The fowing are WraparoundOhio resources for all individuals involved in recovery in the areas of mental health, substance use, behavioral health, judicial justice, and trauma. The materials range from research articles on systems of care to intervention and sustainability tools designed for youth, their parents and families, their clinicians and communities, supervisors and system leaders, advocates and funders.

Below are Suggested Organizations and Sites which Provide Tools for Youth and Young Adults

Red Treehouse was created to provide a welcoming and vibrant online community for families and professionals to explore resources to help children and young adults, prenatal through age 25. Red Treehouse established its roots in a partnership between Ohio Family and Children First (OFCF) and the Ronald McDonald House® of Cleveland, Inc. (RMH). OFCF, founded in 1993, is a partnership of state and local government, communities and families that enhances the well-being of Ohio’s children and families by building community capacity, coordinating systems and services, and engaging and empowering families.

Youth M.O.V.E. National
Youth M.O.V.E National is a youth led national organization devoted to improving services and systems that support positive growth and development by uniting the voices of individuals who have lived experience in various systems including mental health, juvenile justice, education, and child welfare. The members of Youth M.O.V.E. National work as a diverse collective to unite the voices and causes of youth while raising awareness around youth issues. We will advocate for youth rights and voice in mental health and the other systems that serve them, for the purpose of empowering youth to be equal partners in the process of change.

Youth M.O.V.E  Ohio
YouthMOVE Ohio is a youth led organization devoted to improving services and systems to support youth inclusion, mental wellness, positive supports and healthy transition. YouthMOVE Ohio empowers youth to advocate for themselves and live healthy, meaningful lives. Our vision is a world where youth are respected for their experience and given the tools and supports they need to succeed. YouthMOVE Ohio advocates for youth rights and youth voices at a national, state and local level. We empower youth to be equal partners in the processes that impact them and offer support and guidance.

Girls Health.Gov
The site gives girls reliable, useful information on the health issues they will face as they become young women, and tips on handling relationships with family and friends, at school and at home. Their tagline is “Be Happy. Be Healthy. Be You. Beautiful.” It focuses on the idea that being yourself—finding what makes you smile and how to live well—is what makes you “you.” And that is beautiful

Transition to Independence Process (TIP) and the National Network on Youth Transition (NNYT) for Behavioral Health
The National Network is the only technical assistance resource that is exclusively focused on improving practices, systems, and outcomes for transition-age youth and young adults and their families. Stars Training Academy, a division of Stars Behavioral Health Group, (SBHG) collaborates with community agencies across North America to provide enriched training and customized consultation to achieve high fidelity and sustainable implementation of evidence-supported and evidence-based practices. The Stars Training Academy serves as the purveyor of the Transition to Independence Process (TIP) Model. The National Network on Youth Transition (NNYT) is a semi-autonomous entity that is under the SBHG umbrella. NNYT is responsible for defining and applying fidelity and certification standards for the implementation and sustainability of the TIP Model.

Achieve My Plan (AMP) | A Randomized Field-Test of Youth Engagement in Mental Health Treatment Planning
For young people aged 11.5-18 with serious mental health conditions, a comprehensive, team-based approach is increasingly seen as the preferred mechanism for creating and monitoring treatment plans. Unfortunately, the young people themselves rarely participate meaningfully in these kinds of interdisciplinary planning teams. As a result, they can become disengaged from the planning process and unmotivated to participate in the planned treatment. The Achieve My Plan! (AMP) study tested a promising intervention that was developed by researchers at Portland State University, in collaboration with young people who have mental health conditions, service providers and caregivers. The study systematically evaluated the impact of the AMP intervention on youth participation and engagement in treatment planning, youth empowerment, and youth mental health and recovery outcomes.

Focal Point (Pathways Research and Training Center, Portland State University
The Research and Training Center for Pathways to Positive Futures annually publishes the research review Focal Point, which is mailed free of charge to 18,000+ readers. Each issue of Focal Point explores a topic related to youth and young adult mental health and the transition to adulthood. Contributing authors offer perspectives and research from a variety of fields, including social work, psychology, sociology, juvenile justice, child welfare, public health, public policy, and neuroscience. The RTC for Pathways to Positive Futures aims to improve the lives of youth and young adults with serious mental health conditions through rigorous research and effective training and dissemination. Our work is guided by the perspectives of young people and their families, and based in a positive development framework.

