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Wraparound with Intensive Services (Wise) Referral Form This form can be used for any Wise Program for children/youth with Medicaid, including Multi systemic Therapy (MST); Transitional Age Youth
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How to fill out wraparound with intensive services

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How to fill out wraparound with intensive services

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Step 1: Gather all the necessary documents and information. This includes the individual's personal information, medical history, and any relevant service plans or assessments.
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Step 2: Start by identifying the goals and needs of the individual. Understanding their specific needs will help guide the wraparound planning process.
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Step 3: Assemble a team of professionals, caregivers, and other important individuals who will be involved in the wraparound process. This team will work collaboratively to develop and implement the wraparound plan.
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Step 4: Conduct a comprehensive assessment to determine the individual's strengths, needs, and preferences. This assessment will help inform the development of the wraparound plan.
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Step 5: Use the information gathered from the assessment to develop a wraparound plan. This plan should outline the goals, strategies, and services that will be provided to support the individual's needs.
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Step 6: Implement the wraparound plan by coordinating and providing intensive services. These services may include therapy, counseling, medication management, life skills training, and other supports.
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Step 7: Monitor and evaluate the progress of the wraparound plan. Regularly review the plan, make adjustments as necessary, and ensure that the individual's needs are being met.
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Step 8: Continually communicate and collaborate with all members of the wraparound team. This ongoing collaboration is essential for the success of the wraparound process.
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Step 9: Maintain documentation and records of the wraparound process. This includes keeping track of assessments, progress notes, service plans, and any other relevant documents.
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Step 10: Periodically reassess the individual's needs and goals to determine if any changes or modifications to the wraparound plan are necessary.

Who needs wraparound with intensive services?

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Wraparound with intensive services is typically for individuals with complex needs who require a high level of support.
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This may include individuals with mental health conditions, behavioral challenges, developmental disabilities, substance abuse issues, or other significant needs.
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Wraparound with intensive services is designed to provide comprehensive and individualized support to help these individuals thrive in their home, school, and community environments.
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It is usually recommended for individuals who have not had success with traditional services or interventions, or who require additional support and coordination across multiple service systems.
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The goal of wraparound with intensive services is to improve the individual's overall quality of life, promote their independence and wellbeing, and prevent out-of-home placement or other negative outcomes.
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Wraparound with intensive services is a comprehensive, individualized approach designed to provide support to children and families with complex needs, integrating various services and supports around the child and family.
Typically, service providers, such as mental health professionals, social workers, or agencies involved in the care of children requiring intensive support, are required to file wraparound with intensive services.
To fill out wraparound with intensive services, one should gather all necessary information regarding the child's needs, services involved, stakeholder input, and create a comprehensive plan that includes goals and support strategies.
The purpose of wraparound with intensive services is to provide a structured, community-based framework that yields personalized care for children and families, ultimately improving their outcomes and enabling them to thrive.
Information that must be reported includes the child's demographics, identified needs, services being provided, progress towards goals, family and community involvement, and any changes in circumstances.
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