Wraparound Program

Wraparound is for children and youths who have a high level of emotional and/or behavior needs, and whose families want help keeping their children or youth in the home, school, or community.

Criteria for Wraparound Services:

• Age 6 through 17
  • Youth found to be eligible for CMHW services in their 17th year will be entitled to receive 12 months of services so long as all other eligibility requirements continue to be met. For example, a youth enrolled at 17 and a half years of age may continue his or her approved level-of-need year through age 18 and a half as long as the youth continues to meet all other eligibility criteria.
  • If the youth participates in Wraparound services through CMHI, the services will terminate at age 18 regardless of when they were approved.
• Resides in his or her home or community
• Meets criteria for two or more DSM-V (or subsequent revision) diagnoses not excluded as exclusionary criteria (see the Exclusionary Criteria section noted below)
  
• In addition to meeting the CMS-approved target group criteria, the applicant must also meet CMHW needs-based criteria, which includes:
  • Applicant demonstrates dysfunctional patterns of behavior, due to one or more of the following behavioral or emotional needs, as identified on the Child and Adolescent Needs and Strengths (CANS) assessment tool: Adjustment to trauma; Psychosis; Debilitating anxiety; Conduct problems; Sexual aggression or Fire-setting
  • Family/caregiver demonstrates significant needs in at least one of the following areas, as indicated on the CANS assessment: Mental health; Supervision; Family stress; Substance abuse
• Youth does not meet the following Exclusionary Criteria for CMHW, which are used to identify youth the CMHW program is not designed to serve. A youth with any of the following criteria is not eligible for CMHW:
  • Primary substance use disorder
  • Pervasive developmental disorder (autism spectrum disorder)
  • Primary attention deficit hyperactivity disorder
  • Participant with an intellectual/developmental disability (I/DD)*
  • Dual diagnosis of serious emotional disturbances and intellectual disability
  • Youth that resides in an institutional or otherwise HCBS noncompliant setting

• Youth with an open DCS or Probation case will not qualify for CMHI funding, but may still qualify for CMHW services if all other requirements are met.

*It is possible that CMHI might consider an exception to fund wraparound services for children diagnosed with I/DD. Please call IPMG at (765) 464-2991 for more information.

Respite: Respite Care services are provided to participants unable to care for themselves and are furnished on a short-term basis because of the absence or need for relief of persons who normally provide care for the participant. Respite Care may not be provided as a substitute for regular child care to allow the parent/guardian to hold a job.

Habilitation: The goal of Habilitation services is to enhance the participant’s level of functioning, quality of life, and use of social skills, as well as build the participant’s and family’s strengths, resilience, and positive outcomes. The Habilitation service provider helps the participant accomplish these goals through development of the following skills: Identification of feelings; managing anger and emotions; giving and receiving feedback, criticism, or praise; problem-solving and decision making; learning to resist negative peer pressure and develop pro-social peer interactions; improving communication skills; building and promoting positive coping skills; and learning how to have positive interactions with peers and adults.

Training and Support for the Unpaid Caregiver: Commonly referred to as Family Support and Training (FST), this is a service provided for a person who is providing unpaid support, training, companionship, or supervision for the youth. The intent of the service is to provide education and supports to the caregiver that preserves the family unit and increases confidence, stamina, and empowerment. Training and support activities, and the providers selected for these activities, are based on the family/caregiver’s unique needs and are identified in the Plan of Care (POC).

Wraparound Facilitators are trained and certified to provide wraparound services. IPMG Wraparound Facilitators help families develop their Wraparound teams and make sure families have access to the services and supports they need.

• Team Based
• Family Driven
• Strength Based
• Culturally Competent
• Collaborative
• Community Based
• Individualized
• Outcomes Based
• Natural Supports
• Persistent

Although every Wraparound case is different, every case will have four separate phases:

Engagement:

The family and the Wraparound Facilitator get to know one another and the family chooses the members of their Wraparound team.

Planning:

The Wraparound Facilitator, family and team create a Wraparound plan. The plan is based on the strengths and needs of the family. The plan uses services and supports that are traditional along with those that are creative and non-traditional such as respite, mentoring, community activities, parent training, and more.

