County Approval and Provider Certification Standards and Requirements

1.1    Timely Engagement and Planning. HFW staff engages families early and often, including Tribes in the case of an Indian child. First contact with families is made as soon as possible, but no later than 10 calendar days after referral; teams complete a HFW Plan of Care within 30 calendar days; teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days; teams update the Plan of Care and distribute to all team members at least every 90 days and more often as needed.
Procedures Ensure:
(a)    First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child).
(b)    Teams complete a Wraparound Plan of Care within 30 calendar days from start of services
(c)    Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days
(d)    Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed
(e)    Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes
(f)    Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

1.2    Led by Youth and Families. The HFW team prioritizes the youth and family’s perspectives and voices in developing and modifying the mix of strategies and supports to ensure the best fit with their preferences. The youth and family’s values, culture, expertise, capabilities, interests, and skills are elicited, fully understood, and celebrated. They are viewed as critical to a successful process and are the basis for decision making and problem-solving. In the case of an Indian child, the HFW team prioritizes the perspectives and voices of the youth, family and Tribe. Tribes, in the case of an Indian child, must be an equal voice on the HFW team. (Principle 1: Family Voice and Choice) 
Procedures Ensure:
(a)    Elicitation and use of families’ perspectives, including Tribes in the case of an Indian child (including development and documentation of the Family Vision and Team Mission statements)
(b)    Family values, culture, expertise, capabilities, interests and skills are elicited and clearly documented in the youth’s case file
(c)    Supervisors/Coaches routinely observe HFW team meetings and review documentation to gather and provide feedback to staff to reinforce practice expectations, build skills, and increase confidence
(d)    Feedback from families is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) to share their experience of the Wraparound process.

1.3    Strength-Based. Functional strengths of the youth, the family, all team members, and the family’s community are collectively reviewed and utilized throughout the HFW process. Identified strengths are functional in nature and drive decision making and service planning. Team members remain focused on solutions, rather than dwelling on negative events. The Integrated Practice-Child and Adolescents Needs and Strengths (IP-CANS) is critical and required for strengths identification. (Principle 2: Strength-Based) 
Procedures Ensure:
(a)    A strengths inventory is developed and updated for every member of the team, includes other resources in the family’s local community, and is posted at HFW team meetings.
(b)    The identification of individualized strengths must include, but not be limited to, the strengths identified in the CANS
(c)    Staff receive ongoing coaching and training in providing strengths-based, solution-focused services.
(d)    Feedback from families regarding their experience of strengths-based services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

1.4    Needs Driven. HFW services and supports are focused on addressing the high priority underlying needs of the youth, as well as their family members. Needs statements refer to the underlying reasons why problematic situations or behaviors are occurring, not simply stated as deficits, problematic behaviors, or service needs. The HFW process continues until needs are sufficiently met. The IP-CANS is critical and required for needs identification.
Procedures Ensure:
(a)    Underlying needs are identified and prioritized before goals and strategies are established for the youth and family.
(b)    Staff receive ongoing training and coaching in identifying needs, developing needs statements that are reflective of the underlying reasons why problematic situations or behaviors are occurring, and utilizing needs-focused planning over problematic behavior-focused planning.
(c)    The identification of individualized needs must include, but not be limited to, the needs identified in the IP-CANS
(d)    Transition is planned according to team and family agreement that needs are sufficiently met.