Below are Suggested Organizations and Sites which Provide Tools for Family Supports

The Family-Run Executive Director Leadership Association (FREDLA)
FREDLA’s mission is to empower and strengthen executive leaders of family-run organizations focused on the well-being of children and youth with mental health, emotional or behavioral challenges and their families. The Family Run Executive Director Leadership Association (FREDLA) serves as the national representative and advocate for family-run organizations and their executive directors, and supports effective stewardship of family-run organizations. FREDLA informs its members on current and emerging policy issues, provides education on research and other program findings and best practices, provides or facilitates professional development opportunities and other consultation and technical assistance, collaborate with stakeholders and facilitates peer-to-peer sharing across member family-run organizations.

National Federation for Children’s Mental Health
The National Federation of Families for Children’s Mental Health is a national family-run organization linking more than 120 chapters and state organizations focused on the issues of children and youth with emotional, behavioral, or mental health needs and their families. It was conceived in Arlington, Virginia in February, 1989 by a group of 18 people determined to make a difference in the way the system works. Members of the National Federation come from all walks of life. Emotional, behavioral or mental health needs cut across all income, educational, geographical, racial, ethnic, and religious groups. They are found among single parents and two-parent families and in birth, adoptive, and foster families. The National Federation works to develop and implement policies, legislation, funding mechanisms, and service systems that utilize the strengths of families. Its emphasis on advocacy offers families a voice in the formation of national policy, services and supports for children with mental health needs and their families.

The National Directory of Family-Run & Youth-Guided Organizations for Children’s Behavioral Health
The directory lists family-run and youth-guided organizations and support groups throughout the United States, US Territories and Tribal Nations. You can search our database to find organizations across the country run by families or youth consumers that are working to support families who have children and adolescents with behavioral health challenges and to improve behavioral health services and supports. Behavioral health services include mental health and substance abuse services. The Directory provides contact information for family and youth organizations and support groups seeking to connect with other family and youth organizations; assists families and youth in locating other organizations’ websites; helps families, system of care planners, and practitioners to identify existing family-run and youth-guided organizations and the types of services and supports provided; and, provides the latest and most accurate information on family-run and youth-guided organizations whose focus is on children’s behavioral health issues

Quick Guide for Self-Assessment for Family-Run Organizations in Systems of Care
The Quick Guide is for use by family-run organizations. The guide is divided into nine sections addressing important elements of family-run organization development and sustainability. Each section represents several components or characteristics of effective family-run organizations in a system of care. A brief description of the element and its components and characteristics is presented at the beginning of each section. The description is followed by exercises designed to help you, as a family-run organization representative or team, begin your self-assessment and planning in that area.

Suicide Prevention and Runaway Safeline Resources:

The Trevor Project:
Founded in 1998 by the creators of the Academy Award®-winning short film TREVOR, The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender and questioning (LGBTQ) young people ages 13-24. In 1994, producers Peggy Rajski and Randy Stone saw writer/performer James Lecesne bring to life Trevor, a character he created as part of his award-winning one-man show WORD OF MOUTH. Convinced Trevor’s story would make a wonderful short film, Stone and Rajski invited Lecesne to adapt it into a screenplay. Rajski directed the movie and TREVOR went on to win many prestigious awards including the Academy Award® for Best Live Action Short Film.

National Suicide Prevention Lifeline
The National Suicide Prevention Lifeline provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week, across the United States. The Lifeline is comprised of a national network of over 160 local crisis centers, combining custom local care and resources with national standards and best practices. The National Suicide Prevention Lifeline is independently evaluated by a federally-funded investigation team from Columbia University’s Research Foundation for Mental Hygiene. The Lifeline receives ongoing consultation and guidance from national suicide prevention experts, consumer advocates, and other stakeholders through the Lifeline’s Steering Committee, Consumer/Survivor Committee, and Standards, Training and Practices Committee.

