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The SAAF study: A randomised trial of SAAF - A Structured Decision-Making Tool.

THE SAAF STUDY: A randomised trial and implementation evaluation of the safeguarding children assessment and analysis framework (SAAF) compared with management as usual for improving outcomes for children and young people who have experienced maltreatment or who are at risk of maltreatment.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN45137562
Enrollment
640
Registered
2014-07-15
Start date
2014-01-02
Completion date
Unknown
Last updated
2021-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Child maltreatment Not Applicable

Interventions

Experimental: The Safeguarding Children Assessment and Analysis Framework (SAAF) is a structured approach to decision-making. It builds on the statutory guidance provided to CSDs on how to conduct ass

Sponsors

Queen's University Belfast (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Children?s Services Departments (CSDs) willing: 1. To make teams available to be randomised to each arm in the trial 2. To make staff available for training, and to require all staff, irrespective of study arm, to comply with the research team?s data requirements

Exclusion criteria

Exclusion criteria: 1. CSDs where there are concerns about performance (e.g. special measures, other Department for Education involvement) 2. Where a major organisational restructuring is planned or under way 3. Where other risk assessment aids are being used, irrespective of whether they are being evaluated e.g. Graded Care Profile, Signs of Safety

Design outcomes

Primary

MeasureTime frame
Child maltreatment Measures: using administrative data collected by CSDs: 1. Number of children who become subject to a Child Protection Plan (CPP) for a second or subsequent time (or for the first time following an assessment that did not result in a CPP), as a result of concerns linked to the original assessment 2. Number of reassessments or re-referrals as a result of concerns linked to the original maltreatment/perceived risk of maltreatment

Secondary

MeasureTime frame
Quality of assessments undertaken using SAAF Measure: 1. Specially designed quality assessment schedule, based on factors known to be associated with quality assessments, and including those aspects of assessments targeted by SAAF, namely, assessing the profile of harm / risk of future harm to the child; the severity of parenting difficulties and of family and environment factors, and prospects for successful intervention to prevent the child being (re)abused; the identification of appropriate interventions (logically linked to the risk assessment) and means of monitoring progress 2. Information gathered from social workers on their approach to assessment, information collected and their confidence in the assessment and, where relevant, the proposed child protection plan Relationship between SAAF assessments judgements, overall assessments and child protection plans Measure: 1. The extent to which the structured approach (55 judgements) are linked to the three summative assessments of harm, risk and prospects for intervention; to recorded variations in child protection plans, and to the primary outcome. 2. The extent to which the three summary judgements are linked with subsequent maltreatment or its absence Implementation Evaluation: An implementation evaluation is incorporated into this trial, which will examine the impact on implementation and outcome of such factors as the perceived relevance and accessibility of SAAF; resources required for, and barriers to, its successful implementation. Data will be collected via online surveys of social workers and in-depth interviews with key stakeholders e.g. social workers, managers, independent review officers.

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026