Objectives: Services to children and adolescents with a severe emotional disturbance (SED) have long been inadequate. The wraparound approach has emerged as a promising practice that could address the needs of children with SED and their families through a strength-based, individualized, family-focused team process that emphasizes flexible service planning. This study compares the outcomes of youth receiving the wraparound approach with youth receiving traditional child welfare case management. Method: Child behavior and community integration outcomes were measured at intake and at 6 months in services. Results: Results indicated that youth receiving the wraparound approach showed significant improvement on the Child and Adolescent Functional Assessment Scale (CAFAS) when compared with youth receiving traditional child welfare services. Results also showed that youth receiving traditional child welfare services experienced significantly fewer placements. However, neither group showed significant differences on other clinical or functional outcomes. Conclusions: Results are discussed, as well as applications to social work practice, study limitations, and recommendations for additional research on wraparound.