Ohio Suicide Prevention Foundation
The Ohio Suicide Prevention Foundation is a prevention, education and resource organization. Our Vision is to provide suicide prevention organizations information and resources, raise awareness, eliminate stigma, and increase help-seeking behavior for all Ohioans. To promote suicide prevention as a public health issue and advance evidence-based awareness, intervention and methodology strategies which will support all Ohio-based suicide prevention efforts. In Ohio 1,200 Ohioans die by suicide each year, an average of 3 persons a day. For every homicide in Ohio, there are 2 suicides. Suicide is the second leading cause of death for people 15-24. Suicide is the eleventh ranking cause of death for all ages. Males account for 79% of Ohio’s suicides, females account for 21% and 13% of suicides are persons 65 years or older. As reported by the 2005 Youth Risk Behavior Survey (YRBS), 27% of Ohio’s teens report feeling depressed, 18% report seriously considering suicide and 9% of Ohio’s teens report attempting suicide during the past year.

Youth Suicide Prevention School-Based Guide:
The Youth Suicide Prevention School-Based Guide is designed to provide accurate, user-friendly information. First, checklists can be completed to help evaluate the adequacy of the schools’ suicide prevention programs. Second, information is offered in a series of issue briefs corresponding to a specific checklist. Each brief offers a rationale for the importance of the specific topic together with a brief overview of the key points. The briefs also offer specific strategies that are supported by research in reducing the incidence of suicidal behavior, with references that schools may then explore in greater detail. A resource section with helpful links is also included. The Guide will help to provide information to schools to assist them in the development of a framework to work in partnership with community resources and families.

National Runaway Safeline
The mission of the National Runaway Safeline (NRS) is to help keep America’s runaway, homeless and at-risk youth safe and off the streets. NRS provides education and solution-focused interventions, offers non-sectarian, non-judgmental support, respects confidentiality, collaborates with volunteers, and responds to at-risk youth and their families. The 1-800-RUNAWAY hotline and online crisis services are available 24-hours a day, 7 days a week and 365 days a year throughout the United States and its territories, including Puerto Rico, the U.S. Virgin Islands, and Guam.The organization serves as the federally designated national communication system for runaway and homeless youth. Our services are provided through funding from Family and Youth Services Bureau in the Administration for Children and Families, U.S. Department of Health and Human Services and the generosity of private funders: individual donors, corporate partners, and foundation grants.

Project Aware Ohio
Project AWARE Ohio is a partnership between the Ohio Department of Education, the Center for School Based-Mental Health Programs at Miami University and the educational service centers within three pilot communities: Cuyahoga County, Warren County and Wood County. Funded through the U.S. Department of Health and Human Services.  Project AWARE Ohio supports schools and communities in: Raising awareness of behavioral health issues among school-aged youth; Providing training to detect and respond to mental health challenges and crisis in children and young adults; and Increasing access to behavioral health supports for children, youth and families.

Behavioral Health Advocacy

Bazelon Center for Mental Health Law:
The mission of the Judge David L. Bazelon Center for Mental Health Law is to protect and advance the rights of adults and children who have mental disabilities. The Bazelon Center envisions an America where people who have mental illnesses or developmental disabilities exercise their own life choices and have access to the resources that enable them to participate fully in their communities. The Bazelon Center pursues a progressive mental health policy agenda (see Where We Stand and In Congress), particularly at the federal level, to reform systems and programs to protect the rights of children and adults with mental disabilities to lead lives with dignity in the community. Policy staff promote these goals in federal legislation and regulation, policy analysis and research, and technical assistance to state and local advocates.


Resiliency Ohio
Resiliency Ohio seeks to empower youth and families to expect, define, and experience a lifetime of hope, well being, and achievement with full participation in their communities. It is also to support and develop local mental health systems that foster resiliency at all levels of mental health care and education, including mental health promotion, prevention, and intervention, with the ultimate outcome of resilient individuals, families, and communities. Resiliency Leadership Ohio is a youth-guided, family-driven initiative that is co-facilitated by the Center for Innovative Practices at the Institute for the Study and Prevention of Violence at Kent State University, and the Ohio Federation for Children’s Mental Health, with the support of the Ohio Department of Mental Health.

