SafeCare®: Historical Perspective and Dynamic Development of an Evidence-Based Scaled-Up Model for the Prevention of Child Maltreatment

Guastaferro, Katelyn M.; Lutzker, John R.; Graham, Mary V.; Shanley, Jenelle R.; Whitaker, Daniel J.

doi:10.5093/in2012a17

Cited by 32 publications

(20 citation statements)

References 36 publications

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“…Inclusion criteria were as follows: male, age 18 or over, father/custodian/caretaker of a child between the ages of 2 and 5 years old, be English-speaking, and meet two or more risk factors (i.e., low education level, low household income, un-married relationship status, young age at time of first child’s birth). This calculation of risk has been used in other SafeCare research studies focusing on families at-risk versus child welfare involved families (Guastaferro et al, 2012; Guastaferro et al, 2017). For fathers who had multiple children in the 2 to 5 year age range, they were asked to select the oldest child as the target child for this research project.…”

Section: Methodsmentioning

confidence: 99%

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

et al. 2017

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Few studies have explored the direct impact of behavioral parent training programs on child maltreatment behaviors among marginalized, at-risk fathers. This feasibility study examined SafeCare® Dad to Kids (Dad2K), an augmented version of the evidence-based child maltreatment prevention program SafeCare, to determine the acceptability and initial efficacy of the program for improving father parenting skills and reducing maltreatment risk. Ninety-nine fathers were enrolled in the study and randomized to the SafeCare Dad2K Intervention (n=51) or comparison (n=48). Intervention fathers participated in 6 home visiting sessions and comparison fathers received parenting materials via mail. All fathers participating in the study completed a baseline and 8-week assessment (post-intervention) of maltreatment behaviors. In addition, intervention fathers completed feasibility and parenting skill measures. A significant main effect emerged indicating decreases for both groups in psychologically aggressive behaviors. No significant group by time findings emerged for child maltreatment behaviors. Father intervention completers endorsed high satisfaction ratings for the program and demonstrated significant improvements in targeted father-child interaction skills. Based on the high rates of acceptability and initial improvement in positive parenting skills, findings demonstrate the feasibility for involving at-risk fathers in behavioral parent training programs targeting child maltreatment prevention.

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Section: Methodsmentioning

confidence: 99%

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

et al. 2017

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“…An empirically supported treatment for childhood behavior problems , PCIT was also shown in a RCT to reduce physical abuse by physically abusive parents (Chaffin et al 2004). Other family-based interventions with a growing evidence base for addressing physical abuse include multisystemic therapy (Swenson and Schaeffer 2014), SelfCare® (Guasaferro et al 2012), Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT; Kolko et al 2011), and Combined Parent-child CBT (Runyon et al 2009). Physical abuse is the most similar domain of child maltreatment to CSA, suggesting parent-training programs may hold promise for enhancing protection of children against CSA.…”

Section: Effectiveness Of Parent-focused Interventions For Child Maltmentioning

confidence: 97%

Parent-Focused Prevention of Child Sexual Abuse

2015

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Child sexual abuse (CSA) is a serious public health issue. Current after-the-fact approaches to treating victims and punishing offenders are not adequate to address a problem of this magnitude; development and rigorous evaluation of CSA prevention strategies are critical. We propose that CSA prevention efforts should target parents of young children. Parents have been neglected as a focus of CSA prevention; they merit attention given their potential to improve children's safety via effective communication and monitoring. This paper provides an overview of current strategies for reducing CSA prevalence and their limitations, presents a rationale for parent-focused CSA prevention, and discusses considerations pertinent to development of an effective parent-focused approach. Parent-focused CSA prevention offers potential as a public health approach to prevention of CSA, and it is time that we devote resources toward developing and studying this important area.

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“…Importantly, the manualized SC intervention was developed in the 1980s and 1990s, and although the curriculum has been revised to include new research and technology (Guastaferro, Lutzker, Graham, Shanley, & Whitaker, 2012; Self-Brown, C. Osborne, Rostad, & Feil, 2017), it has not been revised to include research on adolescent development and adolescent parenting. Developmental-ecological theory, which postulates that adolescent parenting is influenced by interactive relationships between characteristics of the adolescent, characteristics of the adolescent-led family, and broader contextual factors, is helpful in informing speculation about how SC may or may not meet the needs of adolescent parents (Bartlett, Raskin, Kotake, Nearing, & Easterbrooks, 2014; Belsky, 1993; Bronfenbrenner & Morris, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Importantly, the intervention also addresses some of the unique challenges that exist within interactions between the individual adolescent parent and the context of important systems, such as the family. Home-based intervention is ecologically valid by design, minimizing generalization issues that may occur in clinic settings (Guastaferro et al, 2012). This is especially important when delivering services to adolescent parents, as they often live with their children’s grandparents, so applying skills from therapy in the home environment can be complicated by tensions or disagreements related to caregiving responsibilities in a multigenerational family (Black & Nitz, 1996; Black, Siegel, Abel, & Bentley, 2001).…”

Section: Introductionmentioning

confidence: 99%

Service needs of adolescent parents in child welfare: Is an evidence-based, structured, in-home behavioral parent training protocol effective?

Hubel

Rostad

Self-Brown

et al. 2018

Child Abuse & Neglect

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SafeCare is an evidence-based behavioral parent training intervention that has been successfully implemented in multiple state child welfare systems. A statewide implementation in Oklahoma established the effectiveness of SafeCare with a diverse group of parents, which included adolescent parents under 21 years of age, a particularly at-risk group. The current study examined whether SafeCare is also effective for this subsample of 294 adolescent parents with regard to child welfare recidivism, depression and child abuse potential, and attainment of service goals. Post-treatment adolescent parent ratings of program engagement and satisfaction were also examined. Among the subsample of adolescent parents, the SafeCare intervention did not result in significantly improved outcomes in terms of preventing recidivism or reduction in risk factors associated with child abuse and neglect as compared to child welfare services as usual. Further, no significant differences in program engagement and satisfaction between SafeCare and services as usual were detected. These findings shed light on the potential differences in program effectiveness between adolescent and adult parents, and the need for future research to rigorously evaluate the effectiveness of behavioral parenting programs with adolescent parents.

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SafeCare®: Historical Perspective and Dynamic Development of an Evidence-Based Scaled-Up Model for the Prevention of Child Maltreatment

Cited by 32 publications

References 36 publications

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

Parent-Focused Prevention of Child Sexual Abuse

Service needs of adolescent parents in child welfare: Is an evidence-based, structured, in-home behavioral parent training protocol effective?

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