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PDFWAC 246-341-0726

Outpatient servicesRecovery supportWraparound facilitation mental health services.

Wraparound facilitation mental health services address the complex emotional, behavior, and social issues of an identified individual twenty years of age or younger, and the individual's family.
(1) Wraparound facilitation services are:
(a) Provided to an individual who requires the services of a mental health provider and one or more child serving systems;
(b) Focused and driven by the needs of the identified family and the family's support community; and
(c) Provided in partnership with the individual, the individual's family, and the individual's mental health provider.
(2) In addition to meeting the general requirements for recovery support services in WAC 246-341-0718, an agency providing certified wraparound facilitation services must employ or contract with:
(a) A mental health professional (MHP) who is responsible for oversight of the wraparound facilitation services;
(b) A facilitator who has completed department-approved wraparound facilitation training and:
(i) Has a master's degree with at least one year of experience working in social services;
(ii) Has a bachelor's degree with at least two years of experience working in social services; or
(iii) Is an individual with lived experience that is documented in the personnel file.
(c) A staff member certified to provide a child and adolescent needs and strengths (CANS) assessment.
(3) In addition to the staff requirements in subsection (2) of this subsection, an agency must ensure the following individuals are available to assist in the planning and provision of wraparound facilitation services, as needed:
(a) An employee or volunteer youth partner, actively involved in defining the agency's services; and
(b) An employee or volunteer family partner, actively involved in defining the agency's services.
(4) All wraparound facilitation services:
(a) Must include the identified individual, the individual's family, and the individual's mental health provider; and
(b) May include additional support partners as team members including, but not limited to, all of the following:
(i) Natural supports. Natural supports include community members, friends, and extended family members identified by either the individual, the individual's family, or both, to be active participants in the individual's support network.
(ii) System supports. System supports are representatives from systems that currently offer support to the identified individual or that offer support services to the individual's adult care giver, which directly affects the individual.
(iii) Peer supports. Peer supports are individuals who have personally and actively participated in wraparound facilitation services and who offer support to families currently working with the wraparound teams.
(5) An agency must document the following:
(a) The development of a wraparound plan that:
(i) Includes:
(A) A complete list of participants and their contact information;
(B) A list of next steps or follow-up information from the initial meeting; and
(C) The schedule of child and family team (CFT) meetings.
(ii) Describes the individual's and the individual's family's vision for the future stated in their own language;
(iii) Reflects the family's prioritization of needs and goals and addresses the needs as identified in the CANS screen;
(iv) Is integrated with the person's individual service plan (see WAC 246-341-0620);
(v) Identifies the functional strengths of the individual and the individual's family that can be used to help meet the identified needs;
(vi) Assigns responsibility to CFT members for each strategy/intervention or task, and establishes timelines for implementation;
(vii) Identifies immediate safety needs and a safety/crisis plan;
(viii) Assists the individual and the individual's family in using their support network; and
(ix) Is signed by all CFT members, including the individual and the individual's parent or if applicable, legal guardian.
(b) Coordination with any other involved systems and services or supports, including sharing the wraparound plan and any revisions with all members of the team;
(c) The result of the initial and subsequent CANS screenings and assessments; and
(d) The review of the wraparound plan during each CFT meeting and any revisions made to the plan to address the changing needs and progress of the identified individual and the individual's family.
[Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0726, filed 4/16/19, effective 5/17/19.]
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