Effectiveness Trial for Project SafeCare for Child Neglect

University of Oklahoma (OU)

Status: Completed

Conditions: Child Neglect

Treatments: Other: Uncoached; Behavioral: Services As Usual; Behavioral: SafeCare; Other: In vivo coached quality control

Study type: Interventional

Funder types: Other; Other U.S. Federal agency; NIH

Identifiers

NCT01391754

5R01MH065667

Details and patient eligibility

About

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.

Full 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.

Enrollment: 2,175 patients

Sex: All

Ages: 14 to 75 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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2,175 participants in 4 patient groups

SafeCare with Coached Implementation

Experimental group

Description:

Home-based services with the SafeCare model, implemented with in vivo provider coaching as quality control

Treatment:

Other: In vivo coached quality control

Behavioral: SafeCare

SafeCare without Coaching

Experimental group

Description:

Home-based services using the SafeCare model, implemented without in vivo coached implementation quality control

Treatment:

Other: Uncoached

Behavioral: SafeCare

Services As Usual with Coaching

Experimental group

Description:

Usual home based services, with in vivo coached implementation quality control

Treatment:

Other: In vivo coached quality control

Behavioral: Services As Usual

Services As Usual Without Coaching

Active Comparator group

Description:

Usual home based services without in vivo coached quality control

Treatment:

Other: Uncoached

Behavioral: Services As Usual