Resiliency Consensus Statement 2009
A resilience-oriented mental health system is affirming of youth and family with unconditional acceptance. Supportive, emotionally safe environments are created, where youth and families can share their vulnerabilities and weaknesses safely and without judgment.  Validation is a shared experience in which each provider journeys to discover and appreciate the family’s culture, circumstances, and life realities. The youth and family are validated for their courage, efforts, and persistence, knowing that progress is sometimes very difficult, and that “hanging in there” is sometimes all that is possible at any given point in a family’s life.  Youth with mental health disabilities and their families are doing the best they can, not only maintaining, but “surviving well.”

Resiliency Trumps Aces
All young people thrive and parents raise their children with consistency and nurturance to develop lasting resilience in the community as a whole. Mobilizing the community through dialogue to radically reduce the number of adverse childhood experiences while building resilience and a more effective service delivery system.This page attempts to recognize that without partners like Annett, who know that shame and blame have no place in our human interactions, that fear-based responses and punitive systems must be replaced with love-based, conscious awareness of how we operate at the relationship level and thus our highest energy state, we would not be where we are today in spreading this movement.


Child and Adolescent Needs and Strengths (CANS)
Founded in 1998, the Praed Foundation seeks to support transformational activities in human services, with a special emphasis on improving the lives of children and families. The Foundation has a variety of projects that supports its mission including managing flexible funding for youth with mental health needs in the juvenile justice system. The primary work of the Foundation is in support of a mass collaboration of individuals who seek to use evidence-based assessments as an approach to working together to maintain the focus of human service enterprise on the people they serve. As such, the Praed Foundation maintains the copyrights on the Child & Adolescent Needs and Strengths, the Family Advocacy and Support Tool, the Crisis Assessment Tool, and the Adult Needs and Strengths Assessment to ensure that they remain free for anyone to use who shares this commitment.

Adult Needs and Strengths Assessment –Transition
The Adult Needs and Strengths Assessment (ANSA) is a multi-purpose tool developed for adult’s behavioral health services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The ANSA is currently used in a number of states and Canada in applications hospitals, emergency departments, psychosocial rehabilitation programs, and ACT programs. The CANS was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices.


Effective Financing Strategies
The Research and Training Center for Children’s Mental Health (RTC) at the University of South Florida conducted several five-year studies to identify critical implementation factors that support states, communities, tribes, and territories in their efforts to build effective systems of care to serve children and adolescents with or at risk for serious emotional disturbances and their families. One of these studies examined financing strategies used by states, communities, and tribes to support the infrastructure, services, and supports that comprise systems of care. The study of effective financing practices for systems of care was initiated in October 2004 and was conducted jointly by the RTC, the Human Service Collaborative of Washington, DC, the National Technical Assistance Center for Children’s Mental Health at Georgetown University, and Family Support Systems, Inc. of Arizona. The study was supported with federal funding from the National Institute on Disability and Rehabilitation Research of the Department of Education and the Substance Abuse and Mental Health Services Administration (SAMHSA).

Tiered Care Coordination Expert Convening Meeting Summary
Care coordination is a component of service delivery that has experienced tremendous growth and adaptation in recent years, driven in part by the Patient Protection and Affordable Care Act of 2010 (ACA) and supported by large-scale initiatives from Centers for Medicare and Medicaid Services (CMS), Substance Abuse and Mental Health Services Administration (SAMHSA), and other federal and private partners. Definitions of care coordination vary across implementation settings, and after review of almost forty unique characterizations of care coordination, the Agency for Health Care Research and Quality settled on the following description: “Care coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services. Organizing care involves the marshalling of personnel and other resources needed to carry out all required patient care activities, and is often managed by the exchange of information among participants responsible for different aspects of care.”1

Financing 2008-09_NIRN_paper[1]
The implementation of an evidence-based program or practice is a complex process rather than a discrete event, and there are several important components involved in the implementation of evidenced based programs and practices. To successfully implement an EBP and provide benefits to consumers, three critical components require financing: (1) start-up activities to explore the need, feasibility, and installation of a program or practice, (2) the direct service provided to consumers by the EBP, and (3) the infrastructure needed to successfully implement and then sustain the quality of the EBP. The following section will review these three components and, describe the role that each plays in successful implementation efforts as well as the implications for financing.

