Effectiveness Trial for Project SafeCare for Child Neglect
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Child Neglect |
Behavioral: SafeCare Other: In vivo coached quality control Behavioral: Services As Usual Other: Uncoached |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effectiveness Trial for Project SafeCare for Child Neglect |
- Child welfare system recidivism [ Time Frame: Up to 2766 days ] [ Designated as safety issue: No ]Follow-up for recidivism reports to child welfare, captured from administrative data maintained by the state child welfare system
- Child Abuse Potential Inventory [ Time Frame: Approximately 180 days and 365 days ] [ Designated as safety issue: No ]This is a questionnaire survey measuring parenting distress, parenting attitudes, and risk for committing child abuse
- Family Resources Scale [ Time Frame: Approximately 180 and 365 days ] [ Designated as safety issue: No ]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 [ Time Frame: Approximately 180 and 365 days ] [ Designated as safety issue: No ]This is a questionnaire measuring symptoms of depression
- Social Provisions Scale [ Time Frame: Approximately 180 and 356 days ] [ Designated as safety issue: No ]This is a questionnaire measuring the degree of social support and quality of social relationships
- Diagnostic Interview Schedule--Drug and Alcohol Disorders Module [ Time Frame: Approximately 180 and 365 days ] [ Designated as safety issue: No ]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.
| Enrollment: | 2175 |
| Study Start Date: | October 2003 |
| Study Completion Date: | September 2007 |
| Primary Completion Date: | September 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: SafeCare with Coached Implementation
Home-based services with the SafeCare model, implemented with in vivo provider coaching as quality control
|
Behavioral: SafeCare
Behavioral home based family preservation. Weekly visits X six months.
Other: In vivo coached quality control
Live observation of practice with expert coaching, feedback and fidelity monitoring
|
|
Experimental: SafeCare without Coaching
Home-based services using the SafeCare model, implemented without in vivo coached implementation quality control
|
Behavioral: SafeCare
Behavioral home based family preservation. Weekly visits X six months.
Other: Uncoached
No in vivo coached quality control or fidelity monitoring
|
|
Experimental: Services As Usual with Coaching
Usual home based services, with in vivo coached implementation quality control
|
Other: In vivo coached quality control
Live observation of practice with expert coaching, feedback and fidelity monitoring
Behavioral: Services As Usual
Home based services not using the SafeCare model
|
|
Active Comparator: Services As Usual Without Coaching
Usual home based services without in vivo coached quality control
|
Behavioral: Services As Usual
Home based services not using the SafeCare model
Other: Uncoached
No in vivo coached quality control or fidelity monitoring
|
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.
Eligibility| Ages Eligible for Study: | 14 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts 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
Contacts and Locations| United States, Oklahoma | |
| Eastern Oklahoma Youth Services | |
| McAlester, Oklahoma, United States, 74501 | |
| NorthCare | |
| Oklahoma City, Oklahoma, United States, 73112 | |
| Family and Children's Services | |
| Tulsa, Oklahoma, United States, 74120 | |
| Principal Investigator: | Mark Chaffin, PhD | University of Oklahoma |
More Information
Publications:
| Responsible Party: | Mark Chaffin, PhD - Principal Investigator, University of Oklahoma Health Sciences Center |
| ClinicalTrials.gov Identifier: | NCT01391754 History of Changes |
| Other Study ID Numbers: | 5R01MH065667 |
| Study First Received: | June 29, 2011 |
| Last Updated: | July 8, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Oklahoma:
|
child abuse |
ClinicalTrials.gov processed this record on May 23, 2013