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CLIENT REFERRAL FOR PEER SUPPORT Referral Date: Agency: Referred by: Phone: () Name of Case Manager/Care Coordinator Current Location/Address of Member: Community Based Service: MRS WCS OARS/CR CCS
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How to fill out wraparound with intensive services

01
Start with gathering all the necessary information about the individual who requires wraparound services.
02
Identify the strengths, needs, and goals of the individual through assessments and discussions with the individual and their support system.
03
Develop an individualized wraparound plan that outlines the services, supports, and interventions needed.
04
Connect with the appropriate service providers and coordinate the delivery of the necessary services.
05
Regularly review and update the wraparound plan to ensure it remains aligned with the individual's evolving needs and goals.
06
Monitor progress and outcomes of the wraparound plan to evaluate its effectiveness.
07
Make adjustments to the plan as needed based on the individual's feedback and changing circumstances.
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Continuously communicate and collaborate with the individual, their support system, and service providers to ensure the wraparound services are meeting their needs.

Who needs wraparound with intensive services?

01
Wraparound with intensive services is beneficial for individuals who have complex and multiple needs that cannot be adequately addressed by traditional services alone.
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This may include individuals with severe mental health conditions, substance abuse issues, developmental disabilities, or those who have experienced significant trauma.
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It is particularly helpful for individuals who require a comprehensive and coordinated approach that involves multiple service providers and resources.
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Wraparound with intensive services aims to provide the individual with the necessary support, resources, and interventions to improve their overall well-being, functioning, and quality of life.
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Wraparound with intensive services is a comprehensive, individualized care planning process for children and youth with complex needs.
Parents or legal guardians of children and youth with complex needs are required to file wraparound with intensive services.
Wraparound with intensive services can be filled out with the help of a care coordinator or case manager who will assist in creating a plan tailored to the child's specific needs.
The purpose of wraparound with intensive services is to provide individualized support and services to children and youth with complex needs in order to improve their well-being and functioning.
Information such as the child's strengths, needs, goals, and desired outcomes must be reported on wraparound with intensive services.
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