Clinical Decision Making Approaches for Child and Adolescent Behavioral Health Care
Over nearly a decade, beginning in 995, the Health Care Reform Tracking Project (HCRTP) tracked publicly financed managed care initiatives, principally Medicaid managed care, and their impact on children with mental health and substance abuse (i.e. behavioral health) disorders and their families. The HCRTP was co-funded by the National Institute on Disability and Rehabilitation Research in the U.S. Department of Education and the Substance Abuse and Mental Health Services Administration in the U.S. Department of Health and Human Services. Supplemental funding was provided by the Administration for Children and Families of the U.S. Department of Health and Human Services, the David and Lucile Packard Foundation and the Center for Health Care Strategies, Inc. to incorporate a special analysis related to children involved in the child welfare system. The HCRTP was conducted jointly by the Research and Training Center for Children’s Mental Health at the University of South Florida, the Human Service Collaborative of Washington, D.C. and the National Technical Assistance Center for Children’s Mental Health at Georgetown University.

ENGAGE Resource Materials
Additional Resources Relating to the ENGAGE Initiative Ohio Department of Mental Health and Addiction Services (OhioMHAS)

Transition-Age Youth
Transition-age youth are adolescents and young adults (ages 14-25) who have a diagnosable mental illness that has led to impaired functioning in one or more life domains. Examples of life domains include housing, education and employment, quality of life and functioning and life skills Developmentally, transition-age youth are interdependent, seeking their own identity and independence while still partially dependent on the support of family members, caregivers and service providers. Best practices for serving transition-age youth incorporate the principles of recovery, resiliency and cultural competence. In addition, the overall care must be youth-guided and family-driven.

Achieve My Plan (AMP) and Related Materials for Young Adults

Strategic Sharing Workbook
This workbook is for individuals who have experienced traumatic life experiences and are interested in sharing their stories in an effort to promote change. Training in Strategic Sharing is an important part of advocacy – we encourage anyone who has experienced traumatic life events and wishes to share those experiences in an effort to promote positive changes for yourself and/or others, to do so with the help of this guide. As you will see mentioned several times in this workbook, it is really important that you take the time to take care of yourself. This training was not developed to help anyone overcome aspects of trauma; it was created to help individuals avoid retraumatization when sharing their traumatic experiences with others. So we encourage everyone using this workbook to either continue with your mental health services or to seek out mental health supports.

Best Practices for Achieving Meaningful Youth Participation
Human service and educational agencies and systems often convene teams to work collaboratively on plans for serving children or youth. This is particularly true for children and youth who are involved with multiple systems or who are felt to be in need of intensive intervention. These kinds of planning teams include IEP (Individualized Education Plan) teams, wraparound teams, foster care Independent Living Program teams, transition planning teams, youth/family decision teams, and other teams that create service or treatment plans. Unfortunately, it is often true that these plans are created for youth, with little input or buy-in from the young people themselves.

Paving the Way
This position paper was written to help build consensus around the issues and solutions for transition-age youth served by the mental health system in Ohio. This consensus building process will generate an action plan to support seamless treatment and support services and improved outcomes for transition-age youth. The information provided in this paper is not conclusive, but rather is to be used as a tool for further discussion, research, and planning. Transition-age youth are adolescents and young adults who have a diagnosable mental illness that has led to impaired functioning in one or more life domains. Examples of life domains include housing, education and employment, functioning and life skills, quality of life, and others. Developmentally, transition-age youth are interdependent, seeking their own identity and independence while still partially dependent on the support of family members, caregivers, and service providers.

