A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

  •  Rebecca N. Thomson    
  •  John S. Carlson    
  •  Dylan S. T. Voris    
  •  Millie Shepherd    
  •  Kim Batsche-McKenzie    


Research has documented positive outcomes for youth who receive wraparound services; however, the specific mechanism for change has not yet been clarified. Data were collected from a sample of 253 youth with Serious Emotional Disturbance (SED) who completed wraparound services as a part of publically-funded community-based mental health services (58% male; 49% Caucasian; mean age 12.25 years). Results indicated that both environmental and individual protective factors increased significantly and risky behaviors, including self-harm and aggressive behaviors, decreased significantly throughout youths’ time in wraparound services. Improvements in protective factors and decreases in risk factors were significant predictors of clinically significant mental health improvement at exit from community-based wraparound services. Study findings highlight the utility and importance of a dual-factor approach to mental health assessment when implementing and evaluating wraparound services.

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