1. Stories from Wrap
Carrie McCarthy

2. Berlin Area School District
1633 Students in a rural setting
55% Free and Reduced Lunch
Highly Transient Population (30% Transfer into and out of district in a typical year)
1 Elementary, 1 Middle, 1 High School
50 students identified as Homeless for the School Year (3%)

3. District Racial Demographics

4. PBIS Fidelity by Building
Tier III Fidelity
Tier II Fidelity
Tier I Fidelity
Clay Elementary Achieved 2013
Middle School Achieved 2016
High School In progress
Clay Elementary Achieved 2015
Clay Elementary Beginning
Middle School Beginning

5. The Journey Into Tier III Has Just Begun
Started in the fall of 2016
Assembled two systems teams at the elementary and middle schools
Trained 3 facilitators (one of whom recently retired)
Created concrete decision rules for each school for eligibility
Collaborated with the County Coordinated Service Teams to avoid service duplication
Engaged 2 families in our first year (1 at elementary and 1 at middle)

6. Elementary Example 1st grade student Decision Rules for Inclusion:
29 ODRs through December 2016
Counselor Referral
Lack of Success on Tier II Interventions (CICO & SAIG)
Only 7 ODRs for the remainder of the school year after Wraparound Services began

7. Elementary Example Focused on family partnership and collaboration
Team oriented
Outcome-based

8. Middle School Example 8th grade student who moved into the district
Family was housing insecure with legal and child and family services involvement
Decision Rules for Inclusion:
Multiple behavioral health inpatient hospitalizations for the student
Counselor referral
County Coordinated Service Team program was full

9. The Principles in Action
Family Voice and Choice & Collaboration
“I like how you really listen to our issues and let us come up with ideas to solve them instead of telling us what to do.” – Wrap Family
We meet at dates/times/locations of the family’s choosing.
We discuss the topics and issues that are important to the family.
All solutions are considered, none are discounted.
Due to the student’s significant mental health concerns, we regularly collaborate with outside mental health service providers as requested by the family to coordinate care.

10. The Principles in Action
Team Based & Natural Supports
I like how you let me bring my friend to the meeting. No one has ever asked me who I wanted to come to these types of meetings before. – Student Participating in Wrap
Student was allowed to bring a friend who they felt was a true support in their mental wellness.
Friend brought significant insight into the discussions.

11. The Principles in Action
Strengths-Based and Individualized
I like how you focus on the positive things in our family. I don’t really think about the things we do well, I usually just think about our problems. – Wrap Family
One really successful plan around family unity was leveraging the family’s strength in using humor and fun, by instituting a regular movie night once per month.
As the student transitions to the High School setting, we are working on independent skills so the team decided the student should coordinate scheduling the meetings and reminding the team to attend. Highly successful.

12. The Principles in Action
Outcome Based
The student has a better affect and mood in school. I’ve seen them smile for the first time. They seem to have more friends and engage in fewer behavior incidence. –MS Principal
One hospitalization since Wrap began in March but only due to inability to manage medications through Outpatient Behavioral Health services.
Student created schedule for High School and now expresses greater hope for the future.
Student’s grades and time in class have significantly improved

13. Growing Pains
As this student transitions to High School the facilitator will continue to meet with the family despite High School not yet at Tier III fidelity.
The district is now down 1 facilitator (due to retirement) and had planned to be at 4 facilitators to facilitate 10 Wraps for the school year.
Maintaining a high level of fidelity at Tiers I & II as we grow our Tier III offerings.