Epstein Michael H, Nordness Philip D, Kutash Krista, Duchnowski Al, Schrepf Sheryl, Benner Greg J, Nelson J Ron
Center for At-Risk Children's Services, Department of Special Education and Communication Disorders, University of Nebraska-Lincoln, 202 Barkley Memorial Center, PO Box 837032, Lincoln, NE 68583-7032, USA.
J Behav Health Serv Res. 2003 Jul-Sep;30(3):352-62. doi: 10.1007/BF02287323.
Research and evaluation of the wraparound process has typically focused on outcomes, service providers, and costs. While many of these studies describe a process that is consistent with the wraparound approach, few studies have reported attempts to monitor or measure the treatment fidelity of the wraparound process. The purpose of this study was to assess the fidelity of the wraparound process in a community-based system of care using the Wraparound Observation Form-Second Version. Results from 112 family planning meetings indicated some strengths and weaknesses within the current system. Families and professionals were frequently involved in the planning and implementation of the wraparound process. However, informal supports and natural family supports were not present in a majority of the meetings. Given the significant number of youth served in wraparound programs, the benefits of using the Wraparound Observation Form-Second Version as an instrument to monitor the fidelity of the wraparound approach should not be ignored.
对全方位服务流程的研究与评估通常聚焦于结果、服务提供者和成本。虽然这些研究中有许多描述的流程与全方位服务方法一致，但很少有研究报告尝试监测或衡量全方位服务流程的治疗保真度。本研究的目的是使用《全方位服务观察表第二版》评估基于社区的照护系统中全方位服务流程的保真度。112次计划生育会议的结果表明了当前系统存在的一些优势和不足。家庭和专业人员经常参与全方位服务流程的规划和实施。然而，大多数会议中都没有非正式支持和自然家庭支持。鉴于在全方位服务项目中服务的青少年数量众多，使用《全方位服务观察表第二版》作为监测全方位服务方法保真度的工具所带来的益处不应被忽视。
