging local governments, coalitions, and task forces, RecoveryOhio’ s goals are to create a system to make treatment available to Ohioans in need, provide support services for those in recovery and their families, offer direction for the state’s prevention and education efforts, and work with local law enforcement to provide resources to fight illicit drugs at the source. The RecoveryOhio Council included recommendations related to supporting people in crisis in its initial report, such as:
• Explore crisis infrastructure models.
• Support hospitals in engaging patients and their families with treatment and recovery supports.
• Review and expand the civil commitment process and the role of involuntary treatment in helping individuals and families experiencing mental health and addiction crises to access services.
• Streamline information sharing to ease collaboration and improve care

New Article on Systems of Care (SOC) Provides Context of Background and Future Prospects
Describes the evolution of the SOC approach and presents further updates in the philosophy, infrastructure, services, and supports that comprise the SOC framework. 
The system of care (SOC) approach was first introduced in the mid-1980s to address welldocumented problems in mental health systems for children and youth with serious emotional
disturbances (SEDs) and their families (Stroul & Friedman, 1986). Among these problems were
significant unmet need for mental health care, overuse of excessively restrictive settings, limited
home- and community-based service options, lack of cross-agency coordination, and a lack of
partnerships with families and youth. The vision was to offer a comprehensive array of communitybased services and supports that would be coordinated across systems; individualized; delivered in
the appropriate, least restrictive setting; culturally competent; and based on full partnerships with
families and young people (Stroul, 2002). The SOC approach has provided a framework for
reforming child and youth mental health systems nationwide and has been implemented and
adapted across many states, communities, tribes, and territories with positive results.
– Authored by By Beth A. Stroul, MEd; Gary M. Blau, PhD; and Justine Larson, MD

Read Article | Listen to Beth Stroul on CIP Podcast Evolution of System of Care Approach

The Center for Innovative Practices (CIP) Announces New Partnership to Train Communities in Wraparound Services
The Center for Innovative Practices (CIP), part of the Begun Center for Violence Prevention Research and Education at Case Western Reserve University’s Jack, Joseph, and Morton Mandel School of Social Services, announces a new partnership as part of an Ohio state-wide initiative designed to help introduce and further train Ohio clinicians and caregivers to Wraparound systems of care services and how to implement them in their counties and communities to help youth in recovery and their families.

To help counties prepare for Ohio’s expansion of High Fidelity Wraparound, Ohio Family and Children First (OFCF) in collaboration with the Ohio Department of Job and Family Services (ODJFS) and the Ohio Department of Mental Health and Addiction Services (OHMHAS) are partnering with the CIP to offer a series of Wraparound trainings, learning communities, and capacity development planning meetings for interested

| Learn More |

VIDEO TRAINING SERIES | Supporting Youth with Complex Needs
The Ohio Department of Developmental Disabilities (DODD), in partnership with Ohio Center for Autism and Low Incidence (OCALI), developed a 9 module training series to help increase the knowledge and skills for direct support professionals who are supporting youth with complex behavioral health needs.

The content of Module 1 includes five chapters and focuses on:
– Supporting Youth with Complex Needs
– Supporting the Needs of Families
– Preparing Direct Support Professionals
– Understanding Behavior, and
– The Rage Cycle

The remaining eight interactive and competency-based modules focus on The Ziggurat Model, Behavior and Communication, Trauma Informed Care, Reinforcement, Structure and Visual and Tactile Supports, Task Demands and Skills to Teach. The entire 9 module series can be accessed in the DODD learning management system. Anyone is welcome to set-up a profile and view the courses. Module 1 is available via YouTube so that anyone supporting youth across systems can easily access. We believe providers, families and others will benefit from all nine modules. – For questions, please contact Tina Evans at tina.evans@dodd.ohio.gov.

MENTAL HEALTH SERVICES RESOURCE | Custody Relinquishment Revisited
An Executive Summary from Beth Stroul and the Institute for Innovation and Implementation at the University of Maryland School of Social Work
Custody relinquishment for mental health services refers to situations in which parents transfer legal and physical custody of their child to the state in order to access services that the child could not obtain otherwise. In these cases, no maltreatment (abuse or neglect) is alleged; rather, parents agree to give up custody of their children in order to receive mental health services, often residential interventions.

