SafeCare Augmented
SafeCare Augmented is an enhanced version of SafeCare. 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. It is designed for parents and caregivers of children birth through five who are either at-risk for or who have a history of child neglect and/or physical abuse.
SafeCare Augmented adheres to SafeCare with additional training on enhancing families’ motivation for change and identifying risk factors for domestic violence. The motivational interviewing training aims to support providers in using motivational strategies to help parents implement parenting skills and safety planning, address substance abuse, and access resources. The goals of the domestic violence training are to increase provider awareness of domestic violence and to increase their ability to detect it and make appropriate referrals as indicated. Overall, SafeCare Augmented seeks to reduce child maltreatment and provide additional resources to providers to support clinical care.
SafeCare Augmented does not currently meet criteria to receive a rating because no studies of the program that achieved a rating of moderate or high on design and execution demonstrated a favorable effect on a target outcome.
Date Research Evidence Last Reviewed: Dec 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.
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 Augmented is designed for parents of children (birth to 5 years old) who are at-risk for or who have a history of child neglect and/or physical abuse.
Dosage
SafeCare Augmented is designed to be completed in approximately 18 sessions. Each of the three modules is designed to be completed in an average of 6 sessions. However, some parents may need fewer or more sessions to reach skill mastery. Each session typically lasts 50 to 90 minutes.
Location/Delivery Setting
Recommended Locations/Delivery Settings
SafeCare Augmented is delivered in the home. If services cannot be delivered in the home, an alternative setting can be used (e.g., clinic, shelter, or family-based residential treatment center).
Education, Certifications and Training
There are no educational requirements for SafeCare Augmented training. Providers must first complete training in SafeCare from The National SafeCare Training and Research Center (NSTRC). This includes 32 hours of workshop training. It also includes 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.
SafeCare Augmented providers must also complete training in Motivational Interviewing (MI) and domestic violence. MI training should be certified by the MI Training Network (MINT) and can be conducted in-person or online. NSTRC assists sites in developing a plan for MI training as part of a readiness plan to implement SafeCare Augmented. Domestic violence trainings are typically conducted by a local domestic violence agency and must meet the minimum standards set by NSTRC. Domestic violence trainings are expected to take 4 to 8 hours. Providers are strongly encouraged to have annual refresher trainings and continuous access to domestic violence experts for consultation.
Additional information about these trainings can be found on the NSTRC Website.
Program or Service Documentation
Book/Manual/Available documentation used for review
SafeCare Augmented is implemented using the SafeCare manual in conjunction with additional training on enhancing families’ motivation for change and identifying risk factors for domestic violence.
Lutzker, J. R. (2016). Provider manual (version 4.1.1). National SafeCare Training and Research Center
National SafeCare Training and Resource Center. (n.d.). Safecare Augmented. Georgia State University.
Available languages
Materials for SafeCare Augmented are available in English.
Other supporting materials
SafeCare Augmented – MI and Domestic Violence Training Standards
Contact Information for Developers
Website: https://safecare.publichealth.gsu.edu/
Phone: (404) 413-1282
Email: safecare@gsu.edu
| Results of Search and Review | Number of Studies Identified and Reviewed for SafeCare Augmented |
|---|---|
| Identified in Search | 1 |
| Eligible for Review | 1 |
| Rated High | 1 |
| Rated Moderate | 0 |
| Rated Low | 0 |
| 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: Child welfare administrative reports |
0.50
19 |
1 (2) | 105 |
Favorable: 0 No Effect: 2 Unfavorable: 0 |
| Child safety: Self-reports of maltreatment |
0.10
4 |
1 (4) | 88 |
Favorable: 0 No Effect: 4 Unfavorable: 0 |
| Child safety: Maltreatment risk assessment |
-0.04
-1 |
1 (1) | 62 |
Favorable: 0 No Effect: 1 Unfavorable: 0 |
| Adult well-being: Parent/caregiver mental or emotional health |
-0.03
-1 |
1 (2) | 87 |
Favorable: 0 No Effect: 2 Unfavorable: 0 |
| Adult well-being: Parent/caregiver substance use |
0.05
2 |
1 (3) | 88 |
Favorable: 0 No Effect: 3 Unfavorable: 0 |
| Adult well-being: Family functioning |
0.25
9 |
1 (6) | 147 |
Favorable: 0 No Effect: 6 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. Effect sizes for some outcomes were not able to be calculated by the Prevention Services Clearinghouse.
