NWIC Here We Go Again
What are the four phases of the Wraparound process in order?
Engagement, Planning, Implementation, Transition
The MOC calls and reports that her child is in crisis and she has active safety concerns for her children—what is the first step?
Assess for immediate danger and ensure safety first by directing the caregiver to call 911 or appropriate crisis supports before any additional follow-up
In CHRP, what service gives caregivers a “break from the nest” by providing short-term care for the youth?
Respite
What is a resource we can send families to when they need crisis mental health support outside of regular hours?
Colorado Crisis Services hotline or 988
These forms must be signed before contacting potential team members.
Releases of information (ROIs)
This must be scheduled within 3 days of receiving a referral to begin the engagement phase.
Initial Engagement Meeting
A staff submits the following Community Connector shift:
“Met with client, went to the park, ate ice cream, she cried and hit her head, calmed down, went home.”
Goals in POC: emotional regulation and social engagement with peers
What would a compliant version of this shift note look like?
Met with youth in the community to support goals of emotional regulation and social engagement; facilitated participation at the park to encourage interaction with peers; prompted and modeled appropriate social behaviors; youth became dysregulated; staff implemented de-escalation strategies including verbal support, redirection, and calming techniques; youth was able to regain regulation and re-engage at baseline; continued support is needed to build coping skills and increase tolerance in community settings; plan to continue working on emotional regulation and peer interaction in future sessions
CHRP might sound like a bird noise, but in services, what does CHRP actually stand for?
Children’s Habilitation Residential Program
This statewide resource helps individuals find food, housing, and other essential services by dialing a simple number.
211
Which Wraparound principle ensures that families have decision-making authority over services and supports?
Family Voice & Choice
Name 5 of the 10 Principles of Wraparound
Family Voice & Choice; Team-Based; Natural Supports; Collaboration; Community-Based; Culturally Competent; Individualized; Strengths-Based; Unconditional Care; Outcome-Based
What are the three main reasons to request a VISSPR?
A change to the Plan of Care (POC); an annual update; or when a coaching session is needed
In the CHRP waiver, what service focuses on “checking in on the nest” to ensure progress and prevent crises after the plan is in place?
Prevention and Monitoring Services
This organization serves as the entry point for individuals with intellectual and developmental disabilities to access waiver services.
Community Center Board (CCB)
(Case Management Agency (CMA) is the function they perform)
In Wraparound, what term describes the underlying conditions or causes behind a behavior?
Needs
During initial engagement, you must determine whether the situation is _______ not to guide next steps.
Under compliance standards, what types of incidents require completion of a MANE IR?
Incidents involving safety risks such as injury, self-harm, harm to others, abuse/neglect, hospitalization, or law enforcement involvement
Which CHRP service helps youth “spread their wings” by connecting them to community activities and natural supports?
Community Connector
This Colorado organization provides advocacy, education, and support for individuals with intellectual and developmental disabilities and their families.
The Arc of Colorado
According to Wraparound practice, what is expected to happen when underlying needs are correctly identified and met?
Behavior will change
In the Wraparound process, how are needs, outcomes, and strategies connected, and what must be true about each for the plan to be considered high fidelity?
Needs must reflect underlying conditions (not services or behaviors); outcomes must be measurable and tied directly to those needs; and strategies must be individualized, strengths-based actions selected by the family to meet those needs and move toward the family vision
What is the maximum number of hours that can be logged for a single therapeutic respite shift for one day.
What is the exception to this rule?
4 hours/ 8 hours from 8PM - 4AM
In CHRP eligibility, youth must have an IDD or SED—what does SED stand for (hint: not “Stressed Eagle Disorder”)?
Serious Emotional Disturbance
In Colorado, what organization coordinates behavioral health care and manages Medicaid services for members within specific regions?
Regional Accountable Entity (RAE)
This principle focuses on identifying and building on what is working well for the family.
Strengths Based Practice