1.5    Individualized. The HFW is committed to finding creative, highly individualized strategies that are customized to match each youth and family’s needs, strengths, values, culture, preferences and reduce harm over time. The HFW plan is uniquely tailored to fit the family and capitalize on the assets of their community and informal networks and in the case of an Indian child, the Tribe. (Principle 3: Individualized)
Procedures Ensure:
(a)    Forms/documentation allow for sufficient flexibility in creating individualized plans for each child/youth and family.
(b)    Staff receive ongoing training and coaching in providing flexible, creative, and highly individualized services and strategies.
(c)    Facilitators receive ongoing training and coaching in leading the HFW team to customize the HFW process and the HFW plan of care according to each youth and family’s individual needs, strengths, values, culture, and preferences.
(d)    HFW plans of care are routinely reviewed and assessed for use of individualized strengths, needs, outcomes, and strategies and for the presence of strategies that capitalize on the assets of the family’s community and informal networks.
(e)    Family feedback regarding their experience of receiving customized services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

1.6    Use of Natural and Community Based Supports. Natural supports are integral team members. HFW teams are strengthened by the contributions of natural supports. HFW teams prioritize strategies in the HFW Plan of Care that utilize natural supports, and that take place in the family’s community, to reduce reliance on formal supports while fostering sustainability within the youth and family’s community. (Principles 4, 5: Natural Support, Community Based)
Procedures Ensure:
(a)    A natural and community supports inventory is developed and updated for every family.
(b)    Staff receive ongoing training and coaching identification, engagement, and integration of natural supports in the HFW process and in decreasing reliance on formal supports.
(c)    HFW plans of care are routinely reviewed and assessed for the inclusion of natural supports in the plan and for use of community and natural supports in the assigning of strategies and action items.
(d)    Family feedback regarding their experience of having natural supports engaged on their team is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes

1.7    Culturally Respectful and Relevant. HFW teams recognize that a family’s traditions, values, and heritage are sources of great strength. HFW teams use strategies that are relevant to and respectful of the youth and family’s culture, including Tribes in the case of an Indian child. HFW teams work to connect families with individuals and organizations that provide culturally relevant support after the family transitions from formal HFW services. (Principle 6: Culturally Respectful and Relevant)
Procedures Ensure
(a)    A strengths, needs, culture discovery is completed before the HFW plan of care is developed and is clearly documented in the child or youth’s case file
(b)    Staff receive ongoing coaching and training in the elicitation and use of family and culture in planning and service delivery and in providing culturally respectful and relevant
strategies.
(c)    Feedback from families regarding their experience of culturally relevant and respectful services and strategies is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

1.8    High-Quality Team Planning and Problem Solving. HFW teams are comprised of formal and natural supports across all Children’s System of Care partners who work together to develop, implement, and monitor the individualized Plan of Care that meet the unique needs of the youth and family. All team members take ownership over their assigned tasks and collaborate to meet the youth and family’s needs. Teams experience optimism, commitment, and energization. (Principles 7, 8: Team Based, Collaboration) Procedures Ensure:
(a)    Team agreements are created for each HFW team and documented in the youth’s file.
(b)    Feedback from families and HFW team members regarding their experience of team engagement and collaboration is routinely elicited (e.g., through meeting observation, satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.).
(c)    This feedback is used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.
(d)    HFW plans of care and meeting minutes are routinely reviewed and assessed for the shared ownership and follow through on strategies and action items.

1.9    Outcomes Based Process. The HFW team monitors the success of the HFW Plan of Care—including progress toward meeting needs, strategy implementation, and task completion. These are measured objectively, reviewed routinely, and used to inform changes to the Plan as needed. Needs statements are linked to measurable outcomes and data from standardized instruments including the IP-CANS and are integrated into the planning process. (Principle 9: Outcomes-Based)
Procedures Ensure:
(a)    The HFW plan of care includes specific, measurable strategies and action items with timeframes.
(b)    Action item completion is tracked by facilitators and updated at HFW team meetings, or more often as needed.
(c)    Forms and processes allow strategies and action items to be adjusted or changed as needed. These changes are communicated to all team members.
(d)    There is a process in place for who will complete the IP-CANS and how the IP-CANS will be shared amongst all team members (please specify in your description who will be responsible for completion of the IP-CANS assessment).
(e)    Data from the IP-CANS is used to support tracking and team decision-making, but does not replace using tracking of needs, goal completion, and action item completion to plan for transition.