Implementation:

The Wraparound team follows the Wraparound plan and meets regularly to review progress and update the Wraparound plan.

Transition:

The family is empowered and can get the services and supports needed in their community, school, and home.

IPMG has set a new and unprecedented standard for high quality, measurable and individual-driven case management services since 2006. IPMG’s Wraparound Program Manager has been certified as a Wraparound Facilitator since the launch of Indiana’s wraparound services program in 2014.

IPMG Wraparound Facilitators (WF) work to ensure that participants have the information and tools needed to best utilize all available wraparound services and supports. WFs educate and guide individuals as they make choices about their desired goals, and efficiently coordinate services that support those goals. They also help participants to access non-wraparound services, including medical, social, educational and natural community supports.

Your IPMG Wraparound Facilitator will:

• Meet with the Wraparound participant/family supported and others associated with the youth/family (extended family, referral source, school staff, service providers, family friends, etc.) and gather information to develop a family story, which will assist with identifying strengths and underlying needs for the Initial Plan of Care (POC). The WF will also provide quarterly and annual POC updates as well as a discharge POC when a participant completes the program.
• Develop an Initial Crisis plan, and provide quarterly and annual updates to the Crisis plan that will outline proactive and reactive strategies
  that will be utilized to help keep the youth and others safe.
• Build a Wraparound team by cultivating and strengthening informal and natural supports and identifying resources to best meet the family’s identified needs. The WF will contact all potential team members to explain the wraparound process and to invite them to join the team.
• Monitor the Wraparound process through weekly contact with the youth/family and other team members to ensure that strategies are being implemented in accordance with the POC and to identify barriers to implementation, if necessary.
• Assure the support team knows the individual based upon his or her strengths and preferences, and builds supports around that information.
• Exercise integrity, creativity, and human responsiveness in the context of a partnership with the person being supported.
• Monitor the wraparound recipient's basic health and safety, satisfaction with services, progress toward outcomes, and overall quality of life.

A participant/family has the following responsibilities when receiving wraparound services:

• To participate in planning services
• To choose providers for services
• To work on achieving goals
• To keep appointments.
• To inform their WF about any changes that are pertinent to their participation in their program, such as changes in benefits or how they feel about their plan
• To participate in monthly Wraparound team meetings and remain in communication with the WF throughout the rest of the month.

The 1915i CMHW Medicaid and Children’s Mental Health Initiative (CMHI) both provide waiver funding that supports the cost for Wraparound services for participants and their families.

That cost is a fixed fee set by the DMHA or CMHI.

Medicaid pays for all the services the participant may use; however, Wraparound Facilitation, Habilitation, Unpaid Caregiver Support, and Respite funds are administered through DMHA (CMHW) or DCS (CMHI) and are a set monthly fee which is the same for all providers and all participants. Participants funded by CMHW need to maintain Medicaid eligibility to receive Wraparound services.

Freedom of choice is a cornerstone of Indiana’s wraparound programs. Choice extends to choosing services and service providers. The Medicaid Wraparound program offers participants supported the opportunity to make choices about the Wraparound services and providers that will be part of their Wraparound experience. The IPMG WF will educate and provide resources that participants will need to make educated decisions.

Participants are not limited to only making one choice about any of their Wraparound providers or services. Participants supported can change Wraparound Provider, Wraparound Facilitator, services or service providers at any point at which they are not satisfied or feel that needs have changed.

Obtain assistance and answers to your questions by calling our Wraparound Customer Service Line. Our representatives are available from 8:00 a.m. to 4:30 p.m. Eastern, Monday through Friday.

IPMG’s Wraparound Customer Service:

Telephone: (765) 464-2991

Email: wraphelp@gotoipmg.com

If emergency assistance is needed after normal business hours, or on weekends or holidays, the Wrap Customer Care line (765-464-2991) is available and monitored by on-call staff for emergency calls only. The family can also contact their Wraparound Facilitator’s Supervisor or the Wraparound Program Manager.