Effectiveness Trial for Project SafeCare for Child Neglect

Not Applicable

Completed

• Conditions: Child Neglect
• Interventions: Behavioral: SafeCare; Other: In vivo coached quality control; Other: Uncoached; Behavioral: Services As Usual

• Registration Number: NCT01391754
• Lead Sponsor: University of Oklahoma

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.

Study Timeline

• Study Start: 2003-10
• Primary Completion: 2007-09
• Study Completion: 2007-09
• Study First Submitted: 2011-06-29
• Status Verified: 2011-07
• Study First Submitted QC: 2011-07-08
• Last Update Submitted: 2011-07-08
• Study First Posted: 2011-07-12
• Last Update Posted: 2011-07-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2175

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
SafeCare with Coached Implementation	SafeCare	Home-based services with the SafeCare model, implemented with in vivo provider coaching as quality control
SafeCare with Coached Implementation	In vivo coached quality control	Home-based services with the SafeCare model, implemented with in vivo provider coaching as quality control
SafeCare without Coaching	SafeCare	Home-based services using the SafeCare model, implemented without in vivo coached implementation quality control
SafeCare without Coaching	Uncoached	Home-based services using the SafeCare model, implemented without in vivo coached implementation quality control
Services As Usual with Coaching	In vivo coached quality control	Usual home based services, with in vivo coached implementation quality control
Services As Usual with Coaching	Services As Usual	Usual home based services, with in vivo coached implementation quality control
Services As Usual Without Coaching	Services As Usual	Usual home based services without in vivo coached quality control
Services As Usual Without Coaching	Uncoached	Usual home based services without in vivo coached quality control

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (3)

Family and Children's Services; 🇺🇸 Tulsa, Oklahoma, United States

Eastern Oklahoma Youth Services; 🇺🇸 McAlester, Oklahoma, United States

NorthCare; 🇺🇸 Oklahoma City, Oklahoma, United States