SafeCare®: An Evidence-basedWidely Disseminated ParentTraining Program to PreventChild MaltreatmentJohn R. Lutzker, Ph.D.D...
NCANDS, 2011Data from Exhibit 4-F681,000 substantiated cases of child maltreatment
Source: Finkelhor, Jones, Shattuck(2010)
ViolenceAgainstWomenYouthViolenceSuicideChildMaltreatmentChild Maltreatment Pathways
SafeCare Protocols• Parent-Child Interactions+ Parent-Infant Interactions+ Planned Activities Training (another evolution)...
Project 12-Ways• 1979 - present• Over $20 million funding• Over 3000 families served• Hundreds of staff trained• Referrals...
Original Project 12-Ways Services Alcohol abuse referral Job finding Money management Health and safetytraining Multi...
Project 12-WaysOutcomesThree studies showed that Project12-Ways families•Had significantly less childmaltreatment•Were mor...
SafeCare• Urban: San Fernando Valley in Los Angeles, CA• Hispanic/Latino participants• Diverse• Succinct(5 sessions permod...
Evaluation• Outcome evaluations• Social validation• Goals• Process• OutcomeGershater-Molko, R., Lutzker, J.R., &Wesch, D. ...
Oklahoma Statewide Trial(PI: Mark Chaffin)• 6 service regions in OK assigned to SafeCare or SAU Providers receive SC trai...
OK Statewide Trial: Sample• N = 2175• 91% women• 67% white, 16% American Indian, 9%African American• Mean of 2.8 children•...
OK Statewide SC trial: Resultss}SafeCareSurvival• SafeCare decreased re-reports by 26% for families with children 0-5• Wit...
The National SafeCare® Training andResearch CenterBorn: October 2007Delivered by: The Doris Duke CharitableFoundation
Home Safety DataJabaley, et al (2011). Journal of Family Violence.
SafeCare Service Completion• RCT comparing SC to usualservice in-home behavioralhealth services (N=398)• SafeCare families...
SafeCare Training
SafeCare ImplementationBy doing this…
SafeCare Sites
Research Question & HypothesesDoescombining PAT+ SafeCareresult in betteroutcomes forfamilies?Compared to those receivingP...
RESEARCH PRACTICEWhy Focus on Implementation?IMPLEMENTATION“Children and families cannot benefit frominterventions they do...
© Dean Fixsen, Karen Blase, Robert Horner, George Sugai, 2008Organizational Change"All organizations [and systems] aredesi...
Lessons learned in related effortsCritical considerations in bringing implementing EBP:•Initial and ongoing training•Quali...
Organizational readiness for EBP• Leadership and staff support and endorsement• Time for planning and implementation (i.e....
Training costs: includes training, NSTRC travelto site, materials and 1 year supportImplementation costs:•Estimated $1900 ...
Technology• iPhones• Tablets• Webcams• Digital Frames• Cell Phones• ?????
What does the future hold?
John R. Lutzker, PhDCenter for HealthyDevelopmentGeorgia State UniversityBox 3995Atlanta, GA 30302-3995jlutzker@gsu.edu404...
SafeCare: An Evidence-based Widely Disseminated Parent Trianing Program to Prevent Child Maltreatment
SafeCare: An Evidence-based Widely Disseminated Parent Trianing Program to Prevent Child Maltreatment
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SafeCare: An Evidence-based Widely Disseminated Parent Trianing Program to Prevent Child Maltreatment

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Link to Dr. Lutzker's press release following his slideshow presentation at Qatar University: http://publichealth.gsu.edu/1928.html

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  • (c) Dean Fixsen, Karen Blase, Robert Horner, George Sugai, 2008 Horner, George Sugai, 2008
  • SafeCare: An Evidence-based Widely Disseminated Parent Trianing Program to Prevent Child Maltreatment

