Collaborative Care for Infants at Risk

Not Applicable

Completed

• Conditions: Child Abuse; Child Welfare; Primary Health Care
• Interventions: Other: Collaborative Care

• Registration Number: NCT03199326
• Lead Sponsor: University of Utah

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?

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-06-21
• Study First Submitted QC: 2017-06-21
• Study First Posted: 2017-06-26
• Study Start: 2017-08-15
• Primary Completion: 2019-04-30
• Study Completion: 2020-07-31
• Status Verified: 2020-11
• Last Update Submitted: 2020-11-08
• Last Update Posted: 2020-11-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 468

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

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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.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Collaborative Care	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.

Primary Outcome Measures

Name	Time	Method
Infant Health Related Quality of Life	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 Outcome Measures

Name	Time	Method
Parent Perception of Child Welfare and Child Health Care	at baseline (child welfare) and at 6 months (child health care)	Difference in parent perceptions of child welfare and child health care based on practice arm
Repeat Child Welfare Involvement	6 months after CPS case closure	Repeat Child Welfare Involvement

Trial Locations

Locations (1)

The Center for Safe and Healthy Families, Primary Children's Hospital Eccles Outpatient Building, 81 North Mario Capecchi Dr 4E-200; 🇺🇸 Salt Lake City, Utah, United States