| 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: Child welfare administrative reports |
0.50
19 |
1 (2) | 105 |
Favorable: 0 No Effect: 2 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Any Referral to Child Welfare (%) |
0.50
19 |
- | 105 | - | 24 |
| Time to Referral to Child Welfare (Survival Analysis) |
Null
not calculated |
- | 105 | - | 24 |
| Child safety: Self-reports of maltreatment |
0.10
4 |
1 (4) | 88 |
Favorable: 0 No Effect: 4 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Conflict Tactics Scale–Parent-Child: Psychological Aggression |
0.11
4 |
- | 88 | - | 0 |
| Conflict Tactics Scale–Parent-Child: Psychological Aggression |
0.03
1 |
- | 62 | - | 7 |
| Conflict Tactics Scale–Parent-Child: Physical Assault |
0.20
7 |
- | 88 | - | 0 |
| Conflict Tactics Scale–Parent-Child: Physical Assault |
0.08
3 |
- | 62 | - | 7 |
| Child safety: Maltreatment risk assessment |
-0.04
-1 |
1 (1) | 62 |
Favorable: 0 No Effect: 1 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Child Abuse Potential Inventory |
-0.04
-1 |
- | 62 | - | 7 |
| Adult well-being: Parent/caregiver mental or emotional health |
-0.03
-1 |
1 (2) | 87 |
Favorable: 0 No Effect: 2 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Beck Depression Inventory-II |
0.09
3 |
- | 87 | - | 0 |
| Beck Depression Inventory-II |
-0.15
-6 |
- | 61 | - | 7 |
| Adult well-being: Parent/caregiver substance use |
0.05
2 |
1 (3) | 88 |
Favorable: 0 No Effect: 3 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Diagnostic Interview Schedule-Self Report: Alcohol Module |
0.13
5 |
- | 62 | - | 7 |
| Diagnostic Interview Schedule-Self Report: Alcohol Module |
-0.07
-2 |
- | 88 | - | 0 |
| Diagnostic Interview Schedule-Self Report: Drug Module |
0.09
3 |
- | 87 | - | 0 |
| Adult well-being: Family functioning |
0.25
9 |
1 (6) | 147 |
Favorable: 0 No Effect: 6 Unfavorable: 0 |
- |
| Silovsky, 2011 | |||||
| Family Resources Scale-Revised |
-0.04
-1 |
- | 88 | - | 0 |
| Family Resources Scale-Revised |
0.48
18 |
- | 62 | - | 7 |
| Revised Conflict Tactics Scale-Victimization: Negotiation |
0.15
5 |
- | 57 | - | 0 |
| Revised Conflict Tactics Scale-Victimization: Negotiation |
0.18
7 |
- | 39 | - | 7 |
| Revised Conflict Tactics Scale-Victimization: Sexual Coercion |
0.52
19 |
- | 59 | - | 0 |
| Revised Conflict Tactics Scale-Victimization: Injury |
0.56
21 |
- | 42 | - | 0 |
*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. Effect sizes for some outcomes were not able to be calculated by the Prevention Services Clearinghouse.
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.
Studies Rated High
Study 10900Silovsky, J. F., Bard, D., Chaffin, M., Hecht, D., Burris, L., Owora, A., Beasley, L., Doughty, D., & Lutzker, J. (2011). Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes. Children and Youth Services Review, 33(8), 1435-1444. https://doi.org/10.1016/j.childyouth.2011.04.023