1.10    Persistence. The HFW team views setbacks and challenges not as evidence of a youth, or parent failure, but as an indicator of a need to revise the Plan. The HFW team is committed to implementing a Plan that reflects the HFW Principles, even in the face of limited system capacity. (Principle 10: Persistence)
Procedures Ensure:
(a)    Teams are supported to keep working with a youth and family even when faced with setbacks or limited progress until the HFW team (with preference given to family voice and choice) agrees that services should end.
(b)    There are clear processes for teams to access help when facing challenges including how to request additional coaching or supervision, how to access/request flexible funding, and how to access additional support.
(c)    Facilitators receive ongoing training and coaching in post-crisis safety planning, conflict resolution, and in leading teams in effective brainstorming and ongoing plan revision.

1.11    Transitions as a part of the Fourth Phase of HFW. Transitions are planned for in advance and celebrated with full youth and family participation. Transitions only happen when the youth and family have had their needs met, not due to an adverse event or an administrative requirement.
Procedures Ensure:
(a)    HFW teams are able to provide adequate transitions and families do not experience sudden loss of services due to adverse events or due to administrative requirements.
(b)    Transitions out HFW are celebrated according to the child or youth and family’s culture, values, and preferences and administrative structures are supportive of engaging in celebration including access to flex funds, accommodating staff time for community resourcing, developing community partnerships, and ensuring staff are available to attend celebrations.
 

HFW staff engages families early and often, including Tribes in the case of an Indian child. First contact with families is made as soon as possible, but no later than 10 calendar days after referral; teams complete a HFW Plan of Care within 30 calendar days; teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days; teams update the Plan of Care and distribute to all team members at least every 90 days and more often as needed.
Procedures Ensure:
(a)    First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child).
(b)    Teams complete a Wraparound Plan of Care within 30 calendar days from start of services
(c)    Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days
(d)    Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed
(e)    Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes
(f)    Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

The HFW team prioritizes the youth and family’s perspectives and voices in developing and modifying the mix of strategies and supports to ensure the best fit with their preferences. The youth and family’s values, culture, expertise, capabilities, interests, and skills are elicited, fully understood, and celebrated. They are viewed as critical to a successful process and are the basis for decision making and problem-solving. In the case of an Indian child, the HFW team prioritizes the perspectives and voices of the youth, family and Tribe. Tribes, in the case of an Indian child, must be an equal voice on the HFW team. (Principle 1: Family Voice and Choice)
Procedures Ensure:
(a)    Elicitation and use of families’ perspectives, including Tribes in the case of an Indian child (including development and documentation of the Family Vision and Team Mission statements)
(b)    Family values, culture, expertise, capabilities, interests and skills are elicited and clearly documented in the youth’s case file
(c)    Supervisors/Coaches routinely observe HFW team meetings and review documentation to gather and provide feedback to staff to reinforce practice expectations, build skills, and increase confidence
(d)    Feedback from families is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) to share their experience of the Wraparound process.

Functional strengths of the youth, the family, all team members, and the family’s community are collectively reviewed and utilized throughout the HFW process. Identified strengths are functional in nature and drive decision making and service planning. Team members remain focused on solutions, rather than dwelling on negative events. The Integrated Practice-Child and Adolescents Needs and Strengths (IP-CANS) is critical and required for strengths identification. (Principle 2: Strength-Based)
Procedures Ensure:
(a)    A strengths inventory is developed and updated for every member of the team, includes other resources in the family’s local community, and is posted at HFW team meetings.
(b)    The identification of individualized strengths must include, but not be limited to, the strengths identified in the CANS
(c)    Staff receive ongoing coaching and training in providing strengths-based, solution-focused services.
(d)    Feedback from families regarding their experience of strengths-based services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

