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Children's Aid Societies: Differential Response and Wraparound Prevention Trial

The Comparative Effects and Expense of Augmenting Usual Children's Aid Society (CAS) Care With a Regional Differential Response and Wraparound Prevention Service for Children

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00559208
Enrollment
135
Registered
2007-11-16
Start date
2006-10-31
Completion date
2010-12-31
Last updated
2011-06-23

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

Conditions

Children

Keywords

Children and Youth, Families, Differential Response

Brief summary

The purpose of this study is to assess the cost-effectiveness of this Differential Wraparound model, in 5 Children's Aid Societies within Hamilton-Niagara Region, in preventing maltreatment cases from either becoming ongoing protection cases, or the children ending up in out-of-home of out-of community placements, as well as reducing the amount of time in Children's Aid Society care as compared to usual Children's Aid Society risk assessment and protection service alone.

Detailed description

The number of children in child welfare care has increased from 10,000 in the early 1990s to over 18,000. Ontario spends over $1.1 billion a year on direct child welfare services, more than twice as much as spent in the late 1990s, with the majority of these resources spent on investigation instead of treatment. In response to this situation, Differential Response models, sometimes called alternative, multiple or integrated system responses, have been implemented in the US, Australia and Canada and are all at the beginning stages of systematic evaluation. These models will help prevent maltreatment cases from becoming ongoing protection cases, or the children ending up in out of home or community placements, and reduce the amount of time in Children's Aid Society care. This research will show the benefits and costs of a Differential Response approach to Children's Aid Society care, specifically in the Hamilton-Niagara Region

Interventions

None listed

Sponsors

McMaster University
CollaboratorOTHER
Hamilton Children's Aid Society
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
1 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Parent of children and youth, living in Hamilton and surrounding areas. * Newly referred substantiated cases going on to protective services. * English & non-English speaking.

Exclusion criteria

* Safety threat * Non-substantiated cases not going to protective services.

Design outcomes

Primary

MeasureTime frame
To measure the characteristics of families and their children and comparisons between usual care versus differential responseFollow-up at 1 year and 2 years

Secondary

MeasureTime frame
Follow up measures at 1 year and 2 year follow ups including measuring whether differential response is happening6 months after facilitator is assigned

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026