scholarly journals Impact of Safe@Home on Placement and Permanency Outcomes: Results of a quasi-experimental study

2021 ◽  
Author(s):  
Sarah Kaye ◽  
Lucia Miranda Reyes
Keyword(s):  
Experimental Study ◽  
Home Care ◽  
Exact Matching ◽  
Clark County ◽  
Permanency Outcomes ◽  
Historical Comparison ◽  
Out Of Home Care ◽  
Quasi Experimental ◽  
Case Closure ◽  
Home Placement

The purpose of this study was to rigorously test the effectiveness of Safe@Home, an in-home parent skill-based intervention implemented in Clark County, Nevada. Safe@Home is designed to prevent out-of-home placement for children at imminent risk of placement (Placement Prevention population) and minimize time in out-of-home care for children already in foster care (Reunification population). This paper presents a retrospective, longitudinal, quasi-experimental study that examined placement and permanency outcomes of Safe@Home. Using Coarsened Exact Matching (CEM), children who received Safe@Home were matched to a historical comparison group of children served before Safe@Home was available in their community. All children in the study were determined by Clark County Department of Family Services to be unsafe and in need of immediate intervention. Children were matched based on age, race/ethnicity, previous in-home or out-of-home child welfare case, and safety threats Matched study samples demonstrated strong baseline equivalence. Children who received Safe@Home experienced a significantly lower rate of out-of-home placements, substantially higher rate of permanency with a parent, fewer days in out-of-home care, and shorter time to case closure. There was no effect of Safe@Home on post-permanency outcomes of maltreatment after case closure and re-entry. Large favorable placement prevention effects were sustained for 12 months after the end of Safe@Home.

Evaluation of a Newborn Screen for Predicting Out-of-Home Placement

2011 ◽  
Vol 16 (4) ◽  
pp. 239-249 ◽  
Author(s):  
Marni D. Brownell ◽  
Mariette Chartier ◽  
Robert Santos ◽  
Wendy Au ◽  
Noralou P. Roos ◽  
...  
Keyword(s):  
At Risk ◽  
Home Care ◽  
Predictive Validity ◽  
Discharge Data ◽  
Out Of Home Care ◽  
Social Risks ◽  
Vulnerable Families ◽  
Newborn Screen ◽  
Out Of Home Placement ◽  
Home Placement

A newborn screen designed to predict family risk was examined to: (a) determine whether all families with newborns were screened; (b) evaluate its predictive validity for identifying risk of out-of-home placement, as a proxy for maltreatment; (c) determine which items were most predictive of out-of-home placement. All infants born in Manitoba, Canada from 2000 to 2002 were followed until March 31, 2004 ( N = 40,886) by linking four population-based data sets: (a) newborn screening data on biological, psychological, and social risks; (b) population registry data on demographics; (c) hospital discharge data on newborn birth records; (d) data on children entering out-of-home care. Of the study population, 18.4% were not screened and 3.0% were placed in out-of-home care at least once during the study period. Infants not screened were twice as likely to enter care compared to those screened (4.9% vs. 2.5%). Infants screening at risk were 15 times more likely to enter care than those screening “not at risk.” Sensitivity and specificity of the screen were 77.6% and 83.3%, respectively. Screening efforts to identify vulnerable families missed a substantial portion of families needing support. The screening tool demonstrated moderate predictive validity for identifying children at risk of entering care in the first years of life.

“You Can't Run into a Burning Building without Getting Burned Yourself”: An Ecological Systems Perspective of Parents Choosing Out-of-Home Care for an Intercountry Adopted Child

2017 ◽  
Vol 98 (3) ◽  
pp. 169-177 ◽  
Author(s):  
JaeRan Kim
Keyword(s):  
Home Care ◽  
The United States ◽  
Ecological Systems ◽  
Adoptive Parents ◽  
Adopted Child ◽  
Systems Perspective ◽  
Out Of Home Care ◽  
Out Of Home Placement ◽  
Home Placement ◽  
The Impact

Increasingly, intercountry adopted children have special needs similar to children adopted from foster care in the United States. Out-of-home placement may be necessary when less restrictive services have not adequately addressed an adopted child's needs. The experiences of 19 adoptive parents who chose to place their intercountry adopted child in out-of-home care due to their child's disability were explored through qualitative interviews and family ecomaps. Themes emerging from interviews relate to adoptive parent definitions of adoption and disability, challenges identifying and accessing services, and the effects of placement on their family, within an ecological systems perspective. Findings show the need for service providers to better understand the impact of an intercountry adopted child's disability and preadoption history on family adjustment, as well as to support parents through the out-of-home placement process.