The Institute for Innovation and Implementation at the University of Maryland School of Social Work undertook a project to revisit the problem nationwide. The project involved an informational scan and telephone discussions with state child welfare and/or mental health agency representatives in all 50 states and three territories, as well as with leaders of family-run organizations (FROs) in 18 different states. The intent was to obtain up-to-date information about the extent to which custody relinquishment for this purpose continues, progress that has been achieved, and strategies used by states to eliminate the practice, as well as strategies to increase the availability of home- and community-based services and supports (HCBS) that might mitigate the need to relinquish custody. Highlights of the findings are summarized below.
Download Executive Summary PDF

Listen to Beth Stroul’s Innovative Conversation session with Patrick Kanary herre

CULTURAL HUMILITY TRAINING | Working With Latinx Youth and Families and Recovery from Trauma
The Center for Innovative Practices presents a two-part discussion and training entitled, “Working With Latinx Youth and Families and Recovery from Trauma,” with Ramfis L. Marquez, PhD, LPC,, Gisela Diaz, MA, and Francisco J. Cornejo, MSW. The two sessions guide clinicians and caregivers toward a better understanding of the many Latinx cultures and offers approaches, strategies, and tools for when working with Latinx youth and their families. Topics range from the subtleties and diversity of experiences in the many Latinx cultures to the degrees of generational trauma that uniquely affects these families and communities.

THIS TWO-SESSION, SIX-HOUR deep dive into Latinx culture in the United States and the unique challenges presented for behavioral healthcare clinicians and caregivers working with Latinx youth and families is explored in significant detail in a wide-ranging conversation, covering a broad landscape of topics, punctuated with dozens of real-life examples of challenges met and triumphs made along the path of recovery. The collaborative team-approach uses a combination of instruction, intervention, (listen for Uno Therapy in the fifth stanza), and lessons learned. The true-life examples – some amusing, some harrowing, all poignant, if not inspiring – provide a narrative tapestry that connects and engages throughout the training and makes the daily small victories.
Learn More and Listen to Sessions

VIDEO RESOURCE | Raising Awareness of Fetal Alcohol Spectrum Disorders (FASDs)
FASD Awareness Day was September 9th and FASD Advocates in the US and Canada worked together to teach about Fetal Alcohol Spectrum Disorders and why it matters to you! The Centers for Disease Control and Prevention (CDC)’s Fetal Alcohol Spectrum Disorders (FASDs) Directory is part of the CDC mission of educating families, professionals, and the public by supporting trainings for medical and allied health students and practitioners, promoting screening and intervention tools for women’s health care providers, promoting educational materials to various audiences, and responding to public inquiries. View Awareness Video | View the Fetal Alcohol Spectrum Disorders (FASDs) Directory

CIP Training Brief | Introduction to Integrated Co-Occurring Treatment (ICT)
The Center for Innovative Practice’s Mike Fox, MA, PCC-S, LCDC-III, launches a new series of Training Briefs on Integrated Co-Occurring Treatments and Youth with Multiply-Occurring Needs. The Integrated Co-Occurring Treatment (ICT) model, an evidence informed practice, uses an intentionally-integrated and domain-guided treatment approach, which aligns with the Intensive Home Based Treatment (IHBT) design. The reciprocal interactions of co-occurring substance use and serious emotional disabilities are addressed directly, with each considered ‘primary’. Guiding principles include: System of Care (SOC) core values, a developmentally mindful and resiliency-oriented approach, strong family partnering, intentionally integrated screening and assessment, integrated and stage-matched treatment design, and ongoing safety and risk assessment. Youth, family and community engagement is emphasized and evaluated at all phases. ICT therapists receive weekly coaching and consultation in order to stay on top of the multi-faceted challenges and evolving areas of focus. Learn More

View Video of ICT Training Brief 1 |Download PDF of ICT Overview | Download PDF of Presentation Slid

For Teens In Crisis Seeking Support, “Hey, I’m Here” Is a Place to Turn
Youth dealing with challenges to their mental wellness, especially during current times of crisis and concern, can find like-minded young people via, “Hey, I’m Here.” As the video says, “When you need support, every second matters and it’s important to know that you are not alone.”

