Youth with Serious Mental Health Disorders: Wraparound as a Promising Intervention in New Zealand

Shailer, Jacinda L.; Gammon, Ruth A.; Terte, Ian de

doi:10.1002/anzf.1028

Cited by 10 publications

(11 citation statements)

References 62 publications

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“…In New Zealand, although the majority of primary healthcare accessed by young people occurs in mainstream general practice settings (Craig et al, ), young people face many barriers to ready access and engagement (Mathias, ; Muir, Powell, & McDermott, ). Increasing numbers of young people with high and complex health and social needs (often alongside low health literacy and poor health‐navigation skills) require comprehensive services from multiple sectors (Salmon, ; Shailer, Gammon, & Terte, ). The involvement of numerous fragmented services further increases barriers and creates duplications and gaps in care (Munford & Sanders, ).…”

Section: Introductionmentioning

confidence: 99%

Interagency collaborative care for young people with complex needs: Front‐line staff perspectives

Morgan

Pullon

Garrett

et al. 2019

Health Soc Care Community

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Worldwide, a growing burden of health and social issues now affect young people.Interagency collaboration and the "integration" of health and social care services are advocated to address the increasingly complex needs of at-risk youth and to reduce barriers to accessing care. In New Zealand, Youth-One-Stop-Shops (YOSSs) provide integrated health and social care to young people with complex needs. Little is known about how YOSSs facilitate collaborative care. This study explored the collaboration between YOSSs and external agencies between 2015 and 2017 using a multiple case study method. This paper reports qualitative focus group and individual interview data from two of four case sites including six YOSS staff and 14 external agency staff.Results showed participants regarded collaboration as critical to the successful care of high needs young people and were positive about working together. They believed YOSSs provided effective wraparound collaborative care and actively facilitated communication between diverse agencies on behalf of young people. The main challenges participants faced when working together related to the different "world views" and cultures of agencies which can run contrary to collaborative practice.Despite this, some highly collaborative relationships were apparent and staff in the different agencies perceived YOSSs had a lead role in co-ordinating collaborative care and were genuinely valued and trusted. However without the YOSS involvement, collaboration between agencies in relation to young people was less frequent and rarely went beyond limited information exchange. Establishing and maintaining trusting interpersonal relationships with individual staff was key to successfully negotiating agency differences. The study confirms that collaboration when caring for young people with high needs is complex and challenging, yet agencies from diverse sectors value collaboration and see the YOSS integrated wraparound approach as an important model of care. K E Y W O R D S community care, complex needs, general practice, integrated care, inter-organisational working, young people How to cite this article: Morgan S, Pullon S, Garrett S, McKinlay E. Interagency collaborative care for young people with complex needs: Front-line staff perspectives. Health Soc

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Section: Introductionmentioning

confidence: 99%

Interagency collaborative care for young people with complex needs: Front‐line staff perspectives

Morgan

Pullon

Garrett

et al. 2019

Health Soc Care Community

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“…Shailer et al . () described wraparound services in New Zealand. Wraparound is an intensive individualized coordination and care planning process for young people with mental health problems and their families.…”

Section: Developments In Family Therapy Practicementioning

confidence: 97%

“…There was a special section on fathers in family therapy in the Australian and New Zealand Journal of Family Therapy (Larner, 2013) with articles on engaging fathers of violent adolescents in therapy (Andolfi, 2013) and wraparound services (Shailer et al 2013). Andolfi (2013) outlined an experiential approach for working with violent adolescents in family therapy, influenced by the pioneering work of Satir and Whitaker.…”

Section: Father Involvementmentioning

confidence: 99%

“…In this approach the therapist explores adolescent development in the family and social context; establishes a therapeutic alliance through understanding the interpersonal context for violent behaviour and redirects negative actions into positive connections with family members. Shailer et al (2013) described wraparound services in New Zealand. Wraparound is an intensive individualized coordination and care planning process for young people with mental health problems and their families.…”

Section: Father Involvementmentioning

confidence: 99%

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Thematic review of family therapy journals in 2013

Carr¹

2014

Journal of Family Therapy

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In this article the contents of the principal English‐language family therapy journals and key family therapy articles published in other journals in 2013 are reviewed under these headings: models of family therapy, developments in family therapy practice, couple therapy, training, diversity, international developments, research and DSM‐5. Practitioner points Ecosystemic structural family therapy, FFT, MST, MDFT and other traditional systemic approaches, with recent adaptations, may be helpful for an increasing range of populations. Developments in research and practice support the value of father involvement in systemic therapy, conducting family therapy in medical settings and using family therapy to treat adolescent eating disorders. The integration of mindfulness into couple therapy, and new approaches to addressing infidelity are important developments to consider in treating couples.

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“…The distinguishing feature of YOSSs is the use of wraparound or holistic models of care. Wraparound care is ‘an individualized, family-driven and youth-guided team planning process that is underpinned by a strong value base that dictates the manner in which services for youth with complex needs should be delivered…’ (Bruns et al, 2010: 315) The wraparound model of care aligns with youth development principles (Ministry of Health, 2009, 2016; Shailer et al, 2013) which are holistic and focus on the development of resilience and competencies in young people (Roth and Brooks-Gunn, 2003). Young people with complex needs report preferring YOSSs to mainstream primary care, due to cost, service flexibility, confidentiality, convenience and perceived youth-friendliness (Kefford et al, 2005; Ministry of Health, 2009), consistent with similar youth services in other countries (Muir et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Collaborative care in ‘Youth One Stop Shops’ in New Zealand: Hidden, time-consuming, essential

Garrett

Pullon

Morgan

et al. 2019

J Child Health Care

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Young people in New Zealand have high morbidity but low service utilization rates. Dedicated youth services ‘Youth One Stop Shops’ provide ‘wraparound’ health and social care. However, little is understood about how staff within these services interact with each other or with external agencies to provide this specialist care. This article reports on volume and type of internal and inter-agency health and social service staff–staff interactions, to better understand elements of potential collaboration in day-to-day practice. An observational, case-study approach was utilized. Four dedicated youth services recorded data over three-month periods about a selected number of high-use clients. Youth service staff recorded all interactions with colleagues within their organization and staff from external services. A large volume of non-patient contact work was revealed, with a high proportion of ‘complex/involved’ interactions recorded. The range and diversity of external agencies with which youth service staff interacted with to meet the needs of young people was extensive and complex. The focus on ‘information sharing’ and ‘complex/involved’ interactions demonstrates a well-coordinated, wraparound service delivery model. Current funding formulae take inadequate account of the volume of non-patient contact work that youth services provide for high-needs young people.

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Youth with Serious Mental Health Disorders: Wraparound as a Promising Intervention in New Zealand

Cited by 10 publications

References 62 publications

Interagency collaborative care for young people with complex needs: Front‐line staff perspectives

Interagency collaborative care for young people with complex needs: Front‐line staff perspectives

Thematic review of family therapy journals in 2013

Collaborative care in ‘Youth One Stop Shops’ in New Zealand: Hidden, time-consuming, essential

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