HFW services and supports are focused on addressing the high priority underlying needs of the youth, as well as their family members. Needs statements refer to the underlying reasons why problematic situations or behaviors are occurring, not simply stated as deficits, problematic behaviors, or service needs. The HFW process continues until needs are sufficiently met. The IP-CANS is critical and required for needs identification.
Procedures Ensure:
(a)    Underlying needs are identified and prioritized before goals and strategies are established for the youth and family.
(b)    Staff receive ongoing training and coaching in identifying needs, developing needs statements that are reflective of the underlying reasons why problematic situations or behaviors are occurring, and utilizing needs-focused planning over problematic behavior-focused planning.
(c)    The identification of individualized needs must include, but not be limited to, the needs identified in the IP-CANS
(d)    Transition is planned according to team and family agreement that needs are sufficiently met.

The HFW is committed to finding creative, highly individualized strategies that are customized to match each youth and family’s needs, strengths, values, culture, preferences and reduce harm over time. The HFW plan is uniquely tailored to fit the family and capitalize on the assets of their community and informal networks and in the case of an Indian child, the Tribe. (Principle 3: Individualized)
Procedures Ensure:
(a)    Forms/documentation allow for sufficient flexibility in creating individualized plans for each child/youth and family.
(b)    Staff receive ongoing training and coaching in providing flexible, creative, and highly individualized services and strategies.
(c)    Facilitators receive ongoing training and coaching in leading the HFW team to customize the HFW process and the HFW plan of care according to each youth and family’s individual needs, strengths, values, culture, and preferences.
(d)    HFW plans of care are routinely reviewed and assessed for use of individualized strengths, needs, outcomes, and strategies and for the presence of strategies that capitalize on the assets of the family’s community and informal networks.
(e)    Family feedback regarding their experience of receiving customized services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Natural supports are integral team members. HFW teams are strengthened by the contributions of natural supports. HFW teams prioritize strategies in the HFW Plan of Care that utilize natural supports, and that take place in the family’s community, to reduce reliance on formal supports while fostering sustainability within the youth and family’s community. (Principles 4, 5: Natural Support, Community Based)
Procedures Ensure:
(a)    A natural and community supports inventory is developed and updated for every family.
(b)    Staff receive ongoing training and coaching identification, engagement, and integration of natural supports in the HFW process and in decreasing reliance on formal supports.
(c)    HFW plans of care are routinely reviewed and assessed for the inclusion of natural supports in the plan and for use of community and natural supports in the assigning of strategies and action items.
(d)    Family feedback regarding their experience of having natural supports engaged on their team is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes

HFW teams recognize that a family’s traditions, values, and heritage are sources of great strength. HFW teams use strategies that are relevant to and respectful of the youth and family’s culture, including Tribes in the case of an Indian child. HFW teams work to connect families with individuals and organizations that provide culturally relevant support after the family transitions from formal HFW services. (Principle 6: Culturally Respectful and Relevant)
Procedures Ensure
(a)    A strengths, needs, culture discovery is completed before the HFW plan of care is developed and is clearly documented in the child or youth’s case file
(b)    Staff receive ongoing coaching and training in the elicitation and use of family and culture in planning and service delivery and in providing culturally respectful and relevant strategies.
(c)    Feedback from families regarding their experience of culturally relevant and respectful services and strategies is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

HFW teams are comprised of formal and natural supports across all Children’s System of Care partners who work together to develop, implement, and monitor the individualized Plan of Care that meet the unique needs of the youth and family. All team members take ownership over their assigned tasks and collaborate to meet the youth and family’s needs. Teams experience optimism, commitment, and energization. (Principles 7, 8: Team Based, Collaboration)
Procedures Ensure:
(a)    Team agreements are created for each HFW team and documented in the youth’s file.
(b)    Feedback from families and HFW team members regarding their experience of team engagement and collaboration is routinely elicited (e.g., through meeting observation, satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.).
(c)    This feedback is used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.
(d)    HFW plans of care and meeting minutes are routinely reviewed and assessed for the shared ownership and follow through on strategies and action items.

