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Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-05-2015 | Original Article

Effectiveness of Wraparound Versus Case Management for Children and Adolescents: Results of a Randomized Study

Authors: Eric J. Bruns, Michael D. Pullmann, April Sather, Ramona Denby Brinson, Michelle Ramey

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2015

Abstract

In this study, we compared service experiences and outcomes for youths with serious emotional disorder (SED) randomly assigned to care coordination via a defined wraparound process (n = 47) versus more traditional intensive case management (ICM; n = 46) The wraparound group received more mean hours of care management and services; however, there ultimately were no group differences in restrictiveness of residential placement, emotional and behavioral symptoms, or functioning. Wraparound implementation fidelity was found to be poor. Organizational culture and climate, and worker morale, were poorer for the wraparound providers than the ICM group. Results suggest that, for less-impaired youths with SED, less intensive options such as ICM may be equally effective to poor-quality wraparound delivered in the absence of wraparound implementation supports and favorable system conditions.

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Title: Effectiveness of Wraparound Versus Case Management for Children and Adolescents: Results of a Randomized Study
Authors: Eric J. Bruns
Michael D. Pullmann
April Sather
Ramona Denby Brinson
Michelle Ramey
Publication date: 01-05-2015
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2015
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-014-0571-3

At a glance: The STEP trials

Springer Medicine

Effectiveness of Wraparound Versus Case Management for Children and Adolescents: Results of a Randomized Study

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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