Whose Idea Is This A Parent’s Guide to Individuals with Disabilities
If you are a parent of a child who has a disability that interferes with his or her education, or if your child is suspected of having such a disability, this handbook will serve as a valuable resource for your child’s education. Whose IDEA Is This? boils down language of the Individuals with Disabilities Education Improvement Act of 2004 (IDEA) to main points that will help you be an effective partner in your child’s education. This guide has been prepared by the Ohio Department of Education’s Office for Exceptional Children (ODE/OEC).


The Wraparound Process User’s Guide
This step-by-step tutorial provides an overview of the Wraparound System of Care as well as implementation guidelines that are at the heart of Ohio’s SAMHSA System of Care Expansion initiative seeking to expand System of Care statewide focusing on youth, young adults in transition, their care givers and families. A system of care is a spectrum of effective, community-based services and supports for children and youth with mental health challenges and their families, that is coordinated, built on meaningful partnerships with families and youth, and addresses cultural and linguistic needs to help them function better at home, in school, at work, in the community, and throughout life.

How and Why Does Wraparound Work | A Theory of Change
Wraparound has always had implicit associations with various psychosocial theories, however, until recently only preliminary efforts had been undertaken to explain in a thorough manner why the wraparound process should produce desired outcomes. The Wraparound theory assumes that, when wraparound is undertaken in accordance with the principles and the practice model specified by the NWI, the result is an effective team process that capitalizes on the expertise and commitment of all team members while also prioritizing the perspectives of the youth and family. When the wraparound process is carried out with fidelity to the principles and the practice model, it is an engagement and planning process that promotes a blending of perspectives and high-quality problem solving.

Ten Principles of the Wraparound Process
The philosophical principles of wraparound have long provided the basis for understanding this innovative and widely-practiced service delivery model. This value base for working in collaboration and partnership with families extends from wraparound’s roots in programs such as Kaleidoscope in Chicago, the Alaska Youth Initiative, and Project Wraparound in Vermont. In 1999, a monograph on wraparound was published that presented 10 core elements of wraparound, as well as 10 practice principles, from the perspective of wraparound innovators. For many, these original elements and principles became the best means available for understanding the wraparound process. They also provided an important basis for initial efforts at measuring wraparound fidelity.

Harnessing the Power of Young People and Social Media | Today’s Tools to Break Down the Stigma Surrounding Mental Illness and Substance Abuse
Is it possible to bridge the growing health information and communication gap? Yes! By harnessing the power of the young people in our middle schools, high schools, and universities who are already on social media sites and have amazing skills for video creation, Web site design, photography, marketing, and tweeting that reaches their own generation. Healthcare organizations do not need to spend money and time training their current staff to learn to use social media, they simply need to recruit and welcome the younger generation to serve on their boards and committees as well as on their staff as volunteers, interns, and employees.

Achieve My Plan | Youth Participation Research Summary
Human service and educational agencies often convene teams to work collaboratively on plans for serving children or youth. This happens most often for children and youth who are involved with multiple systems or who are felt to be in need of intensive support. Often, these are children and adolescents with cognitive, emotional, behavioral, physical, or learning challenges. Contained in this PDF are some common questions that people might have about youth participation in education, care, treatment, or service planning. Information from published research is summarized to help answer each question. We provide references so that if you are interested, you can get more details from the original sources.

Wraparound and Natural Supports
The Wraparound theory assumes that, when wraparound is undertaken in accordance with the principles and the practice model specified by the NWI, the result is an effective team process that capitalizes on the expertise and commitment of all team members while also prioritizing the perspectives of the youth and family…When the wraparound process is carried out with fidelity to the principles and the practice model, it is an engagement and planning process that promotes a blending of perspectives and high-quality problem solving, and is thus consistent with empirically supported best practices for effective teamwork…As a wraparound trainer and coach, I support facilitators as they learn the craft of wraparound.

TIP Model Definition & Guidelines
The Transition to Independence Process (TIP) model was developed for working with youth and young adults (14-29 years old) with emotional/behavioral difficulties (EBD) to engage them in their own futures planning process and provide them with developmentally-appropriate, non stigmatizing, culturally-competent, trauma-informed, and appealing services and supports. The TIP model is operationalized through seven guidelines and their associated practices that drive the work with young people to improve their outcomes and provide a transition system that is responsive to their families.