The HFW team monitors the success of the HFW Plan of Care—including progress toward meeting needs, strategy implementation, and task completion. These are measured objectively, reviewed routinely, and used to inform changes to the Plan as needed. Needs statements are linked to measurable outcomes and data from standardized instruments including the IP-CANS and are integrated into the planning process. (Principle 9: Outcomes-Based)
Procedures Ensure:
(a)    The HFW plan of care includes specific, measurable strategies and action items with timeframes.
(b)    Action item completion is tracked by facilitators and updated at HFW team meetings, or more often as needed.
(c)    Forms and processes allow strategies and action items to be adjusted or changed as needed. These changes are communicated to all team members.
(d)    There is a process in place for who will complete the IP-CANS and how the IP-CANS will be shared amongst all team members (please specify in your description who will be responsible for completion of the IP-CANS assessment).
(e)    Data from the IP-CANS is used to support tracking and team decision-making, but does not replace using tracking of needs, goal completion, and action item completion to plan for transition.

The HFW team views setbacks and challenges not as evidence of a youth, or parent failure, but as an indicator of a need to revise the Plan. The HFW team is committed to implementing a Plan that reflects the HFW Principles, even in the face of limited system capacity. (Principle 10: Persistence)
Procedures Ensure:
(a)    Teams are supported to keep working with a youth and family even when faced with setbacks or limited progress until the HFW team (with preference given to family voice and choice) agrees that services should end.
(b)    There are clear processes for teams to access help when facing challenges including how to request additional coaching or supervision, how to access/request flexible funding, and how to access additional support.
(c)    Facilitators receive ongoing training and coaching in post-crisis safety planning, conflict resolution, and in leading teams in effective brainstorming and ongoing plan revision.

Transitions are planned for in advance and celebrated with full youth and family participation. Transitions only happen when the youth and family have had their needs met, not due to an adverse event or an administrative requirement.
Procedures Ensure:
(a)    HFW teams are able to provide adequate transitions and families do not experience sudden loss of services due to adverse events or due to administrative requirements.
(b)    Transitions out HFW are celebrated according to the child or youth and family’s culture, values, and preferences and administrative structures are supportive of engaging in celebration including access to flex funds, accommodating staff time for community resourcing, developing community partnerships, and ensuring staff are available to attend celebrations.

Youth and families are satisfied with their HFW experience and their progress. Policies and procedures are in place to record and evaluate youth and family satisfaction with their HFW experience. In the case of an Indian child, the Tribe is satisfied with the HFW experience. Policies and procedures are in place to evaluate the Tribe’s satisfaction with their HFW experience.
Policies and procedures are in place to record and evaluate youth and family satisfaction with their HFW experience.
 [  ]Yes   [  ]No

Youth experience improved educational and vocational functioning as a result of their involvement in HFW. They have more consistent attendance, are participating at or above grade level or according to their educational plan, and/or are developing needed vocational experience.
Policies and procedures are in place to record and evaluate school attendance and performance.
[  ] Yes    [  ]No

Youth experience improved functioning in the community as a result of their involvement in HFW. Policies and procedures are in place to record and evaluate the level of justice involvement and engagement with community activities.
Policies and procedures are in place to record and evaluate engagement with community activities.
 [  ] Yes    [  ]No

Youth and their families experience improved interpersonal functioning as a result of their involvement in HFW. There is less stress and strain at home attributed to them and they are able to develop or maintain positive family relationships and friendships.
Policies and procedures are in place to record and evaluate the interpersonal functioning of families.
[  ] Yes    [  ]No
 

Families have access to effective needed services and supports. Caregivers feel increased confidence in their ability to manage future problems and they know how to find and access services and effectively address crises.
Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community.
 [  ] Yes    [  ]No