    1. 1. SafeCare®: An Evidence-basedWidely Disseminated ParentTraining Program to PreventChild MaltreatmentJohn R. Lutzker, Ph.D.Director, Center for Healthy DevelopmentAssociate Dean for Faculty Developmentand Professor of Public HealthGeorgia State University
    2. 2. NCANDS, 2011Data from Exhibit 4-F681,000 substantiated cases of child maltreatment
    3. 3. Source: Finkelhor, Jones, Shattuck(2010)
    4. 4. ViolenceAgainstWomenYouthViolenceSuicideChildMaltreatmentChild Maltreatment Pathways
    5. 5. SafeCare Protocols• Parent-Child Interactions+ Parent-Infant Interactions+ Planned Activities Training (another evolution)• Home Safety+ Removal of hazards+ Removal of filth and clutter• Child Health Care+ When to call a doctor+ When to self-treat+ When to visit emergency room* Counseling and problem solving skills* Round 3 Content Validations
    6. 6. Project 12-Ways• 1979 - present• Over $20 million funding• Over 3000 families served• Hundreds of staff trained• Referrals: DCFS-homogenous• Service area: 10-12 counties, ruralsouthern Illinois
    7. 7. Original Project 12-Ways Services Alcohol abuse referral Job finding Money management Health and safetytraining Multiple settingbehavior management Prevention Parent-child training Stress reduction Self-management forparents Basic skill training forchildren Activities planning Relationshipcounseling
    8. 8. Project 12-WaysOutcomesThree studies showed that Project12-Ways families•Had significantly less childmaltreatment•Were more difficult thancomparison families
    9. 9. SafeCare• Urban: San Fernando Valley in Los Angeles, CA• Hispanic/Latino participants• Diverse• Succinct(5 sessions permodule)• Staff not“behavioral”
    10. 10. Evaluation• Outcome evaluations• Social validation• Goals• Process• OutcomeGershater-Molko, R., Lutzker, J.R., &Wesch, D. (2002) Using Recidivism data toevaluate Project SafeCare: Teaching“bonding”, safety and healthcare skills toparents. Child Maltreatment,1, 277-285.
    11. 11. Oklahoma Statewide Trial(PI: Mark Chaffin)• 6 service regions in OK assigned to SafeCare or SAU Providers receive SC training or do SAU Regions 1,2, & 3 = SafeCare; 4,5 & 6 = SAU• Half of each got “fidelity monitoring” or coaching• Outcomes: CPS referrals + intermediate variables• Economic evaluation to test cost effectiveness ofcoaching
    12. 12. OK Statewide Trial: Sample• N = 2175• 91% women• 67% white, 16% American Indian, 9%African American• Mean of 2.8 children• 82% below poverty line• 4.7 prior CPS reports
    13. 13. OK Statewide SC trial: Resultss}SafeCareSurvival• SafeCare decreased re-reports by 26% for families with children 0-5• With a re-report rate of 45% annually, SC prevented 64-104 reports• ROI analyses, suggest $14 return for every $1 invested in SC• Other research: much lower attrition for SafeCare providers}SAU
    14. 14. The National SafeCare® Training andResearch CenterBorn: October 2007Delivered by: The Doris Duke CharitableFoundation
    15. 15. Home Safety DataJabaley, et al (2011). Journal of Family Violence.
    16. 16. SafeCare Service Completion• RCT comparing SC to usualservice in-home behavioralhealth services (N=398)• SafeCare families assignedmore likely to enroll (80%vs. 49%) and completeservices (49% vs. 21%).• Service satisfaction higheramong SC families as wellDamashek, A., Doughty, D., Ware, L., & Silovsky, J. (2011). Predictors of Client Engagementand Attrition in Home-Based Child Maltreatment Prevention Services. Child Maltreatment,16(1), 9-20.
    17. 17. SafeCare Training
    18. 18. SafeCare ImplementationBy doing this…
    19. 19. SafeCare Sites
    20. 20. Research Question & HypothesesDoescombining PAT+ SafeCareresult in betteroutcomes forfamilies?Compared to those receivingPAT, those receiving PAT +SafeCare, will:1. Produce even betterparenting outcomes2. Produce children withbetter developmentaloutcomes and schoolreadiness3. Show lower risk of childmaltreatmentPATSCH = Parents as Teachers and SafeCare at Home
    21. 21. RESEARCH PRACTICEWhy Focus on Implementation?IMPLEMENTATION“Children and families cannot benefit frominterventions they do not experience.”
    22. 22. © Dean Fixsen, Karen Blase, Robert Horner, George Sugai, 2008Organizational Change"All organizations [and systems] aredesigned, intentionally or unwittingly, toachieve precisely the results they get."R. Spencer DarlingBusiness Expert
    23. 23. Lessons learned in related effortsCritical considerations in bringing implementing EBP:•Initial and ongoing training•Quality control•Organizational context and commitment•Ongoing monitoring of fidelity•Reliance on special people•Staff training, selection, qualifications•Blending Research and Service•Certification/National Centers
    24. 24. Organizational readiness for EBP• Leadership and staff support and endorsement• Time for planning and implementation (i.e., regular and ongoing meetings)• Good communication from the beginning• Staff buy-in and concerns• Fit with mission and community need• Commitment to ongoing evaluation• Financial support• Political support• Community support• Technology• Economic Issues• Implementation Issues• Balance between structure and fidelity• Clear role definitions for HVs, Coaches, and Trainers
    25. 25. Training costs: includes training, NSTRC travelto site, materials and 1 year supportImplementation costs:•Estimated $1900 - $2300 per family.•Very few unique costs to SafeCare.
    26. 26. Technology• iPhones• Tablets• Webcams• Digital Frames• Cell Phones• ?????
    27. 27. What does the future hold?
    28. 28. John R. Lutzker, PhDCenter for HealthyDevelopmentGeorgia State UniversityBox 3995Atlanta, GA 30302-3995jlutzker@gsu.edu404-413-1284http://publichealth.gsu.eduwww.safecarecenter.org

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