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Wraparound Supervisor Adherence Measure (W-SAM): A Pilot Eleanor Castillo, Ph.D. Veronica Padilla 19th Annual Research and Training Center for Children’s Mental Health Conference, Tampa, Florida February 24, 2006. Rationale. Supervision identified as a critical aspect of Wraparound

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Wraparound Supervisor Adherence Measure (W-SAM): A Pilot

Eleanor Castillo, Ph.D.

Veronica Padilla

19th Annual Research and Training Center for Children’s Mental Health Conference,

Tampa, Florida

February 24, 2006


Rationale
Rationale

  • Supervision identified as a critical aspect of Wraparound

    • No tool to date to measure this aspect of Wraparound

  • Concept adapted from Multisystemic Treatment’s (MST) Supervisor Adherence Measure (SAM)


Rationale1
Rationale

  • WFI-3.0 measures adherence to Wraparound principles from the Youth, Caregiver, and Resource Facilitator perspective

  • WOF-2.0 measures the Child and Family Team aspect of Wraparound


Description
Description

  • Facilitator rates the Clinical Program Manager (CPM)

  • 40 Items

  • Likert Scale (1 = Never; 5 = Almost Always)

  • Administered quarterly

  • Highly reliable (alpha = .84-.98)


Process implementation
PROCESS IMPLEMENTATION

  • Sponsorship from the Directors

  • Program quality improvement versus “mandate”

  • Immediate feedback


Quality management
Quality Management

  • Training

  • Evaluation

    • Overall Program Results

    • Individual CPM

  • Performance Appraisal

    • 360

    • Annual


Quality management1
Quality Management

  • 3-Tiered: Agency-wide, Program, and Individual

    • Training and Coaching

    • Evaluation

  • Performance Appraisal

    • Quarterly 360 feedback

    • Annual

  • Correlation between supervisor focus on the Wraparound process and youth outcomes


Quality management2
Quality Management

  • Trend analyses

    • Fidelity consistency over time

    • What factors affect fidelity

      • Learning curve with new manager or facilitators


Next steps
Next Steps

  • Continue pilot

  • Conduct further analyses on the psychometric properties of the scale

    • Factor analyses

    • Items reduction


Contact Information:

Eleanor Castillo, Ph.D.

Director of Outcomes & Quality Assurance

Email: [email protected]


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