Assessment & Fidelity
The Wraparound Evaluation and Research Team (WERT) is the data and evaluation wing of the National Wraparound Initiative (NWI). In collaboration with its partners, WERT develops and disseminates evaluation measures that support Wraparound implementation such as those of the Wraparound Fidelity Assessment System (WFAS).
The WFAS is a multi-method approach to assessing the quality and fidelity of the Wraparound process. WFAS instruments include surveys of multiple stakeholders, a team observation measure, a document review measure, and instruments to assess adherence to organizational and system conditions for Wraparound. The instruments that comprise the WFAS can be used individually or in any combination. These measures are also supported by WrapStat, an online data entry and reporting system that captures WFAS data as well as outcomes on enrolled youth and can produce customized reports for user sites.
Below, we provide a brief overview of the measures of the WFAS. For more information about the measures of the WFAS, please visit the website of the Wraparound Evaluation and Research Team (WERT), at the University of Washington.
Wraparound Fidelity Index, Brief Version (WFI-EZ)
The WFI-EZ is a self-report survey for up to four types of respondents: parents or caregivers, youth 11 years of age or older, Wraparound facilitators, and team members. The survey can be self-administered or administered by a program staff member, either digitally or on paper. It takes about 10 minutes to complete and collects information about Wraparound implementation fidelity (25 items), as well as caregiver and youth satisfaction (4 items), and youth and family outcomes (9 items).
Team Observation Measure, Version 2.0
The Team Observation Measure (TOM) is employed by external evaluators to assess adherence to standards of high-quality Wraparound during team meeting sessions. The newest version of the TOM (the TOM 2.0) contains 36 items organized around seven domains, such as Effective Teamwork, and the Use of Natural and Community Supports. Each item represents a single indicator of quality practice. Working alone or in pairs, trained raters indicate whether each indicator was in evidence during the Wraparound team meeting session. These ratings are translated into scores for each domain as well as a total fidelity score for the session overall.
Document Assessment & Review Tool
The Document Assessment and Review Tool (DART) is a fidelity measure that uses review of Wraparound documentation to tell the story of a family’s experience with Wraparound. Trained reviewers use plans of care, referral forms, incident reports, crisis plans, and other documentation to score 51 items across 10 domains. Unlike other tools, the DART can evaluate fidelity over the course of an entire Wraparound enrollment, from referral to discharge. The DART also captures outcomes for youth families who are assessed.
For a complete review of all tools supported by UW WERT, visit their website.