The Home and Community-Based Alternatives to Psychiatric Residential Treatment Facilities (PRTF) Medicaid Demonstration waiver program allowed up to 10 state grantees to compare effective ways of providing care for children enrolled in the state’s Medicaid grant program in the form of home- and community-based services (HCBS) vs. care in PRTFs. Most participating states use a team-based approach called Wraparound to provide mental health and medical services to youth with intensive mental health needs. The team - including the youth, family members, care coordinators and service providers - develops a plan of care that allows the youth to receive services and supports in the community rather than in a PRTF facility. The University of Maryland School of Social Work, Institute for Innovation and Implementation (UMBIII) provides technical assistance on wraparound implementation to participating states through (1) workforce development (training, coaching, certification, and capacity building), (2) systems level implementation support, and (3) evaluation activities that facilitate continuous quality improvement.
The Wraparound Evaluation and Research Team (WERT) at The University of Washington Division of Public Behavioral Health and Justice Policy (UW DPBHJP) receives a subcontract to evaluate the training and technical assistance provided by UMBIII, including (1) Evaluation of Training and Coaching provided; (2) Evaluation of Wraparound Implementation; (3) Assessment of community support to wraparound implementation; and (4) Evaluation of outcomes (for selected states). Support from UMBIII and CMS is also used to develop core evaluation and management tools for use in PRTF waiver states and other wraparound initiatives, including the Impact of Training and Technical Assistance (IOTTA) measure, the Wraparound Fidelity Index, Short Form (WFI-EZ), and the Final Phase of programming of the Wraparound Team Monitoring System (Wrap-TMS) for use by sites in PRTF Waiver states.