SafeCare

In-home Parent Skill-Based Supported

SafeCare is an in-home behavioral parenting program that promotes positive parent-child interactions, informed caregiver response to childhood illness and injury, and a safe home environment. SafeCare is designed for parents and caregivers of children birth through five who are either at-risk for or have a history of child neglect and/or physical abuse. The program aims to reduce child maltreatment. The SafeCare curriculum is delivered by trained and certified providers. The curriculum includes three modules: (1) the home safety module targets risk factors for environmental neglect and unintentional injury by helping parents/caregivers identify and eliminate common household hazards and teaching them about age-appropriate supervision; (2) the health module targets risk factors for medical neglect by teaching parents/caregivers how to identify and address illness, injury, and health generally; (3) the parent-child/parent-infant interaction module targets risk factors associated with neglect and physical abuse by teaching parents/caregivers how to positively interact with their infant/child, and how to structure activities to engage their children and promote positive behavior. Each module is designed to be delivered in 6 sessions (18 total), but some families may need fewer or more sessions to reach skill mastery. Each session typically lasts 50 to 90 minutes and is delivered in the family’s home or at another location of the parent’s choice.


SafeCare is rated as a supported practice because at least one study carried out in a usual care or practice setting achieved a rating of moderate or high on design and execution and demonstrated a sustained favorable effect of at least 6 months beyond the end of treatment on at least one target outcome.


Date Research Evidence Last Reviewed: Mar 2020


Sources

The program or service description, target population, and program or service delivery and implementation information was informed by the following sources: The California Evidence-based Clearinghouse for Child Welfare, Home Visiting Evidence of Effectiveness, the program or service developer’s website, the program or service manual, and the studies reviewed.

 

Program/Service Description Updated: Week of March 23, 2020


This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, visit the Review Process page or download the Handbook.

Target Population

SafeCare is designed for parents/caregivers of children 0-5 who are either at-risk for or have a history of child neglect and/or abuse.

Dosage

SafeCare is designed to be completed in approximately 18 sessions, though some parents may need fewer or more sessions to master new skills. During this time, providers deliver three curriculum modules, with each module lasting for six sessions. Providers typically meet with clients weekly for about 50 to 90 minutes.

Location/Delivery Setting
Recommended Locations/Delivery Settings

SafeCare is delivered in the homes of participating parents/caregivers. If services cannot be delivered in the participating parent’s/caregiver’s home, an alternative setting can be used (e.g., clinic, shelter, family-based residential treatment center).

Location/Delivery Settings Observed in the Research

  • Home

Education, Certifications and Training

There are no educational requirements for SafeCare training. The National SafeCare Training and Research Center (NSTRC) provides training for providers. All providers are required to participate in 32 hours of workshop training and receive post-workshop coaching to promote fidelity and proficiency in delivering SafeCare to receive their certification. Ongoing coaching is required to keep provider certifications active. NSTRC also provides trainings for coaches and trainers.

Additional information about these trainings can be found on the NSTRC website.

Program or Service Documentation
Book/Manual/Available documentation used for review

Lutzker, J.R. (2016). Provider Manual, version 4.1.1.

Available languages

Materials for SafeCare are available in French, Hebrew, and Spanish.

Other supporting materials

SafeCare Curriculum

Training Materials

Contact Information for Developers

Website: www.safecare.org

Phone: (404) 413-1282

Email: safecare@gsu.edu

Results of Search and Review Number of Studies Identified and Reviewed for SafeCare
Identified in Search 4
Eligible for Review 3
Rated High 0
Rated Moderate 1
Rated Low 2
Reviewed Only for Risk of Harm 0
Outcome Effect Size
and Implied Percentile Effect
N of Studies (Findings) N of Participants Summary of Findings
Child safety 0.24
9
1 (3) 369 Favorable: 0
No Effect: 3
Unfavorable: 0
Child permanency 1.69
45
1 (1) 369 Favorable: 1
No Effect: 0
Unfavorable: 0

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group.

Outcome Effect Size
and Implied Percentile Effect
N of Studies (Findings) N of Participants Summary of Findings Months after treatment
when outcome measured
Child safety 0.24
9
1 (3) 369 Favorable: 0
No Effect: 3
Unfavorable: 0
-
Quick, 2018
Subsequent Child Protective Services Referral 0.07
2
- 369 - 12
Subsequent Child Protective Services Assessment 0.16
6
- 369 - 12
Subsequent Child Protective Services Founded Assessment 0.48
18
- 369 - 12
Child permanency 1.69 *
45
1 (1) 369 Favorable: 1
No Effect: 0
Unfavorable: 0
-
Quick, 2018
Subsequent Out-of-home Placement 1.69 *
45
- 369 - 12

*p <.05

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group. Effect sizes and implied percentile effects were calculated by the Prevention Services Clearinghouse as described in the Handbook of Standards and Procedures, Section 5.10.4 and may not align with effect sizes reported in individual publications.

Only publications with eligible contrasts that met design and execution standards are included in the individual study findings table.

Full citations for the studies shown in the table are available in the "Studies Reviewed" section.

Sometimes study results are reported in more than one document, or a single document reports results from multiple studies. Studies are identified below by their Prevention Services Clearinghouse study identification numbers.

Studies Rated Moderate

Study 10784

Quick-Beachy, K., Lee, C., McConnell, L., Orsi, R., Timpe, Z., & Winokur, M. (2018). SafeCare Colorado program evaluation report 2014-2017. Denver, CO: Colorado Office of Early Childhood.


Studies Rated Low

Study 10577

Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2002). Using recidivism data to evaluate Project SafeCare: Teaching bonding, safety, and health care skills to parents. Child Maltreatment, 7(3), 277-285.

This study received a low rating because baseline equivalence of the intervention and comparison groups was necessary and not demonstrated.
Study 10575

Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H. (2012). A statewide trial of the SafeCare home-based services model with parents in child protective services. Pediatrics, 129(3), 509-515. doi:10.1542/peds.2011-1840

Chaffin, M., Bard, D., Bigfoot, D. S., & Maher, E. J. (2012). Is a structured, manualized, evidence-based treatment protocol culturally competent and equivalently effective among American Indian parents in child welfare? Child Maltreatment, 17(3), 242-252. doi:10.1177/1077559512457239

Hubel, G. S., Rostad, W. L., Self-Brown, S., & Moreland, A. D. (2018). Service needs of adolescent parents in child welfare: Is an evidence-based, structured, in-home behavioral parent training protocol effective? Child Abuse & Neglect, 79, 203-212. doi:10.1016/j.chiabu.2018.02.005

This study received a low rating because baseline equivalence of the intervention and comparison groups was necessary and not demonstrated.


Studies Not Eligible for Review

Study 10576

Damashek, A., Bard, D., Hecht, D. (2012). Provider cultural competency, client satisfaction, and engagement in home-based programs to treat child abuse and neglect. Child Maltreatment, 17(1), 56-66. doi:10.1177/1077559511423570

This study is ineligible for review because it does not report program or service impacts on an eligible target outcome (Study Eligibility Criterion 4.1.5).

Study 10783

Churchill, G. (2015). SafeCare: Evidence from a home based parenting programme for neglect. London: NSPCC.

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).