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WrapAround Referral Form

First, what is WrapAround?

  • A free and voluntary program helping family’s solve difficult issues. The referred child must be between ages of 5-21.  Most meetings take place in the home, and the process can last up to 12 months.
  • A family can be referred to the program (via self-referral, schools, Juvenile Assessment Center, or any number of other agencies).
  • A WrapAround family facilitator meets with the family to explain the process and highlight the voluntary and family-friendly nature of the process. The facilitator listens to the family’s take on their situation and conducts a strengths-based assessment.
  • Based on the needs and strengths assessment, the family and facilitator will identify people to be invited to a WrapAround team meeting; the majority of people invited to participate in the meeting are the family’s natural resources, such as teachers, pastors, friends, relatives, doctors or whomever. The family often also invites agency representatives or professionals who could potentially lend expertise or services to address some of the needs identified in the assessment.
  • The WrapAround team, including the family, meets to discuss needs, strengths, and strategies to address the issues and build on strengths. The facilitator guides that process of delineating clear action items for which members of the team accept responsibility.
  • The team operates in an “anything is possible” atmosphere, examining the fundamental causative factors in the family’s situation and are incredibly creative in addressing those factors:
  • With support from the WrapAround team, the family implements the action plan. The facilitator continues to provide advocacy and support services, but team members are the doers in this process. The idea is to establish sustainable supports that won’t just disappear.

Thank you in advance for completing this form thoroughly to assist us in contacting the family!

WRAP will keep you posted about your referral.  For questions please call WrapAround at 303-663-6233.

  • Referred by:

  • Date Format: MM slash DD slash YYYY
  • Family Referral Information

  • Children living in the home

  • Date Format: MM slash DD slash YYYY
  • If none please type NONE
  • Date Format: MM slash DD slash YYYY
  • If none please type NONE
  • Date Format: MM slash DD slash YYYY
  • If none please type NONE
  • Date Format: MM slash DD slash YYYY
  • If none please type NONE
  • General Information

  • Please describe any safety concerns in detail.
  • Please describe any known current or pending legal proceedings.