Substance Abuse Clinical Trial
— EPICOfficial title:
Enhancing Permanency in Children and Families
Verified date | September 2022 |
Source | Ohio State University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The Enhancing Permanency in Children and Families (EPIC) program is a collaborative effort between the Ohio State University College of Social Work, two county offices of the Ohio Department of Job and Family Services, two juvenile courts and local behavioral health agencies. The goal of EPIC is to use three evidence-based and evidence-informed practices to reduce abusive and neglectful parenting, reduce addiction severity in parents, and improve permanency outcomes for families involved with the child welfare system due to substance abuse.
Status | Completed |
Enrollment | 117 |
Est. completion date | September 30, 2023 |
Est. primary completion date | July 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Child welfare involvement - Substance use is primary reason for child welfare involvement (a score or 3 or more on UNCOPE assessment or a positive drug screen) Exclusion Criteria: - Possible substance use, though not primary reason for child welfare involvement - incarcerated parents (may enroll after release) |
Country | Name | City | State |
---|---|---|---|
United States | The Ohio State University | Columbus | Ohio |
Lead Sponsor | Collaborator |
---|---|
Ohio State University | Children's Bureau - Administration for Children and Families, Fairfield County Job and Family Services, Fairfield County Juvenile Court, Integrated Services for Behavioral Health (ISBH), Ohio Guidestone, Pickaway County Job and Family Services, Pickaway County Juvenile Court |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time from opening of child welfare case to SUD screening | Measures: 1) Child welfare case open date; 2) UNCOPE assessment screening date Analyses: We will use T-tests to estimate mean differences in the length of time from entry into child welfare and SUD screening for EPIC participants in comparison to Ohio START and treatment as usual. | Within 30 days of program entry | |
Primary | Time from opening of child welfare case to trauma screening | Measures: Time from opening of child welfare case to trauma screening will be estimated using 1) child welfare case open date; 2) ACEs assessment date for adults or 3) CTAC assessment dates for children.
Analyses: We will use t-tests to estimate mean differences in the length of time from entry into child welfare and trauma screening for EPIC participants in comparison to Ohio START and treatment as usual. |
Within 30 days of program entry | |
Primary | Change in wait time between referral to addiction treatment services and initiation of services. | Measures: Change in wait time will be estimated using service referral and service initiation dates.
Analyses: We will use t-tests to estimate mean differences in the length of time between SUD treatment service referral and service initiation for EPIC participants in comparison to Ohio START and treatment as usual. |
Within 30 days of entering child welfare system | |
Primary | Change in addiction severity among participating parents | Measures: Addiction Severity Index-Self Report (ASI-SR) Analyses: A paired sample t-test will be conducted to examine the change in mean scores on the ASI-SR pre and post participation. | At program entry and again at program completion. An average of I year | |
Primary | Change in resilience in children | Measures: Resilience in children is measured using the Protective Factors Survey (PFS) Analyses: A paired sample t-test will be conducted to examine change in mean scores on the PFS pre and post participation. | At program entry and again at program completion. An average of I year | |
Primary | Change in child behavior | Measures: The Child Behavior Checklist (CBCL) is used to screen for emotional, behavioral and social problems among children.
Analyses: A paired sample t-test will be conducted to examine change in mean scores on the CBCL pre and post participation. |
At program entry and again at program completion. An average of I year | |
Primary | Change length of stay in out-of-home placement for children in EPIC program compared to substance-affected families not receiving EPIC. | Data source: Statewide Automated Child Welfare Information System (SACWIS), obtained twice a year through study completion.
Measures: Length of stay in out-of-home placement will be operationalized using placement dates obtained in SACWIS. Analyses: Survival analysis will be utilized to study outcome measures (e.g., length of stay in out-of-home placement) Due to the likelihood of censored measures when we have families who are still involved in the child welfare system, particularly for families who enter the system near the end of the study period, we will use survival analysis to estimate treatment effects on length of stay in out of home placement in comparison to Ohio START and treatment as usual families. |
Through program completion, an average of 1 year. | |
Primary | Change in reunification among families involved in EPIC compared to substance-affected families not receiving EPIC. | Data source: Statewide Automated Child Welfare Information System (SACWIS), obtained twice a year through study completion.
Analyses: Logistic regression will be used to estimate treatment effects on in comparison to Ohio START and treatment as usual. |
Through program completion, an average of 1 year. | |
Primary | Change in subsequent child welfare involvement among parents receiving EPIC compared to substance-affected families not receiving EPIC | Data source: Statewide Automated Child Welfare Information System (SACWIS), obtained twice a year through study completion.
Measures: Subsequent child welfare entry (yes/no) is measured using re-entry dates in SACWIS. Analyses: Logistic regressions will be used to estimate treatment effects on subsequent child welfare involvement in comparison to Ohio START and treatment as usual. |
Through completion of 5 year study. For participants, up to 4 years following program participation, depending on time of enrollment |
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