Nevada Initiative to Reduce Long-Term Foster Care

Sponsor
Westat (Other)
Overall Status
Completed
CT.gov ID
NCT02173314
Collaborator
Children's Bureau - Administration for Children and Families (Other)
507
2
63

Study Details

Study Description

Brief Summary

The evaluation of the Nevada Initiative to Reduce Long-Term Foster Care (LTFC) includes three populations. It will examine how the interventions SAFE- FC and FSE impact or relate to permanency outcomes for children most at risk for long term foster care and currently in care.

Condition or Disease Intervention/Treatment Phase
  • Other: SAFE FC
N/A

Detailed Description

The project targets three populations of children. For populations 1 and 2, the study will evaluate an intervention known as SAFE-FC. The intervention aims to prevent long term foster care by providing tailored services and intensive engagement with all new families with children identified as unsafe (Population 1) and for cases that are currently in care and at risk of LTFC where reunification is the case goal (Population 2). Family Search and Engagement (FSE) is the intervention for Population 3; it involves intense search practices to identify possible permanency resources. For Populations 1 and 2 the study is a randomized, intent-to-treat design to measure safety and permanency outcomes. For Population 3 the evaluation will be a descriptive study to analyze relationships between the intervention approach and outcomes. Both studies aim to examine how the interventions (SAFE- FC and FSE) impact or relate to permanency outcomes for children most at risk for long term foster care.

Study Design

Study Type:
Interventional
Actual Enrollment :
507 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Primary Purpose:
Treatment
Official Title:
Permanency Innovations Initiative- Nevada Initiative to Reduce Long-Term Foster Care
Study Start Date :
Sep 1, 2010
Actual Primary Completion Date :
Dec 1, 2015
Actual Study Completion Date :
Dec 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment

Other: SAFE FC
SAFE - FC, a combination of SAFE (developed by ACTION for Child Protection) and Family Connections (developed by Ruth H. Young Center for Families and Children, University of Maryland School of Social Work) for Populations 1 and 2.
Other Names:
  • SAFE - FC, a combination of SAFE and Family Connections
  • No Intervention: Comparison

    Outcome Measures

    Primary Outcome Measures

    1. Time to stable permanence [Measured from the date of random assignment to the discharge date or to the end of the study period for cases that did not discharge]

      Measured by administrative data from the Adoption and Foster Care Analysis and Reporting System (AFCARS)

    2. Caregiver readiness for change [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Measured with Readiness for Parenting Change Scale (REDI) Abbreviated (Chaffin et al, 2011)

    Secondary Outcome Measures

    1. Caregiver stress [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Parenting Stress Index - Short Form (PSI-SF) (Abidin, 1983)

    Other Outcome Measures

    1. Caregiver mental health [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Brief Symptoms Inventory (BSI) (Derogatis, 1993)

    2. Child behavior/mental health problems [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Child Behavior Checklist (CBCL) (Achenbach, 1991)

    3. Positive parenting attitudes [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Adult-Adolescent Parenting Inventory (AAPI-2) (Bavolek & Keene, 1999)

    4. Social support [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Social Provisions Scale (SPS) (Russell & Cutrona, 1984)

    5. Helping alliance for both caregiver and worker [Measured at 6 months and again at case closure (duration of their involvement with Washoe County DSS is on average 24 months)]

      Helping Relationship Inventory (Poulin & Young, 1997)

    6. Resiliency [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Resiliency Attitudes Scale (RAS) (Briscoe, B. & Harris, B., 1994)

    7. Home stability [Measured at intake, at 6 months, 12 months, 18 months, and again at case closure (participants will be followed throughout the duration of their involvement with Washoe County DSS which is on average 24 months)]

      Based on subscales of the CWBS (questions from Zuravin & DePanfilis, 1996)

    8. Time to permanency [Measured every six months in calendar year]

      State administrative data system

    9. Recurrence of child abuse and neglect [Measured every six months in calendar year]

      State administrative data system

    10. Placement rate (population 1 only) [Measured every six months in calendar year]

      State administrative data system

    11. Time for case closure [Measured every six months in calendar year]

      State administrative data system

    12. Time to reunification [Measured every six months in calendar year]

      State administrative data system

    13. Foster care re entry rate [Measured every six months in calendar year]

      State administrative data system

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A to 18 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Children assessed to be unsafe via the Nevada Initial Assessment

    • children in foster care with specific risk characteristics.

    Exclusion Criteria:

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Westat
    • Children's Bureau - Administration for Children and Families

    Investigators

    • Study Director: Andrea Sedlak, PhD., Westat
    • Principal Investigator: Mark Testa, PhD., University of North Carolina

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Westat
    ClinicalTrials.gov Identifier:
    NCT02173314
    Other Study ID Numbers:
    • 8977-2
    First Posted:
    Jun 24, 2014
    Last Update Posted:
    Mar 26, 2019
    Last Verified:
    Mar 1, 2019
    Keywords provided by Westat

    Study Results

    No Results Posted as of Mar 26, 2019