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What is SafeCare?

What is SafeCare?. An in-home parenting model program first started in 1979, and currently in more than 65 sites in 15 states, UK & Belarus

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What is SafeCare?

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  1. What is SafeCare? • An in-home parenting model program first started in 1979, and currently in more than 65 sites in 15 states, UK & Belarus • A program with a California Evidence-Based Clearinghouse scientific rating of 2: Supported by Research Evidence (next to highest on scale of 0-5), and rated High (Low-High) for Child Welfare System Relevance • A program that provides direct skill training to parents in: • Home Safety – Targets risk factors for environmental neglect and unintentional injury. Home visitors teach parents to childproof the home. • Health Module – Targets risk factors for medical neglect. Home visitors teach parents when to treat at home, call the doctor, or visit the emergency room. • Parent-Child/Parent-Infant Interactions Module – Targets risk factors associated with neglect and physical abuse. Home visitors teach parents to provide engaging and stimulating activities, increase positive interactions, and prevent challenging child behavior.

  2. SafeCare in Colorado • Originally funded by ACF as an Evidence Based Home Visitation grant awarded to the Colorado Judicial Department and Kempe • Goal was to use SafeCare with a justice involved population vs. services as usual • First training of Home Visitors in June 2009 • From original group of trainees, Kempe emerged with 1 of 2 certified SafeCare Trainers in Colorado, who is now Kempe’s Training Manager for SafeCare Colorado • SafeCare services still being delivered at Kempe and through Colorado Judicial families, few involved with Child Welfare

  3. Why use SafeCare? • How does SafeCare benefit the department? • Associated with reduced home visitor staff burnout and turnover • SC is cost-effective: Of the 11 Child Welfare programs recently studied by the WA State Institute of Public Policy: • SC costs the least ($102/family), has highest Benefit to Cost Ratio ($14.65/dollar spent) of all 11, andhas a 100% odds of a positive net value—only 4 of the 11 have these odds • How does SafeCare benefit children and families? • SC parents improve skills in child health, safety, and parent-child interaction (assessed by independent observations) • SC prevents child maltreatment incidents and risk for families • 26% less re-reports (i.e., screened-in) for SC families with a previous case in assessment or open-for-services phase (Across 7 years: 33%, vs. 45% re-reports for service-as-usual) • 75% reduction in substantiated reports for SC families with a previous substantiation (Across 3 years: SC had 15% substantiated; Family Preservation had 44% substantiated) • Decreases in self-report measures of maternal child abuse potential and depression • Families like SC • More likely to enroll in, more satisfied with, and found SC services to be more culturally relevant than service-as-usual (CPS families randomly assigned to SC or standard in-home behavioral health services) • How does SC benefit diverse children and families? • SC materials available in Spanish • SC works with diverse families (Latino and American Indian) • Similar improved recidivism reduction found (AI; Latino studies in progress) • Reduced parental depression (AI; Latino studies in progress) • High family rating of Cultural competency, Working alliance, Service quality, Service benefit (Latino & AI)

  4. SafeCare Implementation Plan • Plan: Roll-out SafeCare at 3 sites in Year 1; + 3 in Year 2; + 3 in Year 3. • Site = >1 county + Community Based Agency(ies) to house home visitors. • The National SafeCare Training and Research Center (NSTRC) will provide services to have 3 sites staffed, plus additional trainers to result in 7 total trainers sitting at 3 sites and Kempe who can train subsequent sites.

  5. SafeCare Progress to Date • Initial Implementation Plan created with input of National SafeCare Training and Research Center (NSTRC), to be presented for input from Prevention Steering Committee Meeting • Contracted with NSTRC for training • Getting the word out: Presentations at Justice Initiative for Drug Endangered Families; Denver Early Childhood Council; State Core Services meeting; Injury and Violence Research and Evaluation meeting (CU-Public Health); Nurse Family Partnership; Prevention Steering Committee meeting (today); POIT (on July agenda) • Initiated and Hosted the state-wide Child Welfare Prevention Information Summits • Building collaborations (Denver Indian Family Resource Center; Mark Chaffin at Oklahoma University Health Science Center: Oversaw implementation and evaluation of state-wide implementation ) • New Hires at Kempe to support the work (implementation and evaluation support)

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