Exploring the Wraparound Process through a decolonising lens : global insights, Māori whānau perspectives, and quantitative outcomes of engagement with Te Kahu Tōī Intensive Wraparound Service : a thesis presented in partial fulfilment of the requirements of the Doctorate of Clinical Psychology qualification, Te Kunenga ki Pūrehuroa - Massey University, Te Whanganui-a-Tara - Wellington, Aotearoa - New Zealand

Abstract

This thesis investigates the Wraparound Process as a potential framework with which equitable care and positive outcomes can be achieved for diverse populations of children, youth and whānau with high and complex needs (HCN). The main objective was to contribute to the pursuit of equitable wellbeing and service experiences, particularly for children, youth and whānau with HCN in Aotearoa. The project took a decolonising research approach and prioritised obligations and duties conferred by te Tiriti (the Treaty of Waitangi). The global use of the Wraparound Process with underrepresented racial ethnic groups was explored via a scoping review, and multiple methods were utilised to explore experiences and outcomes of the Wraparound Process as delivered by Te Kahu Tōī Intensive Wraparound Service (TKT IWS; a Ministry of Education service) in two separate studies. The first study was a reflexive thematic analysis of Māori whānau experiences of the Wraparound Process. The second study was a quantitative single cohort pre-test post-test outcome analysis. Overall, results demonstrated that the Wraparound Process both generally - and as delivered by TKT IWS in Aotearoa - is an effective service delivery framework that can meet the needs of diverse populations. However, service specific and systemic problems were identified. Consequently, increased investment and provision of the Wraparound Process is recommended with an emphasis on attuned, culturally responsive service design and delivery. In a wider sense, this research project adds to the growing body of evidence that calls for systemic societal reform centring decolonisation and relationality.