High Fidelity Wraparound

What is HFW?

High Fidelity Wraparound (HFW) is a unique, team-based planning process that engages youth, families, and their services and supports to identify priority needs, integrate planning, and ultimately improve self-efficacy.  The HFW process follows an evidence-based model with ten guiding principles and the Theory of Change to help youth and families achieve their goals.  

HFW is a voluntary planning process that focuses on finding solutions that fit the experience of the youth and family. The HFW team will work in collaboration with your current or needed treatment services.  Throughout this process the youth and family will have voice and choice and will be empowered to create their family-driven plan. 

Highlights of HFW:

Integration of services and supports to reduce silos and different care plans

Gathers information to help the youth and family create their ‘story’ also known as the Strengths, Needs, and Cultural Discovery.

Focuses on crisis stabilization and developing a comprehensive crisis prevention plan

Helps the youth and family to build natural supports

Empowers the youth and family to work towards their prioritized needs and achieve their vision

High Fidelity Wrap Around Diagram

High Fidelity Wraparound is an evidence-based practice.  The model shows the Ten Guiding Principles: Family Voice and Choice, Individualized, Strengths-Based, Community-Based, Team-Based, Collaboration and Integration, Culturally Competent, Natural Supports, Persistence, and Outcomes-Based.  The team uses the Theory of Change throughout the process which is important to empower the youth and families and to meet their basic needs.  

The Theory of Change has four primary areas of focus:

Prioritized Needs

Natural Supports

Integrated Planning

Self-Efficacy

HFW is driven by the youth and family’s needs that they prioritize. The team helps to build natural and community supports so youth and families have a stronger social network to help when professionals are no longer needed.  HFW also brings together all team members to ensure services are integrated and everyone is working on the same family-driven plan.  Additionally, the team is continually working towards self-efficacy and helping the youth and family to build confidence in their abilities to be independent.  

The HFW process is separated into Four Phases: Engagement, Planning, Implementation, and Transition.  

1   Engagement:

During this phase, the HFW workforce engages with the youth and family to determine their needs and identify supports to develop a team. This phase lasts approximately 30 days and the family will work together with the workforce to create a Crisis Stabilization Plan and Family Vision.

2   Planning:

This phase begins with the first Family Team Meeting and results in the creation of the Family Plan and Crisis Prevention Plan.  During this phase, the team works to create a plan that will meet the needs identified by the family and youth. This phase usually begins within 30 days of referral and can last up to 60 days.

3   Implementation:

This phase is where the family, youth, community partners, and natural supports begin to do the work as outlined in the family plan.  Expect regular meetings and contact with the HFW workforce to monitor the progress of the plan. The team will regularly brainstorm ways to achieve success on goal areas. This phase can last anywhere from a month to a year.

4   Transition:

This final phase of the process is where skills are taught to the family and natural supports, including facilitating their own meetings to help ensure their needs are continuing to be met even after graduation from the process.  This phase is guided by the youth and family who help to create a transition plan. The entire HFW process can last anywhere from six to 15 months, depending on the family’s needs and progress.

Participation:

To participate in HFW in Blair County, youth and families should meet the following criteria:

Youth are between the ages of 12 and 21 and have a mental health diagnosis (youth under the age of 12 will be reviewed on a case by case basis).

Youth are at risk, returning from or currently in out of home placement

Youth and family may have multi-system involvement (Behavioral Health, Child Welfare, Juvenile Probation, Education)

The youth and family are willing to participate in this voluntary process

The HFW team will work with youth and families where they are most comfortable. Our team can work face-to-face in the home, community, or office settings. Virtual meetings are also available.

To make a referral for HFW, please complete the referral form . You may also call or email Brittany Feaster, HFW Coach, at: bfeaster@blairhealthchoices.org or 814-696-5680 ext. 213.  Referrals can also be securely faxed to 814-695-5132 to the attention of Brittany Feaster.

behavioral health for children and families