Table 1.

Summary of Challenges of and Proposed Enhancements to “Wraparound as Usual”

Challenges	Proposed enhancement	Mechanisms for achieving	Hypothesized effects
Generating evidence-based strategies that fit the youth and family’s needs during planning and delivery	Use MAP tools to generate a broader array of research-based options that fit the youth and family’s needs	Use PWEBS searches at strategic points in planning process Use Practice Guides to help family and team members understand options	Greater range of options for family/team Options are based on evidence for effectiveness Family/team better engaged, more hopeful, more satisfied
Supporting clinicians to use effective therapies that connect to the youth and family’s priority needs	When therapeutic needs are identified, ensure clinicians use effective practice elements that connect to the youth and family’s strengths and preferences	Train and coach wraparound-affiliated clinicians on MAP system and practice elements Certify clinicians in MAP	Treatments better fit youth clinical needs Better communication with wraparound team about purpose of therapy Treatments more focused Treatments more effective
Coordinating family and youth partners, mentors, and other allies to support appropriate EBT use	Parent and youth partners, mentors, behavioral specialists, and others serve as “care extenders,” provide appropriate follow-on support to treatment strategies	Modify MAP practice elements to “care extension” strategies Orient/train support staff in care extender model Clinicians/team include follow-on support strategies in plans	Better role definition for persons in support roles More effective teamwork Treatment strategies more effective Support staff more satisfied and show greater self-efficacy
Monitoring progress and practice consistently and making structured adaptations to plans as needed	Use a dedicated resource to monitor progress and practices consistently and use the information to revise plans as needed	Facilitators trained to use team-level dashboard Clinicians trained to use MAP clinical dashboard Supervisors trained to use dashboards in supervision	Frequent review of progress Better teamwork and problem solving Shorter self-correction cycles Better understanding of transitions Shorter wraparound episodes

Note. MAP = Managing and Adapting Practice; PWEBS = PracticeWise Evidence-Based Services database.