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临床试验/NCT04596176
NCT04596176已完成不适用

Partnerships to Demonstrate Effectiveness of Supportive Housing for Families in the Child Welfare System

Chapin Hall at the University of Chicago0 个研究点目标入组 217 人开始时间: 2013年11月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
217
主要终点
Reunification

研究概览

简要总结

This was a randomized controlled trial comparing child welfare business as usual (BAU) with two levels of supportive housing (SH). To identify eligible families, a screening tool was developed that helped social workers apply a "housing lens" very early in family child welfare involvement. The study examined the extent to which implementation was faithful to the model and how well state and community partners collaborated. The research included a process evaluation, outcomes study, and economic analysis. Access to either intervention group was associated with higher family preservation and reunification, with service model intensity demonstrating minimal impact. An economic evaluation revealed that the intensive model cost the most, but the existing SH program and routine care incurred equivalent per-child costs.

详细描述

Supportive Housing for Families is a care management program that serves families who are experiencing child welfare needs (risk of losing custody of children or difficulty regaining custody of children) and severe housing needs. The program has been in operation for over 10 years and has been demonstrating positive outcomes for clients in terms of housing stability and family environment outcomes.

A federally funded, five-year demonstration project and evaluation focused on a new and enhanced version of the program, the Intensive Supportive Housing for Families program (ISHF). Through a three arm randomized controlled trial, this study compared clients in three groups: parents who are randomly assigned to (1) enroll in ISHF, (2) participate in the existing Supportive Housing for Families (SHF) program, and (3) receive Child Welfare Business as Usual Services. This was the first randomized evaluation of this program, and the grant required examination of whether those who participate in an enhanced version of the program, which incorporates prompt access to evidence-based interventions, vocational services, and trauma services, show superior outcomes than clients randomized to the existing program. Further, clients in both of these conditions (SHF and ISHF) were compared to those receiving child welfare services in Connecticut as usual (BAU) without a supportive housing intervention.

This research has three components: a) a process evaluation, b) a cost/economic analysis, and c) an impact analysis.

The process evaluation and cost analysis were previously completed while the project was ongoing. Now that the project has ended, the final report on all project activities has been submitted to the funder, the Administration for Children and Families.

This impact analysis addressed the following primary research questions:

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Other
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Families who were newly involved with the child welfare system, demonstrated high housing instability or homelessness, and evidenced high service needs.

排除标准

  • 未提供

结局指标

主要结局

Reunification

时间窗: 2 years

Number of children being reunified with their family

Preservation

时间窗: 2 years

Number of children not being removed from their family

Housing stability

时间窗: 2 years

Whether family remained stably housed or experienced recidivism on homelessness or near homelessness

次要结局

未报告次要终点

研究者

发起方
Chapin Hall at the University of Chicago
申办方类型
Other
责任方
Principal Investigator
主要研究者

Anne Farrell

Director of Research

Chapin Hall at the University of Chicago

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