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Virginia Wraparound
Implementation Center

Year in Review: 10/1/2025 – 9/30/2026

Mission

We commit to promoting and supporting best practices, consistency, and quality assurance for Virginia’s Wraparound workforce in order to increase positive outcomes for children, youth, and families.

Vision

The Commonwealth of Virginia will have a trained workforce that is committed to the High Fidelity Wraparound model. Through collaboration, the workforce will demonstrate investment in fidelity, sustainability and ongoing professional development in order to best serve the most at-risk youth, their families, and communities.

Training
Statistics

Initial HFW Training

5 Initial Trainings

92 New Facilitators & Support Partners

Supervisor Training

1 Supervisor Training

9 Supervisors

Refresher Trainings

7 Refresher Sessions

165 Workforce Members

266 workforce members trained in the High Fidelity Wraparound (HFW) model, and every HFW team received a year-end fidelity and outcomes report.

Fidelity & Outcomes

NEW THIS YEAR

Fidelity: on par with national means

Overall fidelity score by survey respondent (0–100)

Virginia
National mean
750100
Care Coordinators

National mean 73

740100
Support Partners

National mean 72

710100
Caregivers

National mean 71

Outcomes: all 6 risk indicators dropped

% of youth with each indicator, enrollment → discharge
Supervisor-reported; all changes statistically significant

Enrollment
Discharge
Risk indicatorPercent of youth at enrollment and at discharge
ER visits for mental health
47%→19%
Out-of-community placement
47%→21%
School suspension/expulsion
43%→17%
Juvenile justice involvement
44%→19%
Child welfare involvement
51%→28%
Runaway history
16%→8%
  • Required coaching groups for all workforce starting Jan 2026
  • Launched an HFW certification & compliance protocol
  • Held monthly office hours and individual consultations
  • Bi-weekly data reviews with CEP-Va and quarterly team check-ins

Implementation and Coaching Support

Getting the word out

  • Presented HFW overviews about once a month to 13 localities, a health plan, and statewide conferences and kick-off events
  • Co-presented fidelity and outcomes results with CEP-Va to CSA Coordinators statewide (75 attendees)
  • Joined Transformation Zones and the DMAS Behavioral Health Redesign, partnering with DBHDS, VDSS and OCS

Plans for next year

  • Address the decline in Intensive Care Coordination (ICC) referrals
  • Share expanded fidelity and outcomes data at the Oct 2026 OCS conference
  • Strengthen the continuous quality improvement (CQI) cycle with data-informed coaching and feedback
  • Raise caregiver and support partner survey response rates
  • Pilot bookable consultations in place of drop-in office hours