Is the Incredible Years parenting programme predictive of case closure in child protection services for neglect? A quasi‐experimental study

2021 ◽  
Author(s):  
Isabelle‐Ann Leclair Mallette ◽  
Marie‐Josée Letarte ◽  
Sonia Hélie ◽  
Roxanne Sicotte ◽  
Caroline E. Temcheff
Keyword(s):  
Experimental Study ◽  
Child Protection ◽  
Incredible Years ◽  
Parenting Programme ◽  
Child Protection Services ◽  
Quasi Experimental ◽  
Case Closure ◽  
The Incredible Years

scholarly journals The detection and prevention of adverse drug events in nursing home and home care patients: Study protocol of a quasi‐experimental study

Nursing Open ◽  
2021 ◽  
Author(s):  
Benedikt Langenberger ◽  
Natalie Baier ◽  
Frank‐Christian Hanke ◽  
Jacqueline Fahrentholz ◽  
Christina Gorny ◽  
...  
Keyword(s):  
Experimental Study ◽  
Nursing Home ◽  
Home Care ◽  
Study Protocol ◽  
Adverse Drug Events ◽  
Quasi Experimental

Impacts of alternatives to out-of-home placement: A quasi-experimental study

1986 ◽  
Vol 8 (4) ◽  
pp. 305-321 ◽  
Author(s):  
James A. Rosenthal ◽  
Gene V Glass
Keyword(s):  
Experimental Study ◽  
Out Of Home Placement ◽  
Quasi Experimental ◽  
Home Placement

Profile of children placed in out-of-home care: Association with permanency outcomes

2014 ◽  
Vol 36 ◽  
pp. 195-200 ◽  
Author(s):  
Svetlana Yampolskaya ◽  
Patty Sharrock ◽  
Mary I. Armstrong ◽  
Anne Strozier ◽  
Jayme Swanke
Keyword(s):  
Home Care ◽  
Permanency Outcomes ◽  
Out Of Home Care ◽  
Care Association

Placement of children in out-of-home care in Québec, Canada: When and for whom initial out-of-home placement is most likely to occur

2013 ◽  
Vol 35 (12) ◽  
pp. 2031-2039 ◽  
Author(s):  
Tonino Esposito ◽  
Nico Trocmé ◽  
Martin Chabot ◽  
Aron Shlonsky ◽  
Delphine Collin-Vézina ◽  
...  
Keyword(s):  
Home Care ◽  
Out Of Home Care ◽  
Out Of Home Placement ◽  
Home Placement

scholarly journals Impact of Maternal and Child Health Interventions On Under-Five Mortality in Ghana: A Quasi-Experimental Study Design With Coarsened Exact Matching

2021 ◽  
Author(s):  
Augusta Kolekang ◽  
Bismark Sarfo ◽  
Anthony Danso-Appiah ◽  
Duah Dwomoh ◽  
Patricia Akweongo
Keyword(s):  
Experimental Study ◽  
Child Health ◽  
Birth Interval ◽  
Health Interventions ◽  
Demographic And Health Surveys ◽  
Exact Matching ◽  
Coverage Level ◽  
Coarsened Exact Matching ◽  
Under Five ◽  
Quasi Experimental

Abstract Background Despite a 53% decline in under-five mortality (U5M) worldwide during the period of the Millennium Development Goals (MDGs), U5M remains a challenge. Under-five mortality decline in Ghana is slow and not parallel with the level of coverage of child health interventions. This study sought to assess the effectiveness of these interventions on U5M in Ghana. Methods A quasi-experimental study was conducted using secondary data of the 2008 and 2014 Ghana Demographic and Health Surveys. Coarsened Exact Matching and logistic regression were done. Results There were 6,098 children under-five years old and 93 (1.46%) died. Among the children who died, 47 (47%) were less than one month old. Coverage of antenatal care visits was the highest coverage level with 5,045 (84.0%) while water connection in the home was the lowest coverage level of 469 (8.1%). Less than 1.5% (58) of children received all eight (8) interventions and none of those who received all the eight interventions died. After controlling for potential confounders, clean postnatal care for babies within 2 days after delivery caused a 64% reduction in the average odds of death (aOR=0.36, 95%CI:0.15, 0.90) while early initiation of breastfeeding caused a 61% reduction in the average odds of death (aOR=0.39, 95% CI: 0.22-0.71). In the midst of the various interventions, some socio-demographic factors placed children at higher odds of death. Children with less than two years preceding birth interval, being a neonate, multiple birth, or from a polygamous home put children at a higher odds of under-five mortality.Conclusion Two out of eight interventions caused reduction in the average odds of death. A further decline in under-five mortality in Ghana will require increase in the coverage levels of these two high impact interventions. Additionally, attention should be paid to children at higher risk of dying including neonates, multiple births, children from polygamous homes and those with preceding birth interval less than two years.

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