1. Needs & Wraparound Practice Patterns: How it Happens in Wraparound
Named facilitator looks for needs as they complete the strengths “chats”
Needs statements brought together as a team
Family confirms accuracy or not
Prioritized as most important as a team, with family having primary say

2. Needs Statements What is needed to reach Vision?
Often represents barriers to the Vision
Needs help with . . .
Answer to the question - “why” (underlying need)
Not problems or deficits
Not Services
Written in a concise, brief manner (do not combine several needs together)
On average, 3 active need statements at a time

3. Before Needs Statements Facilitator must first have:
Created time and space to really listen
Written the “new story”
Established the family vision
Have a sense of what a job well done would look like to the family

4. The Power of Reframing:
Turning stumbling blocks into stepping stones
Reframing is not the process of developing excuses for harmful or illegal conduct

5. Reframing Exercise Problem Statement Child runs away
Child is assaultive
Family is resistive to services
Family is dysfunctional
Child can not form relationships
Possible Need
Potential Reframe

6. Understanding Needs Leads to real help Builds trust and acceptance
Leads to shared understanding
Helps the family do it on their own sooner

7. Problems vs. Needs
A problem labels the issue but gives us no direction on how to help!
Child is ADHD
Parent has AODA issues
Family is always in crisis
A need lets us know what drives the person to present with an issue and provides us with information on how to deliver real help.
Sammy needs help focusing on his school work
Tanya deserves to be loved by someone she can trust
The Jones family wants help resolving conflict with local police

8. Needs & Individualized Service Planning
Focus on the “why” of a need not the “how” of it
Needs to know that others see him as okay even when he makes mistakes on homework rather than he needs to complete his homework
Use descriptive terms
To learn, To know, To experience, To feel, To see, To have, To be
Deal with the “big” stuff
Families deserve to know their teams are dealing with their larger challenges

9. Goals and Needs are Different
Is something I can imagine for someone else
“You need to get into treatment”
May address system or adult mandates
“You need to do this”
Addresses needing “to”
More of a command
Need
Is something I can imagine the person saying if they could
“I need help getting a life to be sober for”
Will address compelling reason for the person
“I need to do this so I can get that”
Addresses needing “from”
More of a compelling purpose

10. Services & Needs are Different
Defines the action
Three levels
Existing service
Intervention
Support
Frequent changes based on new information
Need
Defines why do the action
Unifying concept that cuts across all three levels of service
Changes infrequently until reports are “met need”

11. Sample Need: “I need to stop using drugs”
Identify at least ten underlying reasons for this statement

12. Exploring Unmet Needs as the Basis for Behavior
1.Describe the Behavior
3. Why would anyone
need to act that way?
2.What Happened Next?

13. Tips for Using the Needs “Egg”
Consider the facts of the “last time”
When, Where, What, Who
What was next & how did others respond?
Brainstorm “10” reasons to explain why anyone would need to act like that
Apply what you know about the history & context to the needs statement

14. Challenges with Needs & Community Based Services
BIG behaviors cause us to overlook need & react to behavior
Finding words to communicate unmet need
Helping families find a language to communicate the most important unmet need at the earliest possible moment
Increasing the precision of “fit” between what you get and what you need
Overburdening families with the responsibility for “voicing” needs
Mistaking service for need
Mistaking goals for need

15. “Needs” Talk in Team Meetings
When a team member disguises a service as a need, i.e.
He needs a special education placement or
The family needs counseling
Ask the team member
What do you hope will be accomplished through this?
Why do you think this is important to the person?
How will you know when it’s been effective?

16. Creating Benchmarks
How will the team know they are getting closer to meeting the need
What behavior will be observed
What can be measured to help us know we are getting closer?

17. Strategies Builds on Strengths/Be creative Designed to Meet Needs
Use as many Natural Supports as Possible
Utilize Whole Team
Strategies may contain a service
Be Specific  Who - What - How Often
Modify in Response to Changes or Progress
2008 POC

18. Tips for Creative Solutions
Start with reviewing functional strengths list
Review the needs statements – Are they really representative of the underlying need?
Return to the vision when you’re feeling lost
Brainstorm at least ten options for each need

19. Strength Based Planning
Strengths, Assets, Preferences
Desired Outcomes
Individual & Family Needs (Not Services)
Potential Resource People
Action Plan based on functional Strengths & Resources

20. A Well Written Plan Is written in the language of the family
Is usable by the family
Creates a road map for the family’s life to improve
Make sense and is clear to the whole team
Reflects hope for the future
Addresses the youth and family’s success beyond their time enrolled in a program

21. Much of the content of this presentation was provided to Wraparound Milwaukee by Pat Miles, National Training Consultant Contact: Pat

22. Presented by:
Mary Jo Meyers Deputy Director Wraparound Milwaukee Contact: E: P: