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Completed

NCT Number: NCT03199326

Collaborative Care for Infants at Risk

This study evaluates the feasibility, acceptability, and impact of a collaborative care practice for infants investigated by state Child Protective Services (CPS) for suspected maltreatment. Recognizing the vulnerability of infants referred into CPS in the first year of life, as well as the frequent contact of infants with health care providers in the first year of life, the investigators will conduct a RCT to measure the impact of a collaborative practice model linking CPS caseworkers with primary health care providers during an investigation for suspected infant maltreatment. With this trial, the investigators will ask (3a) Can a collaborative practice model improve parent-reported infant health-related quality of life 6 months following child welfare involvement for suspected infant maltreatment? and (3b) Does a collaborative practice model impact repeat child welfare involvement for suspected child maltreatment over 6 months?

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Key information

Conditions

Child Abuse Child Welfare Primary Health Care

Age range

0 day–364 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Center for Safe and Healthy Families, Primary Children's Hospital Eccles Outpatient Building, 81 North Mario Capecchi Dr 4E-200

Salt Lake City, Utah, 84113, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Less than 12 months of age at referral
  • Involved in a child welfare investigation for suspected maltreatment
  • Investigation occurring in Utah DCFS Salt Lake Valley or Western regions

Exclusion criteria

For the primary and selected secondary outcomes,

  • Caregiver with primary spoken language other than English or Spanish,
  • CPS caseworkers not yet randomized to a practice arm
  • Infants in out-of-home placement at the time of referral or case closure,
  • Infants suffering fatal maltreatment
  • Prior investigation of an infant in a household during study timeframe (e.g., twins, infant siblings, and repeat referrals will be excluded).

For other secondary outcomes related to CPS outcomes, language exclusion will not be considered.

Treatment and study plan

Collaborative Care

Other

CPS caseworkers will explain collaborative care to parents, ask parents to allow communication with an infant's primary care provider, and have willing parents sign a release allowing communication with the infant's provider during the investigation. Caseworkers will make at least two attempts to contact identified providers with parental consent. In the first week, caseworkers will contact the provider, identify the infant, and summarize the child maltreatment concerns. The caseworker will ask whether the provider recognizes any additional strengths or vulnerabilities for the infant. Prior to case closure, caseworkers will provide a summary of investigation findings, disposition, and service referrals including placement changes, safety planning, family preservation, and community resources, with a summary letter delivered to the provider after case closure.

Primary outcomes

  1. Infant Health Related Quality of Life

    Time frame: Change from baseline to 6 months following CPS case closure

    Difference in Change in Infant Health Related Quality of Life based on practice arm

Secondary outcomes

  1. Parent Perception of Child Welfare and Child Health Care

    Time frame: at baseline (child welfare) and at 6 months (child health care)

    Difference in parent perceptions of child welfare and child health care based on practice arm

  2. Repeat Child Welfare Involvement

    Time frame: 6 months after CPS case closure

    Repeat Child Welfare Involvement

Other outcomes

  1. Engagement of child welfare caseworkers

    Time frame: baseline

    Proportion of eligible cases investigated that were offered collaborative practice

  2. Acceptance of parents

    Time frame: baseline

    Proportion of cases offered collaborative practice in which parents allowed practice

  3. Recruiting and retention of high-risk longitudinal cohort

    Time frame: baseline and 6 months

    Proportion of eligible cases willing to enroll in and follow-up with researchers

Sponsors and collaborators

Lead sponsor

University of Utah

Other

Collaborators

  • Robert Wood Johnson Foundation

Registry information

Acronym: CCIR

Important dates

Study start
2017
Primary completion
2019
Study completion
2020
First posted
Jun 26, 2017
Registry last updated
Nov 10, 2020

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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