For decades, agencies have relied on Intensive Case Management and Wraparound to support high-need populations. These approaches outperform “services as usual,” but they still leave too many families behind. Wraparound only works when families are motivated, hopeful, and ready to change. Yet many aren’t there when services begin.
Engagement: Up to 50% of clients never fully engage
Retention: More than 80% drop out before meeting goals
Outcomes: High recidivism, minimal lasting progress
Engagement: Around 60–70% initially engage, but many disengage early
Retention: Up to 40–50% of clients exit prematurely
Outcomes: Modest improvements, but recidivism rates often exceed 40% in complex cases
Engagement: Higher at 75-80%, but still fails for 20–25% of families
Retention: Better continuity, yet wildly inconsistent across programs
Outcomes: Positive for many, but not reliable for the most complex clients
The pattern is clear: the biggest barrier isn’t the service plan itself, it’s client engagement. This isn’t a failure of wraparound’s principles. It’s a failure to address motivation and readiness from the start.
MiiWrap (Motivational Interviewing-informed Wraparound) is a proven, evidence-based model that directly addresses the engagement gap. It doesn’t just bolt MI onto Wraparound. It fully integrates the two approaches into one coherent system. That means:
Agencies that adopt MiiWrap consistently report:
Simply teaching wraparound staff MI techniques isn’t enough. Without full integration, skills get applied inconsistently, confusing both clients and staff, sometimes even making outcomes worse.
MiiWrap solves this by embedding MI into every phase of the process: intake, planning, coaching, and supervision. This ensures families’ ambivalence and readiness are addressed consistently, not just occasionally.
MiiWrap isn’t just a tweak to the traditional model; it’s a complete reimagining based on what youth and families truly need to stay engaged and make real progress. As pioneers in creating innovative, effective wraparound approaches for decades, we can confidently say: MiiWrap is the next evolution of wraparound.
It’s also better for your organization. MiiWrap equips your staff with the tools, skills, and support they need to stay motivated, connected to their purpose, and effective in their work. This isn’t just theory, it’s proven. And it’s already transforming agencies across the country.
Originally developed for youth and families, MiiWrap is now being used successfully across diverse, high-needs populations, including:
Wherever traditional models fall short, MiiWrap helps agencies reach the clients who need it most. New organizations are adopting MiiWrap every day because its core principles – respect, autonomy, and authentic engagement – work across systems, situations, and services.
If your agency supports people facing complex challenges, MiiWrap can help you engage them more effectively and drive lasting change. Reach out to us to be matched with a PM who specializes in your complex population.
You don’t need to have everything figured out before reaching out. Most organizations begin by sharing some basic information about their context so we can help determine the right starting point.
1. Start with a brief inquiry
Complete a short form to help us understand your organization, your goals, and what you’re trying to improve. This allows us to assess fit and identify what type of support would be most useful.
2. Connect with our team
After reviewing your inquiry, a member of our team will follow up within a few business days to learn more and talk through potential next steps.
In some cases, this may include an implementation consultation or introduction to a Process Mentor, depending on fit and readiness.
3. Build capacity across your team
4. Strengthen outcomes over time
As MiiWrap is implemented consistently across your organization, agencies typically see improvements in engagement, follow-through, and longer-term stability for the people they serve. Our focus is not just training, it’s helping organizations build systems that hold over time.
Your agency deserves a system that works – for your staff, your clients, and your community. Let’s build a better path forward, together.
Fill out an exploratory form to start the conversation.