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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Participant Modeling
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Related Experiment Video

Updated: Jul 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Building on practice-based evidence: using expert perspectives to define the wraparound process.

Janet S Walker¹, Eric J Bruns

¹Portland State University, Regional Research Institute, P.O. Box 751, Portland, OR 97201, USA. janetw@pdx.edu

Psychiatric Services (Washington, D.C.)

|November 7, 2006

Summary

Defining the wraparound process for youth with serious emotional and behavioral problems is feasible. Stakeholder input operationalized this complex model, enhancing consensus and service quality in community-based mental health treatments.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Area of Science:

Child and Adolescent Psychiatry
Mental Health Services Research
Community Psychology

Background:

Effective community-based mental health treatments require systematic development and evaluation.
The wraparound process is a promising intervention for youth with serious emotional and behavioral problems but lacks a standardized definition.

Purpose of the Study:

To define and operationalize the wraparound process for children and adolescents with serious emotional and behavioral problems.
To establish a consensus-based model of the wraparound process.

Main Methods:

A comprehensive review of existing wraparound treatment manuals and model descriptions.
Synthesis of reviewed materials into an initial model by a small expert group.
Feedback collection from a multidisciplinary panel of 31 wraparound experts.

Main Results:

High agreement among experts on essential wraparound activities (23 out of 31).
Unanimous agreement on the phrasing of most activity descriptions (20 out of 31).
A final, consensus-based wraparound model was developed.

Conclusions:

Operationalizing complex mental health models like wraparound using stakeholder input is feasible.
This approach builds consensus, improves service quality, and facilitates the integration of evaluation findings into practice.