Collaborative Care for Infants at Risk
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Utah
- Enrollment
- 468
- Locations
- 1
- Primary Endpoint
- Infant Health Related Quality of Life
Study Overview
Brief Summary
This study evaluates the feasibility, acceptability, and impact of a collaborative care practice for infants investigated by state Child Protective Services (CPS) for suspected maltreatment. Recognizing the vulnerability of infants referred into CPS in the first year of life, as well as the frequent contact of infants with health care providers in the first year of life, the investigators will conduct a RCT to measure the impact of a collaborative practice model linking CPS caseworkers with primary health care providers during an investigation for suspected infant maltreatment. With this trial, the investigators will ask (3a) Can a collaborative practice model improve parent-reported infant health-related quality of life 6 months following child welfare involvement for suspected infant maltreatment? and (3b) Does a collaborative practice model impact repeat child welfare involvement for suspected child maltreatment over 6 months?
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Masking Description
Surveys will be collected without knowledge of intervention assignment
Eligibility Criteria
- Ages
- 0 Days to 364 Days (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Less than 12 months of age at referral
- •Involved in a child welfare investigation for suspected maltreatment
- •Investigation occurring in Utah DCFS Salt Lake Valley or Western regions
Exclusion Criteria
- •For the primary and selected secondary outcomes,
- •Caregiver with primary spoken language other than English or Spanish,
- •CPS caseworkers not yet randomized to a practice arm
- •Infants in out-of-home placement at the time of referral or case closure,
- •Infants suffering fatal maltreatment
- •Prior investigation of an infant in a household during study timeframe (e.g., twins, infant siblings, and repeat referrals will be excluded).
- •For other secondary outcomes related to CPS outcomes, language exclusion will not be considered.
Arms & Interventions
Collaborative Care
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the collaborative practice, the caseworkers will conduct a standard CPS investigation. Additionally, caseworkers will seek parental permission to contact an identified primary health care provider at two points in the CPS investigation for information sharing related to health needs, social risks, and recommended interventions.
Intervention: Collaborative Care (Other)
Comparison Care
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the comparison practice, the caseworkers will conduct a standard CPS investigation.
Outcomes
Primary Outcomes
Infant Health Related Quality of Life
Time Frame: Change from baseline to 6 months following CPS case closure
Difference in Change in Infant Health Related Quality of Life based on practice arm
Secondary Outcomes
- Parent Perception of Child Welfare and Child Health Care(at baseline (child welfare) and at 6 months (child health care))
- Repeat Child Welfare Involvement(6 months after CPS case closure)
Investigators
Kristine Campbell
Associate Professor, Pediatrics
University of Utah