Wraparound is a care coordination model that has shown effectiveness for serving children and youth with significant emotional and behavioral health needs and their families. The current study evaluates a statewide wraparound demonstration with the goals of reducing the use of residential care and increasing access to outpatient mental health services among youth at risk of residential placement. More than 5 years of linked public systems data were analyzed using longitudinal panel data modeling to estimate wraparound treatment effects on service use over time. Findings show that wraparound enrollment decreased the use of residential treatment and increased the use of outpatient therapy, consistent with the goals of the demonstration. Implications are discussed for wraparound’s effectiveness as a statewide care coordination model, the importance of quality implementation of wraparound, and the current study’s methodological contributions to the wraparound literature.

中文翻译：

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环绕对青少年心理健康服务使用影响的纵向评估

Wraparound 是一种护理协调模式，在为有重大情绪和行为健康需求的儿童和青少年及其家人提供服务方面显示出有效性。目前的研究评估了一项全州范围的综合示范，其目标是减少使用寄宿护理并增加有寄宿安置风险的青少年获得门诊心理健康服务的机会。使用纵向面板数据模型分析了超过 5 年的相关公共系统数据，以估计随时间推移对服务使用的环绕处理效果。结果表明，环绕式注册减少了住院治疗的使用并增加了门诊治疗的使用，这与示范的目标一致。讨论了环绕作为全州护理协调模型的有效性的影响，