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Indiana University-Purdue University Indianapolis (IUPUI) / The research base regarding the effectiveness of systems of care for children with serious emotional disturbances is limited. The incremental development of systems of care in Indiana provides an opportunity to compare the outcomes of children served in these child and family wraparound teams with the outcomes of a matched sample of children receiving usual public mental health services. Functional assessment data from a state database was examined using logistic regression models. The level of development of wraparound services was used as a fidelity measure.