Partners & Providers

SF WRAP

Wraparound Care and Coordination for San Francisco Youth

Service Coordination for High-Need Youth

SF WRAP is an intensive, community-based service designed to promote permanence, stability, and wellness for high-need youth and young adults within their family, cultural, and community contexts. The program incorporates a strengths-based, individualized approach aligned with National Wraparound Initiative best practices.

SF WRAP is a collaborative, multidisciplinary service ideal for youth with complex behavioral health and system-involved needs.

Location
  • Administrative offices: 1801 Vicente Street, San Francisco, CA 94116 (Lane Cottage)
  • SF WRAP services are field-based and provided in the community
Program Director

Zachary Brothers, Director of WRAP Services

Services Offered

Comprehensive assessment and collaborative plan development

Intensive case management

Individual and family psychotherapy
Monthly Child and Family Team (CFT) meetings
Collateral and rehabilitative services
24-hour crisis intervention support
Home-based interventions
Substance use/co-occurring disorder services
Access to psychiatric assessment, medication management, and monitoring as clinically indicated

Who We Help

Youth ages 5 to 21

  • Identified as Severely Emotionally Disturbed (SED) or dually diagnosed
  • Extensive histories of psychiatric crises, emergency services utilization, or prolonged hospitalizations
  • At imminent risk of out-of-home placement, or transitioning from higher levels of care (e.g., residential facilities)
  • Involvement with San Francisco Human Services (child welfare) and/or Juvenile Justice systems is required
  • Includes youth with recent-onset (“first break”) psychosis
  • Commonly serves youth and families with complex intersections of behavioral health, substance use, and system involvement

Program Outcomes

SF WRAP tracks multiple metrics using Welligent EHR. Examples include:

  • High levels of client and parent or caregiver satisfaction
  • Progress toward partial or full achievement of individualized treatment goals at discharge
  • Improvements in key Child & Adolescent Needs and Strengths (CANS) actionable items and the development of “centerpiece strengths”
  • Discharge disposition with the aim of transitioning clients to lower levels of care
  • Reduction in the need for acute intensive care services like crisis line calls, psychiatric hospitalizations, juvenile detention holds, or higher-level residential placements
  • Annual reporting and program credentialing through the National Wraparound Initiative

Referral Process

  • SF WRAP is indicated for youth with behavioral health acuity exceeding the capacity of traditional outpatient services, and where care coordination across systems is essential to mitigate the risk of higher-level placement, detention, or hospitalization.
  • The program can also help facilitate a smooth transition and stabilization when returning youth from restrictive settings to community or family-based placements.
  • Youth/young adults must have an open and active case with SF Human Services Agency or SF Probation in order to be eligible for services. The assigned HSA Social Worker or Probation Officer present referrals at the county’s weekly MAST Meeting.