Center on Disability and Community Inclusion, University of Vermont, 311 Mann Hall, 208 Colchester Avenue, Burlington, VT 05405, USA.
Clin Child Fam Psychol Rev. 2009 Dec;12(4):336-51. doi: 10.1007/s10567-009-0059-y.
Wraparound is a team-based service planning and coordination process intended to improve outcomes for children and youth with serious emotional and behavioral disorders and support them in their homes, schools, and communities. Given the substantial resources devoted to implementing wraparound, a meta-analysis of outcome studies was conducted to better understand current empirical support for this process. A literature search identified seven studies between 1986 and 2008 that documented the effects of youth receiving wraparound compared to control groups. Mean treatment effects across outcome domains ranged from medium for youth living situation (0.44) to small for mental health outcomes (0.31), overall youth functioning (0.25), school functioning (0.27), and juvenile justice-related outcomes (0.21). The overall mean effect size across studies was 0.33. Interpretation of results was complicated by the lack of consistent documentation of implementation fidelity across studies and conditions, variations in target population and intended outcomes, and methodological concerns. The authors conclude that, though the published wraparound research base is expanding and findings are largely positive, it continues to be in a preliminary state of development. However, there are insufficient data to support calls for wraparound's acceptance or dismissal based on the strength of existing studies.
包裹式服务是一种基于团队的服务规划和协调过程，旨在改善有严重情绪和行为障碍的儿童和青少年的结果，并在他们的家庭、学校和社区中为他们提供支持。鉴于为实施包裹式服务投入了大量资源，对结果研究进行了荟萃分析，以更好地了解这一过程的现有实证支持。文献检索确定了 1986 年至 2008 年期间的七项研究，这些研究记录了接受包裹式服务的青年与对照组相比的效果。各个结果领域的平均治疗效果从生活环境（0.44）对青年心理健康结果（0.31）、整体青年功能（0.25）、学校功能（0.27）和少年司法相关结果（0.21）的中等水平不等。跨研究的总体平均效应大小为 0.33。由于缺乏跨研究和条件的一致性实施保真度记录、目标人群和预期结果的变化以及方法学问题，结果的解释变得复杂。作者得出结论，尽管已发表的包裹式服务研究基础在不断扩大，研究结果基本为积极，但它仍处于初步发展阶段。然而，现有研究的数据不足以支持呼吁根据现有研究的强度接受或拒绝包裹式服务。
