Nevada Initiative to Reduce Long-Term Foster Care

In Foster Care Clinical Trial

Official title:

Permanency Innovations Initiative- Nevada Initiative to Reduce Long-Term Foster Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02173314
• Other study ID #: 8977-2
• Status: Completed
• Phase: N/A
• Start date: September 2010
• Est. completion date: December 2015

Study information

• Verified date: March 2019
• Source: Westat
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 507
• Est. completion date: December 2015
• Est. primary completion date: December 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 18 Years

Eligibility

Inclusion Criteria:

• Children assessed to be unsafe via the Nevada Initial Assessment

• children in foster care with specific risk characteristics.

Exclusion Criteria:

Related Conditions & MeSH terms

• At Risk for Foster
• In Foster Care

Intervention

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.

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
Westat	Children's Bureau - Administration for Children and Families, Office of Policy Research and Evaluation (OPRE), Administration for Children and Families

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Caregiver mental health	Brief Symptoms Inventory (BSI) (Derogatis, 1993)	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)
Other	Child behavior/mental health problems	Child Behavior Checklist (CBCL) (Achenbach, 1991)	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)
Other	Positive parenting attitudes	Adult-Adolescent Parenting Inventory (AAPI-2) (Bavolek & Keene, 1999)	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)
Other	Social support	Social Provisions Scale (SPS) (Russell & Cutrona, 1984)	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)
Other	Helping alliance for both caregiver and worker	Helping Relationship Inventory (Poulin & Young, 1997)	Measured at 6 months and again at case closure (duration of their involvement with Washoe County DSS is on average 24 months)
Other	Resiliency	Resiliency Attitudes Scale (RAS) (Briscoe, B. & Harris, B., 1994)	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)
Other	Home stability	Based on subscales of the CWBS (questions from Zuravin & DePanfilis, 1996)	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)
Other	Time to permanency	State administrative data system	Measured every six months in calendar year
Other	Recurrence of child abuse and neglect	State administrative data system	Measured every six months in calendar year
Other	Placement rate (population 1 only)	State administrative data system	Measured every six months in calendar year
Other	Time for case closure	State administrative data system	Measured every six months in calendar year
Other	Time to reunification	State administrative data system	Measured every six months in calendar year
Other	Foster care re entry rate	State administrative data system	Measured every six months in calendar year
Primary	Time to stable permanence	Measured by administrative data from the Adoption and Foster Care Analysis and Reporting System (AFCARS)	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
Primary	Caregiver readiness for change	Measured with Readiness for Parenting Change Scale (REDI) Abbreviated (Chaffin et al, 2011)	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)
Secondary	Caregiver stress	Parenting Stress Index - Short Form (PSI-SF) (Abidin, 1983)	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)