Download - Safe Care: History, Outcomes, Dissemination
SafeCare®: History, Outcomes, Dissemination
Shannon Self-Brown and John R. Lutzker
Georgia State University
SafeCare History• Project 12-Ways (1979)
– Rural Southern Illinois– 12 services – DFCS referred families – Still going strong
• 1980s, SafeCare in California– From 12-Ways to 3-ways– Safety, Health, Parent-child interactions– Service and research model
• 2001: Oklahoma adopts SafeCare • 2007: National SafeCare Training and Research
Center – Demand for training began to rise
• 2015– 23 states, UK, Belarus, Canada, Spain, Israel, Australia
2
SafeCare: An Evidence-Based Program for Child Neglect and Physical Abuse Prevention
• Behavioral, in-home parent-training curriculum targeting child neglect
• Targets high-risk parents with children ages 0-5 years• 3 modules:
• Child Safety, Child Health, Parent-Child Interaction• Each module is conducted over 6(±) sessions, 18
sessions in all• Use structured teaching model across 3 modules
Assess (session 1)
Train (sessions 2-5) Assess (session 6)
Explain Model Practice Feedback
Overview of SafeCare
SafeCare Curriculum OverviewStrength-based and structured curriculum
Home Safety ModuleModule Goals
• Teach parents skills to:– Understand the
importance of a safe home
– Know the types of hazards in homes
– Know ways to remove household hazards
– Understand the importance of supervision
Module Process
Assessment– Consent – Measure tallest child under 5– Choose 3 rooms and count
hazardsTraining
– Teach parents about hazards – Begin removing or securing
accessible hazards in one room– Turn responsibility over to the
parent– Always discuss supervision
Re-Assessment
Safety Skills: Hazard Categories
Suffocation Drowning Fire/Electrical Choke
Fall/ Poison Firearm SharpActivity Restriction
Crush Organic/Allergen
Safety Training Session
Parenting Module: Parent-Child Interaction
Module Goals
• Teach parents skills to: – Positively interact with
their children– Enhance their parent-
child relationships– Use incidental teaching– Plan and organize daily
and play activities– Prevent challenging
child behavior
Module ProcessIncludes 2 curricula
• PII for parents of infants• PCI parents of children up to age 5
Assessment• Daily Activities Checklist • Observation of mother/child in
three different situations for 5 minTrain
• LoTTS in PII• Planned Activities Training in PCI
Re-Assess• Re-observe three situations
PII Skills: LoTTS of Bonding Behaviors
**These behaviors are done in any activity at any time with infants
SmilingTouching
TalkingLooking
PII Skills: Other Bonding Behaviors
**Only be done when appropriate to the activity (e.g. hard to rock a baby during bath time)
Imitating RockingHolding
PCI Skills: cPAT OverviewBefore During End
Health Module
Health Module Goals
• Teach parent skills to:– Keep children as healthy as
possible– Prepare for when child is sick
or injured – Recognize when symptoms
need emergency care, need a doctor’s appointment, or can be cared for at home
– Use health reference materials
– Keep good health records
Health Module Process
Assessment– Introduce health and give
manual– Role plays using age appropriate
scenarios Training
– Use age appropriate Scenarios: Treat at home; Call Dr.; Go to ER
– Look up symptoms in health manual
– Record symptoms & treatments – Identify appropriate response – Demonstrate behaviors
Re-Assess
Health Materials
SafeCare Research:Does SafeCare Reduce Child Maltreatment?
• Within child welfare samples, SafeCare has reduced child maltreatment recidivism by rates of 26%-63% compared to services as usual
• Within at-risk parent samples SafeCare compared to Services as Usual reported:– Less Child Abuse Potential– Lower Depression
Silovsky et al., 2012
SafeCare Return on Investment
From Washington State Institute of Public Policy, April 2012
SafeCare $14.85 return for every $1 invested in SC
http://www.wsipp.wa.gov/pub.asp?docid=12-04-1201
BelarusSpainAustralia
Statewide Implementation
Local Implementation
SafeCare 2015
International Implementations:
United Kingdom
Israel
Canada
SafeCare Adaptations• Diverse populations
– American Indians– Latinos
• Fathers• Children with behavior problems• Children ages 5-11• SafeCare Augmented
– Motivational Interviewing• PATSCH
– Braiding 2 EBP• Parents with Intellectual Disabilities• International
– 6 countries
John R. Lutzker, Ph. D.Distinguished University ProfessorAssociate Dean of Public HealthDirector, Center for Healthy DevelopmentEmail: [email protected]: 404-413-1284
http://publichealth.gsu.eduwww.safecare.org
Shannon R. Self-Brown, Ph.D.Associate Professor, School of Public HealthDirector, School of Public Health Ph.D. ProgramAssociate Director, National SafeCare Training and Research CenterGeorgia State UniversityPhone: 404-413-1283Email: [email protected]