Does Team-Based Planning ‘Work’ for Adolescents? | Studies of Wraparound
This article focuses on wraparound as an example of a team planning process, and uses data from several sources to reflect on questions about whether-and under what conditions-collaborative teams are successful in engaging young people-and their caregivers-in planning. We used data collected in three studies to address our research questions. The first data set comes from a study on wraparound service planning in Nevada. We examined data collected from 23 matched pairs of caregivers and youth at 6 months after wraparound planning began. Our second data set came from a national study of 41 local wraparound programs throughout the United States.

Phases and Activities of the Wraparound Process
“Phases and Activities of the Wraparound Process” focuses on what needs to happen in wraparound; however, how the work is accomplished is equally important. Merely accomplishing the tasks is insufficient unless this work is done in a manner consistent with the 10 principles of wraparound. In addition, future work from the National Wraparound Initiative will provide more detailed information about team member skills that are necessary for the wraparound process, as well as descriptions of specific procedures, templates, and other tools that can be used to complete the activities described.

Promoting Successful Transitions for Youth with Serious Mental Health Conditions
This webinar was presented on October 8, 2014 by Mary Wagner, Ph.D and Lynn Newman, Ed.D, sponsored by the Transitions Research and Training Center at the University of Massachusetts Medical School, Worcester, MA. It provides a national picture of youth who received special education services in high school in the category of emotional disturbance regarding: Post-high school employment; participation in post-secondary education; factors related to an increased likelihood of employment and post-secondary education up to eight years after high school; longitudinal patterns of productive engagement in employment and/or post-secondary education up to four years post-high school and predictors of engagement and disengagement.

Human Trafficking Resource

Ohio Office of Attorney General Human Trafficking Initiative
Human trafficking is an estimated multi-billion a year international enterprise that forces the most vulnerable among us into the horrors of modern-day slavery. Criminals who are involved in trafficking other human beings prey upon those already at risk in our society, often our children.  In fact, a preliminary report on the scope of the problem in Ohio cited 13 years old as the most common age in Ohio for youth to become victims of child sex trafficking. From the study’s sample of 207 individuals, 49 percent were under 18 when they were first trafficked.  The Commission includes elected and appointed officials, members of local, state, and federal law enforcement, public and private social agencies, religious groups, and schools who meet regularly to understand the extent of the problem in Ohio, find ways to help victims, and discover how to investigate and prosecute traffickers.

Vroon VanDenBerg
Vroon VDB’s mission is to support communities in establishing, sustaining, and improving high fidelity wraparound, through use of state of the art materials, training, coaching, and consultation. Our primary goal is to support access to “good” wraparound to any children, families, or individuals who need and want it. We know that the primary enemies of good wraparound practice are drift and stagnation. We are committed to helping communities avoid practice model drift over time and develop highly competent staff and strong local leadership. Our ultimate goal is for high fidelity wraparound to be available to every youth and family that needs it.To avoid stagnation and tp support successful innovation, we are committed to forming local learning organizations and regional and natural learning communities.

Paper Boat is written and maintained by Patricia Miles and John Franz.  We operate independent consulting practices, but are long-term colleagues who share a common approach in our work with agencies and communities that are interested in large-scale implementation of integrated, strength-based, consumer-driven systems of care. – Patricia Miles lives in Gresham, Oregon and has been involved in a variety of community development and human service enterprises including starting a battered women’s shelter, running a youth employment program, directing a residential treatment center that turned itself inside out to do community-based work, and managing the start-up of a large scale implementation of wraparound in Columbus, Ohio.

The Center for Health Care Strategies, Inc.
A nonprofit policy center dedicated to improving the health of low-income Americans. Since 1995, the Center for Health Care Strategies (CHCS) has partnered with nearly every state in the country to promote innovations in publicly financed health care, especially for individuals with complex, high-cost needs. Its work brings together state and federal agencies, health plans, providers, and consumer groups to advance models of organizing, financing, and delivering health care services. In so doing, it has developed both a birds-eye view and a ground-level feel for the nation’s health care delivery system for low-income Americans and a unique perspective on how to generate systems-level change within Medicaid and across public and private payers.

