Cited by 272Child Welfare and AdoptionHealth Policy Implementation ScienceChild Abuse and Trauma

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A Statewide Trial of the SafeCare Home-based Services Model With Parents in Child Protective Services

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Chaffin, Mark, Hecht, Debra, Bard, David, Silovsky, Jane F., Beasley, William Howard·2012·Pediatrics

DOI 10.1542/peds.2011-1840PMC PMC3289527

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Abstract

OBJECTIVES: In this trial, we compared Child Protective Services (CPS) recidivism outcomes between the home-based SafeCare (SC) model for child neglect and comparable home-based services, but without SC modules, for parents in the CPS system across 2 quality control strategies: coached (C) and uncoached implementation. SC is a home-based behavioral skills training model designed for neglecting or maltreating parents. The study was conducted in a scaled-up, statewide implementation setting. METHODS: Two thousand one hundred seventy-five maltreating parents, treated by 219 home visitors, were enrolled and treated in a 2 × 2 (SC versus services as usual × C versus uncoached implementation strategy) randomized cluster experiment. Cases were followed for an average of 6 years for CPS recidivism events. Subpopulation analyses were conducted for parents meeting customary SC inclusion criteria. RESULTS: Consistently significant main effects in favor of SC were found across simple and more complex modeling approaches (hazard ratios = 0.74–0.83). Larger effects were found among the subpopulation meeting customary SC inclusion criteria. C implementation yielded smaller and occasionally significant effects in analyses that included more diverse cases falling outside customary SC inclusion criteria. CONCLUSIONS: Findings support the adoption and use of SC within CPS home-based services systems. C implementation may be especially valuable for cases where the client-model fit is less strong.

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Authors: Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H.
Affiliations: University of Oklahoma Health Sciences Center (US)
ORCID: Chaffin, Mark
Bard, David
Silovsky, Jane F.
Beasley, William Howard
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2012-03-01
Volume: 129
Issue: 3
Pages: 509-515
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2011-1840
PMC: PMC3289527
OpenAlex: W2017274897
Cited by: 272
References: 36
Citations by year: 2026: 7 · 2025: 13 · 2024: 17 · 2023: 21 · 2022: 25 · 2021: 23 · 2020: 31 · 2019: 16 · 2018: 13 · 2017: 25 · 2016: 16 · 2015: 19 · 2014: 23 · 2013: 13 · 2012: 8
FWCI: 52.43
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: PEDIATRICS (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
Centers for Disease Control and Prevention (R01MH072961)
National Institute of Mental Health (R01MH065667, R01MH072961)
Topics: Social Sciences › Sociology and Political Science › Child Welfare and Adoption
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: SafeCare, child protection services, child neglect, child abuse, home-based services, home visitors, behavioral skills training, parent intervention, statewide implementation
MeSH terms: Child, Child Abuse, Child Care, Child Rearing, Child Welfare, Child, Preschool, Female, Home Care Services, House Calls, Humans, Male, Parent-Child Relations, Parents, United States, Urban Population, Incidence, Confidence Intervals, Proportional Hazards Models, Risk Assessment, Needs Assessment

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A Statewide Trial of the SafeCare Home-based Services Model With Parents in Child Protective Services

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