Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0162 - Youth Wraparound Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Child and Adolescent Needs and Strengths
			 Assessment or CANS" means a multi-purpose tool developed to support decision
			 making, including level of care and person-centered service planning, to
			 facilitate quality improvement initiatives, and to monitor outcomes of services
			 and supports. It utilizes a communication perspective to facilitate the linkage
			 between the assessment process and the design of individualized Wraparound
			 plans of care, including the application of evidence-based practices.
(2) "Child-Serving Systems" means agencies
			 that serve children, youth and families. Agencies include but are not limited
			 to: DHS Child Welfare, Intellectual/Developmental Disabilities, Education,
			 Juvenile Justice, Oregon Youth Authority, Behavioral Health programs, tribal
			 entities, agencies serving homeless youth, and Primary Care.
(3) "Crisis and Safety Plan" means a document
			 developed by the youth and family and the Wraparound team to address potential
			 crises that could occur for the youth and their family, and to ensure
			 everyone's safety. It shall include 24-hour, 7-days-a-week response; formal,
			 informal, and natural supports; respite or back-up care; details leading to
			 crises; successful strategies that have worked in the past; and strength-based
			 strategies that prevent escalation and maintain safety. Crisis stabilization
			 occurs during the first phase of Wraparound and crisis and safety planning
			 occurs in phase two.
(4) "Family
			 Partner" means an individual certified and listed on the registry as a Family
			 Support Specialist in accordance with ORS 410-180-0305, and who has completed
			 specialized training approved by the Authority, in the Wraparound process. A
			 Family Partner is a formal member of the Wraparound team whose role is to
			 support the family.
(5) "Fidelity"
			 means the degree to which the principles, phases, core elements and activities
			 of Wraparound, and supports at the organizational and system level, are
			 implemented as recommended through training, consultation and best practices
			 dissemination.
(6) "Formal
			 Supports" means services and supports provided by professionals or individuals
			 who are financially compensated for their time.
(7) "Informal Supports" means supports
			 provided by individuals or organizations through citizenship and work on a
			 volunteer basis under a structure of certain qualifications, training and
			 oversight.
(8) "Linguistically
			 Responsive" means that individuals are informed of the availability of language
			 assistance services in their preferred language, both verbally and in writing.
			 Individuals are provided with easy to understand print and multi-media
			 materials and signage appears in the languages commonly used by the populations
			 in the service area.
(9) "Natural
			 Supports" means individuals or organizations in the youth and family's own
			 community, social, cultural or spiritual networks, such as friends, extended
			 family members, neighbors, and other individuals as identified by the youth and
			 family, providing supports, who are not financially compensated for their
			 time.
(10) "Oregon Health Plan or
			 OHP" has the meaning provided for in OAR
			 410-120-0000 (170).
(11) "Peer Partner Coach" means an individual
			 with Youth Partner or Family Partner expertis certified and listed on the
			 registry in accordance with OAR
			 410-180-0300, who has a specific
			 intentional focus in supporting Youth Partners or Family Partners to ensure the
			 meaningful engagement of youth and family voices in the Wraparound plan, to
			 develop their practice skills in Wraparound principles and participation in the
			 Wraparound process and who works in connection with other Peer Support
			 Specialists or peer delivered services.
(12) "Phases of Wraparound" means the four
			 distinct phases of Wraparound: Engagement, initial plan development,
			 implementation, and transition. The activities within each phase of Wraparound
			 are part of fidelity practice.
(13)
			 "Strength-based" means based on functional assets, skills, capacities, and
			 talents of a person, family or group.
(14) "Strengths and Needs Summary" means a
			 comprehensive "strengths and needs assessment" and summary process that begins
			 immediately when a youth and their family are referred into Wraparound. This
			 process is complemented by other Division-approved assessment tools, such as
			 the Child and Adolescent Needs and Strengths Assessment (CANS).
(15) "Ten Wraparound Principles" means these
			 principles associated with Wraparound supports: family- driven and
			 youth-guided, collaboration, persistence, culturally and linguistically
			 responsive, community based, team based, natural supports, individualized,
			 strength-based, and outcome-based.
(16) "Wraparound" means a voluntary and
			 definable care planning process that results in a unique set of community
			 services and supports individualized for a youth and family to achieve a
			 positive set of outcomes.
(17)
			 "Wraparound Care Coordinator or WCC" means a QMHA or QMHP, as defined in OAR
			 309-019-0125, who is completing
			 or has completed a Division-approved Wraparound foundational training program.
			 The WCC is a member of the Wraparound team specifically trained to coordinate
			 and facilitate the components of a Wraparound team meeting to fidelity, in each
			 phase of the Wraparound process, for an individual family.
(18) "Wraparound Coach" means an individual
			 with Wraparound expertise in relation to Wraparound principles and in
			 strategies to facilitate a Wraparound meeting to fidelity. Wraparound Coaches
			 provide clear and constructive feedback regarding fidelity components and
			 facilitation skills to Wraparound Care Coordinators.
(19) "Wraparound Flexible Funding" means a
			 financial resource for purchasing one-time or occasional needed goods or
			 services for youth or their families, when the goods and services cannot be
			 provided by another funding source, and the services or goods are directly tied
			 to meeting needs and outcomes in the Wraparound plan of care.
(20) "Wraparound Plan of Care" means a
			 dynamic document which describes the youth, the family, the team, and the goals
			 and action plan to be undertaken to meet the youth and family's needs, achieve
			 the team mission and work toward the family's long-term vision.
(21) "Wraparound Provider" means a certified
			 entity that hires and trains staff to provide coordination and facilitation of
			 Fidelity Wraparound for youth and families.
(22) "Wraparound Review Committee" means a
			 local community group representing Child Welfare, Juvenile Justice,
			 Intellectual Developmental Disabilities, Education, Behavioral Health,
			 Federally Recognized Tribes or tribal entities, Youth and Family members or
			 youth and family advocates who convene with the goal of reviewing and
			 determining Wraparound eligibility.
(23) "Wraparound Supervisor" means an
			 individual responsible for supervising a Wraparound Care Coordinator,
			 Wraparound Coach, Family Partner, or Youth Partner through their respective
			 agency.
(24) "Wraparound Team"
			 means a group of people chosen by the youth and family and connected to them
			 through natural, community, and formal supports. The Wraparound team develops
			 and implements the youth and family's plan, addresses unmet needs, and works
			 toward the family's vision and team mission together with the youth and
			 family.
(25) "Wraparound Team
			 Meeting" means a meeting where members of the Wraparound team convene to
			 address the family and youth's mission, vision, strengths and needs identified
			 by the team.
(26) "Youth" means a
			 person who participates in Wraparound. Youth is the accepted term in statewide
			 Wraparound to describe children, adolescents, teenagers and young adults. Youth
			 who participate in Wraparound may remain in Wraparound as young adults if they
			 entered/ enrolled prior to age 18.
(27) "Youth Partner" means an individual
			 certified and on the registry as a Youth Support Specialist in accordance with
			 OAR 410-180-0305. A Youth Partner is
			 a formal member of the Wraparound team whose role is to support the
			 youth.
(28) "Youth Support
			 Specialist" has the meaning defined in OAR
			 410-180-0305. Youth support
			 specialists provide peer delivered services, as defined in these
			 rules.
Statutory/Other Authority: ORS
				  430.630 & ORS
				  413.042
Statutes/Other Implemented: ORS
				  430.630 & ORS
				  413.042