Wraparound Evaluation & Research Team
The Wraparound Evaluation and Research Team seeks to improve the lives of children and their families through research on the implementation and outcomes of the Wraparound process. Through development, refinement and dissemination of the Wraparound Fidelity Assessment System, our team aims to assist implementation of the Wraparound process, evaluate effectiveness, identify the need for technical assistance and training, and promote communication within the service delivery and research and evaluation fields. Wraparound is a research-based care coordination process for youth with complex needs. It is an intensive, individualized care planning and management process and holistic way of engaging with individuals with complex needs (most typically children, youth, and their families) so that they can live in their homes and communities and realize their hopes and dreams.

National Wraparound Initiative
The NWI envisions a future in which all children and youth, regardless of the complexity of their needs, are connected to caring adults and have access to appropriate services and supports so they can be healthy, experience positive development, and live and thrive in their homes and communities. Since 2004, the National Wraparound Initiative has worked to promote understanding about the components and benefits of care coordination using the Wraparound practice model, and to provide the field with resources and guidance that facilitate high quality and consistent Wraparound implementation. In 2014, the NWI launched the National Wraparound Implementation Center (NWIC). NWIC supports states, communities, and organizations to implement Wraparound effectively through training and workforce development, organizational- and system-level technical assistance, and evaluation support.

National Wraparound Implementation Center (NWIC)
The National Wraparound Implementation Center (NWIC) supports states, communities, and organizations to implement Wraparound effectively. NWIC uses innovative approaches grounded in implementation science and incorporating cutting-edge strategies to support Wraparound implementation. NWIC provides support that is intensive yet affordable. The work is focused on building sustainable local capacity to provide model-adherent, high fidelity Wraparound, thereby increasing positive outcomes for children, youth, and their families.

Building Systems of Care Primer
Building systems of care is inherently a strategic process. Webster’s Dictionary defines strategic planning as “the science and art of mobilizing all forces—political, economic, financial, psychological—to obtain goals and objectives.” This terminology comes out of warfare! It assumes that there is clarity about goals and objectives. Creating that clarity and mobilizing “all forces” are key roles that system builders play. This document provides a strategic framework to support system builders in these roles by: Reviewing the history, values, principles, and operational characteristics of systems of care to create a context for system building: Exploring many of the functions that require structure in systems of care; Discussing examples and the pros and cons of various structural arrangements to promote improved outcomes for children, youth, and families involved, or at risk for involvement, in multiple systems; and • Describing and providing examples of effective system-building processes.

Crisis Text Line
The Ohio Department of Mental Health and Addiction Services (OhioMHAS) has entered in to a contract with the national Crisis Text Line to provide Ohioans with a state-specific keyword to access its free, confidential service available 24/7 via text on mobile devices. This new resource is intended to broaden the options available through current community crisis hotlines. Throughout Ohio, individuals can text the keyword “4hope” to 741 741 to be connected to a Crisis Counselor. This keyword was originally chosen by the Stark County Mental Health and Addiction Recovery Board and will now be available statewide through this partnership.

Strengthening Family Support for Young People with Mental Health Needs in the Transition to Adulthood: A Tip Sheet for Service Provider
To strengthen family support in the transition to adulthood,service providers need to be able to: Consider the experiences reported by many families during the transition years: A shared sense of losing control with the natural pulling apart of adult family members and youth as youth become more independent; Initially parents may feel confident, although worried, but feel less adequate when service providers undermine their expertise and judgment by questioning and marginalizing them; The treatment system often forces young adults and families to disconnect; Families care for youth in a context ofinadequate resources, and little support in the community; Systems do not necessarily support collaboration with families. Service providers need to be familiar with federal, state, and local legal and policy issues; Individual and family developmental changes happen gradually but institutional transitions occur abruptly according to bureaucratic and legal rules; There are different definitions of serious emotional disturbance in special education versus mental health in the adult system; Youth with mental health disabilities have entitlements in the education system but when they have reached the age of adulthood there is only eligibility for adult services, no entitlement; 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: 216-368-5235 | email:
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106