View ‘You’re Not Alone’ Video | Visit ‘Hey, I’m Here’ Website
Contact via Instagram @HeyImHereOhio | Email imhere@heyimhere.org

“Hey, I’m Here” is part of Ohio’s Mobile Response and Stabilization Services (MRSS), helping children, youth, and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe. MRSS provides the support and skills necessary to return youth and families to typical functioning. | Learn More about MRSS |

Conversations and Resources on Covid-19 | The Institute for Innovation & Implementation

University of Maryland School of Social Work
Over the past weeks we have held a number of conversations to support your work during COVID-19. Each conversation—crisis communications, in-home behavioral health, supporting families, residential care, infant and early childhood mental health, and mobile response and stabilization—has had a large turnout and active online participation. Access the recordings here. We continue to plan new conversations to address the challenges of today and to create forward-looking solutions for a brighter tomorrow. And we are working on new resources based on your questions.

Please visit Conversations & Resources on COVID-19 and sign up for our new dedicated email list.

To better reach, inform and serve Ohio’s children, youth and families facing complex mental health, substance use, and behavioral challenges, Northeast Ohio Medical University (NEOMED) offers Ohio Systems of Care Project ECHO for Multi-System Youth as part of the State of Ohio’s Wraparound Ohio Systems of Care initiative. The Project ECHO team of experts and specialists provide opportunities to present complex cases and to receive written recommendations from multidisciplinary experts; develop the knowledge and skills to manage complex conditions in their own communities and be part of a community of practice; and learn from brief lectures and case-based learning on topics of special interest. From July 23, 2020 – June 24, 2021, the Project ECHO team will meet Thursdays from 11:30 a.m. – 1 p.m. Each week a case presentation will be shared from different region in Ohio: Northeast, Northwest, Southeast and Southwest. You are invited to view videos of past sessions by clicking the link. View Video of Sessions | Learn More About Project ECHO

Webinar | A National Perspective on the Family First Prevention Services Act (FFPSA)
An Innovative Conversations Webinar with Sheila Pires
Guest Sheila Pires, Managing Partner, Human Service Collaborative​ Core Partner, National TA Network for Children’s Behavioral Health​, speaks with former CIP Director and Innovative Conversations host, Patrick Kanary present a national perspective discussing the Family First Prevention Services Act (FFSPA). It is the first installment of a two-part discussion, the second of which will explore Family First from a state-wide perspective with specialists from Ohio. This session involves the Family First Prevention Services Act (FFPSA) and what it means to states funding in-home treatment and recovery for at-risk you dealing with the challenges of mental health, substance use, trauma, and judicial justice issues.
View Video of Webinar Session | Learn More about FFPSA

CIP’s Innovative Conversations Initiative
The Center for Innovative Practices (CIP),  part of the Begun Center for Violence Prevention at the Mandel School of Applied Social Sciences at Case Western Reserve University, and in partnership with the Ohio Department of Mental Health and Addiction Services, has developed a new resource initiative entitled, Innovative Conversations, facilitated discussions with national experts in children’s behavioral health and systems of care  Hosted by first CIP director Patrick Kanary, the series also examines how Wraparound Systems of Care can better facilitate how integrated treatment can help yield optimal outcomes with youth recovery.
Learn More and Listen to CIP Innovative Conversations series, click here

Crisis Text Line
The Crisis Text Line provides Ohioans with a state-specific keyword to access its free, confidential service available 24/7 via text on mobile devices. Text the keyword “4hope” to 741 741 to be connected to a person trained to help. | Learn More |

The Wraparound process is a way to improve the lives of children with complex needs and their families.  It is not a program or a type of service, but a team based planning process used to develop plans of care that are individualized based on the strengths and culture of the children and their family. The plan is needs-driven rather than service-driven, although a plan may incorporate existing categorical services, if appropriate to meet the needs of the consumer..

Ohio Start Program Map 2021
Ohio START (Sobriety, Treatment and Reducing Trauma) is an evidence-informed children services-led intervention model that helps public children services agencies (PCSAs) bring together caseworkers, behavioral health providers, and family peer mentors into teams dedicated to helping families struggling with co-occurring child maltreatment and substance use disorder.

For more original CIP features and resources from partner sources, click here

WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375  | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106