Wraparound with Intensive Services (WISe)

Washington State's Wraparound with Intensive Services (WISe) is designed to provide comprehensive behavioral health services and support to Medicaid-eligible youth (birth through 20 years of age who have complex behavioral health needs) and their families. The goal of WISe is to help youth thrive within their communities and homes while promoting strengths, wellness, independence, and sufficiency. Assessment, treatment, and support services are provided by an inclusive team in the youth and family's natural setting, where needs and challenges present themselves (such as the home, school, and community).

Who is Eligible?

Children and youth, birth through 20 years of age, who:

  • Are Medicaid eligible
  • Have a mental health diagnosis and meet the level of care criteria
  • Have multi-system involvement
  • Interested and willing to transfer their primary mental health services to the WISe team

WISe Team and Services

Services are community and home-based ensuring weekly contact with your WISe team. Each team includes the following:

  • Care Coordinator - Someone who helps facilitate and coordinate services and supports.
  • Therapist - Someone who provides individual and/or family therapy services aimed at promoting wellness and recovery.
  • Certified Peer Counselor - "A Family Partner is a formal member of the WISe team whose role is to serve the family and help them engage and actively participate on the team and make informed decisions that drive the WISe process. A Youth Partner is an equitable member of the WISe team whose role is to partner with the youth help support engagement and active participation in making informed decisions to drive the WISe process." (WISe Manual) Agencies will have one or both types of peer partners available for youth and their family.
  • WISe teams can also include other system partners and natural support persons to provide support and continuity of care for families.

Referrals for WISe

Referrals for WISe can be made directly by youth and families, legal guardians of youth, or other system partners and natural supports who feel that WISe might be an appropriate service that can support a youth. For youth under the age of 13, a parent or guardian will need to give consent to participate in WISe services. Youth aged 13 and older will need to give consent to participate in WISe services.

Prior to enrollment into WISe, a Child and Adolescent Needs and Strengths (CANS) Screen will be completed to determine eligibility. If found eligible, the WISe team member will provide education on the enrollment process. If found not eligible, the WISe team member will work with youth and families to help support them in finding resources and referrals for other support services that can meet their needs.

For youth and families residing in Spokane County, please contact our WISe Coordinators at 509-477-4539. They will be able to provide information on agencies with immediate openings for WISe, as well as support in completing the referral process.

For youth and families residing in Stevens County, please contact North East Washington Alliance Counseling Services at 509-684-4597.

For youth and families residing in Pend Oreille County, please contact Pend Oreille County Counseling Services at 509-447-5651.

For youth and families residing in Okanogan County, please contact Okanogan Behavioral Healthcare at 509-826-6191.

For youth and families residing in Lincoln County, please contact North East Washington Alliance Counseling Services at 509-725-3001

For youth and families residing in Ferry County, please contact North East Washington Alliance Counseling Services at 509-775-2958.

For you and families residing in Adams County, please contact Adams County Integrated Health Care Services at 509-488-5611.

Required Referrals for a WISe Screen

There are certain situations and circumstances where a referral for a WISe screen must be made:

  • If a youth has been referred for a Children's Long-Term Inpatient Program (CLIP) or Behavioral Rehabilitation Services (BRS)
  • Youth who are enrolled in BRS or receiving CLIP - no less frequently than every six months and during discharge planning
  • Prior to a youth discharging from a psychiatric hospital
  • When a step-down has been requested for a youth who is in institutional or group care
  • Youth who receive crisis intervention or stabilization services and there are indicators of a need for more intensive mental health services

WISe Information

For further information on WISe, please contact our WISe Coordinators at 509-477-4539 or visit:

https://www.dshs.wa.gov/sites/default/files/SESA/publications/documents/22-1594.pdf