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A Statewide Trial of the SafeCare Home-based Services Model With Parents in Child Protective Services
Open accessAbstract
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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“SafeCare is a manualized curriculum-based EBI to reduce child maltreatment through home-based skills training and education for caregivers of children, ages zero to five, who are at-risk for, or reported for, child neglect (Chaffin et al., 2012; Lutzker & Edwards, 2009).”
From The Roles of System and Organizational Leadership in System-Wide Evidence-Based Intervention Sustainment: A Mixed-Method Study (2016) · cites this paper as Chaffin et al., 2012
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Metadata
- Authors
- Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- 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
- 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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