Child Neglect
Conditions
Keywords
child abuse
Brief summary
The study is a field trial comparing the SafeCare family preservation model to a comparable usual care model for parents in child welfare. The study also compares two levels of service quality control.
Detailed description
The study is a cluster-randomized field trial of the SafeCare(SC) home-based family preservation model for families in the child welfare system. The trial is conducted in collaboration with the state child welfare agency and their contracted in-home service system. The service system is regionalized and provides in home services to families referred by child welfare. Regions of the state are assigned by the study to either the SC model or to services as usual. Provider teams, nested within regions, are assigned to either a monitored or unmonitored model implementation quality control condition. The aims of the project are to test client level child welfare reentry outcomes between SC and standard conditions, across the two implementation and quality control conditions.
Interventions
BEHAVIORALSafeCare
Behavioral home based family preservation. Weekly visits X six months.
OTHERIn vivo coached quality control
Live observation of practice with expert coaching, feedback and fidelity monitoring
BEHAVIORALServices As Usual
Home based services not using the SafeCare model
OTHERUncoached
No in vivo coached quality control or fidelity monitoring
Sponsors
National Institute of Mental Health (NIMH)
Centers for Disease Control and Prevention
Oklahoma Department of Health and Human Services
University of Oklahoma
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Parents in the child welfare system for neglect with or without physical abuse
Exclusion criteria
* Parents in the child welfare system for sexual abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child welfare system recidivism | Up to 2766 days | Follow-up for recidivism reports to child welfare, captured from administrative data maintained by the state child welfare system |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child Abuse Potential Inventory | Approximately 180 days and 365 days | This is a questionnaire survey measuring parenting distress, parenting attitudes, and risk for committing child abuse |
| Family Resources Scale | Approximately 180 and 365 days | This is a questionnaire survey measuring sufficiency of basic concrete resources in a family, such as adequate food, shelter, utilities, clothing, access to health care, etc. |
| Beck Depression Inventory | Approximately 180 and 365 days | This is a questionnaire measuring symptoms of depression |
| Social Provisions Scale | Approximately 180 and 356 days | This is a questionnaire measuring the degree of social support and quality of social relationships |
| Diagnostic Interview Schedule--Drug and Alcohol Disorders Module | Approximately 180 and 365 days | This is a structured diagnostic psychiatric interview, adapted to questionnaire format, measuring symptoms of alcohol disorders and drug disorders, with associated DSM based diagnostic algorithms. |
Countries
United States
Outcome results
None listed