Children's Aid Societies: Differential Response and Wraparound Prevention Trial

Children Clinical Trial

Official title:

The Comparative Effects and Expense of Augmenting Usual Children's Aid Society (CAS) Care With a Regional Differential Response and Wraparound Prevention Service for Children

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00559208
• Other study ID #: 06-103
• Status: Completed
• Phase: N/A
• First received: November 15, 2007
• Last updated: June 22, 2011
• Start date: October 2006
• Est. completion date: December 2010

Study information

• Verified date: November 2009
• Source: Hamilton Children's Aid Society
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to assess the cost-effectiveness of this Differential Wraparound model, in 5 Children's Aid Societies within Hamilton-Niagara Region, in preventing maltreatment cases from either becoming ongoing protection cases, or the children ending up in out-of-home of out-of community placements, as well as reducing the amount of time in Children's Aid Society care as compared to usual Children's Aid Society risk assessment and protection service alone.

Description:

The number of children in child welfare care has increased from 10,000 in the early 1990s to over 18,000. Ontario spends over $1.1 billion a year on direct child welfare services, more than twice as much as spent in the late 1990s, with the majority of these resources spent on investigation instead of treatment. In response to this situation, Differential Response models, sometimes called alternative, multiple or integrated system responses, have been implemented in the US, Australia and Canada and are all at the beginning stages of systematic evaluation. These models will help prevent maltreatment cases from becoming ongoing protection cases, or the children ending up in out of home or community placements, and reduce the amount of time in Children's Aid Society care. This research will show the benefits and costs of a Differential Response approach to Children's Aid Society care, specifically in the Hamilton-Niagara Region

Other known NCT identifiers

• NCT00397085

Recruitment information / eligibility

• Status: Completed
• Enrollment: 135
• Est. completion date: December 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 1 Year to 80 Years

Eligibility

Inclusion Criteria:

• Parent of children and youth, living in Hamilton and surrounding areas.

• Newly referred substantiated cases going on to protective services.

• English & non-English speaking.

Exclusion Criteria:

• Safety threat

• Non-substantiated cases not going to protective services.

Study Design

Observational Model: Case Control, Time Perspective: Prospective

Related Conditions & MeSH terms

• Children

Locations

Country	Name	City	State
Canada	Children's Aid Society	Hamilton	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
Hamilton Children's Aid Society	McMaster University

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To measure the characteristics of families and their children and comparisons between usual care versus differential response		Follow-up at 1 year and 2 years	Yes
Secondary	Follow up measures at 1 year and 2 year follow ups including measuring whether differential response is happening		6 months after facilitator is assigned	Yes