Youth experience permanency and stability in their community-based living situation. Youth do not experience a new placement in an institution (such as detention, psychiatric hospital, treatment center, or STRTP) and/or have not moved between residential settings.
Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur.
[  ] Yes    [  ]No

Youth experience stability with regard to their behavioral health, necessitating fewer or no visits to the hospital.
Policies and procedures are in place to record and evaluate the frequency of hospital visits.
[  ]Yes    [  ]No

Youth and natural supports are able to avert most crisis and manage most impending crises without professional support.
Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur.
[  ] Yes    [  ]No
 

Youth and their families exit HFW based on stabilization and adequate progress in meeting needs; youth, and families are not discharged from Wraparound due to an adverse event.
Policies and procedures are in place to record and evaluate when and why families exit HFW.
[  ]Yes    [  ]No

The HFW team orients youth and families to the HFW process, including explaining the HFW principles and phases, addressing legal and ethical considerations, and explaining the role of each member on the team including the family’s role and the role of natural supports, including Tribes in the case of an Indian child.
Procedures Ensure:
(a)    The HFW process is fully explained to every family including an overview of the principles and phases, legal and ethical considerations, and the role of each team member including the family, natural supports, and Tribes in the case of an Indian child.

The HFW team addresses pressing needs and concerns so that the family and team can focus on the HFW process. If immediate response is necessary, the HFW team formulates a plan for immediate intervention and stabilization, including development of a written crisis plan and ensures access to 24/7 crisis response when needed.
Procedures Ensure:
(a)    Initial crisis and safety concerns are discussed during engagement. If pressing concerns are brought forward, the team develops an immediate crisis response plan which is provided to the family and is documented in the chart.
(b)    The crisis plan is used to inform, but not replace, the HFW Safety Plan developed during the Plan Development phase.
(c)    All families are provided with information regarding how to access 24/7 crisis response when needed.

The HFW team facilitates conversations and activities with the youth and family to identify individual and family strengths, needs, culture, and their vision for a better future. The facilitator prepares a written summary document to clearly communicate strengths, needs, culture and vision to all team members, to orient new team members as they are added to the process, and to support the initial plan development process.
Procedures Ensure:
(a)    A Family Vision is completed with every family and documented in the youth’s chart during the Engagement phase.
(b)    A Strengths, Needs, Culture Discovery document is initiated with every youth, and family, is included in the youth’s chart, is updated at least every 90 days, and the team adds new strengths, needs, and cultural preferences as they are discovered. The document is provided to new team members as they are identified.

The HFW team engages the participation of team members across all Children’s System of Care partners (including formal, natural supports, and Tribes, in the case of an Indian child), who care about and can aid the youth and family. The HFW team encourages and facilitates their active participation by clarifying their roles and responsibilities on the team. The facilitator intentionally engages the team in activities to ensure a positive and collaborative team culture.
Procedures Ensure:
(a)    A natural supports inventory is completed with all youth and families and is documented in the child or youth’s case file.
(b)    Children’s System of Care partners who should be included on the HFW team are identified and engaged.
(c)    The HFW team works with the youth and family to identify potential team members (including formal, natural supports and Tribes, in the case of an Indian child) and discusses their role on the team.
(d)    Engagement and team building activities are documented in the youth’s file (for example, but not required, in meeting minutes or in case notes).

The HFW team ensures that meetings take place at a time and in a location that is convenient and accessible to all team members with priority given to family needs and family voice and choice, taking into consideration family schedules, culture, and history of trauma, and ensuring equitable access for all youth and families. The HFW team plans for and arranges meeting logistics such as transportation, interpretation, telehealth capability, etc.
Procedures Ensure:
(a)    Staff are flexible in working hours and scheduling meeting times and locations to accommodate family and HFW team needs.
(b)    Staff are trained to work collaboratively with families and the other members of the HFW team to schedule meetings that are in alignment with family needs and preferences as well as maximize participation.