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Completed

NCT Number: NCT02173314

Nevada Initiative to Reduce Long-Term Foster Care

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.

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Key information

Age range

Up to 18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Children assessed to be unsafe via the Nevada Initial Assessment
  • children in foster care with specific risk characteristics.

Exclusion criteria

-

Treatment and study plan

SAFE FC

Other

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.

Other names: SAFE - FC, a combination of SAFE and Family Connections

Primary outcomes

  1. Time to stable permanence

    Time frame: 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

    Measured by administrative data from the Adoption and Foster Care Analysis and Reporting System (AFCARS)

  2. Caregiver readiness for change

    Time frame: 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)

    Measured with Readiness for Parenting Change Scale (REDI) Abbreviated (Chaffin et al, 2011)

Secondary outcomes

  1. Caregiver stress

    Time frame: 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)

    Parenting Stress Index - Short Form (PSI-SF) (Abidin, 1983)

Other outcomes

  1. Caregiver mental health

    Time frame: 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)

    Brief Symptoms Inventory (BSI) (Derogatis, 1993)

  2. Child behavior/mental health problems

    Time frame: 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)

    Child Behavior Checklist (CBCL) (Achenbach, 1991)

  3. Positive parenting attitudes

    Time frame: 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)

    Adult-Adolescent Parenting Inventory (AAPI-2) (Bavolek & Keene, 1999)

  4. Social support

    Time frame: 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)

    Social Provisions Scale (SPS) (Russell & Cutrona, 1984)

  5. Helping alliance for both caregiver and worker

    Time frame: Measured at 6 months and again at case closure (duration of their involvement with Washoe County DSS is on average 24 months)

    Helping Relationship Inventory (Poulin & Young, 1997)

  6. Resiliency

    Time frame: 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)

    Resiliency Attitudes Scale (RAS) (Briscoe, B. & Harris, B., 1994)

  7. Home stability

    Time frame: 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)

    Based on subscales of the CWBS (questions from Zuravin & DePanfilis, 1996)

  8. Time to permanency

    Time frame: Measured every six months in calendar year

    State administrative data system

  9. Recurrence of child abuse and neglect

    Time frame: Measured every six months in calendar year

    State administrative data system

  10. Placement rate (population 1 only)

    Time frame: Measured every six months in calendar year

    State administrative data system

  11. Time for case closure

    Time frame: Measured every six months in calendar year

    State administrative data system

  12. Time to reunification

    Time frame: Measured every six months in calendar year

    State administrative data system

  13. Foster care re entry rate

    Time frame: Measured every six months in calendar year

    State administrative data system

Sponsors and collaborators

Lead sponsor

Westat

Other

Collaborators

  • Children's Bureau - Administration for Children and Families

Registry information

Official study title

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

Important dates

Study start
2010
Primary completion
2015
Study completion
2015
First posted
Jun 24, 2014
Registry last updated
Mar 26, 2019

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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