The High Fidelity Wraparound practice model can be described as a “process” for youth and families with multifaceted behavioral health needs. It is not a specific service or intervention. The model was formally defined by the U.S. National Wraparound Initiative. Members of this initiative have identified standards for conducting High Fidelity Wraparound and means for measuring successful outcomes. The process of High Fidelity Wraparound must involve family voice and choice, a team-based approach, use natural supports, facilitate collaboration and integration, be community-based, carried out in a culturally competent manner, individualized, strengths based and persistent, and based on outcome measures and cost effectiveness (www.parecovery.org).

Eligibility requirements and target populations vary county to county in Pennsylvania. Generally, children and adolescents from birth until age 21 with complex emotional and behavioral health issues who are involved in multiple child-serving systems are eligible. Child-serving systems are considered the child welfare, drug and alcohol, juvenile justice, mental health, health, and education system. In Pennsylvania, youth with a primary diagnosis of Autism Spectrum Disorder (ASD) are not eligible at this time.

1. Allegheny County

  • Target population: ages six to 21 with a behavioral health disorder, excluding Autism Spectrum Disorder (ASD)
  • Youth who are at risk of being placed in an out-of-home facility, a treatment facility or hospitalized
  • Youth who are in, or nearing discharge from an out-of-home placement, treatment facility or hospitalization
  • Youth who have multi-system involvement
  • Youth who have complex emotional and behavioral needs
  • High-end users of Behavioral Health Rehabilitation Services (BHRS)
  • Youth and families involved with System of Care (SOC) projects

2. Bucks County:

  • Children and youth eligible for Medical Assistance (MA) who are currently in residential treatment facility (RTF) or at risk for RTF
  • Youth will most likely have multi-system involvement, although it is not required
  • Diagnosis of serious emotional disturbance by a physician or other licensed practitioner, including Axis I through V diagnosis. Youth that are diagnosed with Autism Spectrum Disorder will be excluded as High Fidelity Wraparound has not been proven effective with this population
  • Complex mental health service coordination needs, defined by the severity of symptom or complexity of service needs

3. Chester County:

  • Target population: birth to 21 with a behavioral health diagnosis, excluding ASD
  • Youth at risk of an out-of-home placement, or before being discharged from an residential treatment facility (RTF).
  • Youth involved in the mental health or the drug and alcohol (D&A) system, and at least one other child-serving system
  • Youth involved with Juvenile Probation (JPO) or Children, Youth and Families (CYF) who are at risk of an out-of-home placement, with other cross-systems involvement

4. Delaware County:

  • Target population: Families with children at risk of an out-of-home placement
  • Families with children returning from an out-of-home placement

5. Erie County:

  • The Erie County High Fidelity Wraparound Program focuses on those youth who have complex service coordination needs and multiple system involvement with an emphasis on Juvenile Justice/ or Child Welfare systems.  These youth shall also have a mental health diagnosis as well as an imminent, current, or previous risk of residential treatment facility placment (RTF), inpatient psychiatric hospitalization, or out of home placement with currently placed youth having a priority need.  Identification of these youth occurs primarily through our weekly collaborative mental health/juvenile justice and mental health/child welfare triage meetings.

6. Fayette County:

  • Target population: ages six to 17 with a behavioral health diagnosis, excluding ASD
  • Youth with multi-system involvement with the risk of an out-of-home/school placement
  • Family’s goal is the reunification of child

7. Lehigh County:

  • Target population: ages 14 to 21 with a mental health diagnosis, excluding ASD
  • Youth who are at risk of, or have been placed in a restrictive, intensive or intrusive level of mental health care
  • Youth who have had the experience of an imminent placement in a restrictive, intensive or intrusive level of mental health care

8. Montgomery County:

  • Target population: ages 0 to 21 with a behavioral health diagnosis, excluding ASD
  • Youth at risk for an out-of-home placement or being discharged from an out-of-home placement

9. Northumberland County:

  • Children who are not yet heavily involved in services, whose expectation for Behavioral Health Rehabilitative Services (BHRS) have not yet been established. Children and families need to be reached prior to going through the entire medical model process of accessing services, as it exists through the mental health system
  • Secondary target group of families will be those who require additional assistance to maintaining their natural supports developed through the interventions of the social services system. This includes families with children who are transitioning from an out-of-home placement such as residential treatment

10. Philadelphia County:

  • Youth between the ages of 13-16 who have been referred by the Philadelphia Youth Study Center and are eligible for a court diversion program. Youth must have a history of serious behavioral health issues requiring intensive treatment.

11. York County:

  • The target population will be Medical Assistance enrolled children and youth 0-21 years of age
  • A diagnosis of serious emotional disturbance (excluding a diagnosis of Autism Spectrum Disorder) or co-occurring mental health and substance abuse disorders by a physician or other licensed practitioner of the healing arts, including a multi-axial (Axes I through V) diagnosis
  • Complex behavioral health needs
  • Imminent, current, or previous utilization of a restrictive, intensive level of behavioral health care such as inpatient mental health services, residential treatment facilities (RTF), and/or intensive use of behavioral health rehabilitation services (BHRS)
  • Possible involvement with the Office of Children, Youth, and Families and/or Juvenile Probation; however such involvement will not be a condition to receive Joint Planning Team (JPT) services