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Completed

NCT Number: NCT00559208

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

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.

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Key information

Conditions

Age range

1 year–80 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Children's Aid Society

Hamilton, Ontario, L8N 4B9, Canada

About this study

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

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Primary outcomes

  1. To measure the characteristics of families and their children and comparisons between usual care versus differential response

    Time frame: Follow-up at 1 year and 2 years

Secondary outcomes

  1. Follow up measures at 1 year and 2 year follow ups including measuring whether differential response is happening

    Time frame: 6 months after facilitator is assigned

Sponsors and collaborators

Lead sponsor

Hamilton Children's Aid Society

Other

Collaborators

  • McMaster University

Registry information

Official study 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

Important dates

Study start
2006
Study completion
2010
First posted
Nov 16, 2007
Registry last updated
Jun 23, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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