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

Mapping Intimacies ◽

10.31219/osf.io/4pkdm ◽

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.

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

Child Maltreatment ◽

10.1177/1077559511422942 ◽

2011 ◽

Vol 16 (4) ◽

pp. 239-249 ◽

Cited By ~ 10

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.

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Placement and Permanency Outcomes for Children in Out-of-Home Care by Prior Inpatient Mental Health Treatment

Research on Social Work Practice ◽

10.1177/1049731508317276 ◽

2008 ◽

Vol 19 (1) ◽

pp. 42-51 ◽

Cited By ~ 32

Author(s):

Jung Min Park ◽

Joseph P. Ryan

Keyword(s):

Mental Health ◽

Home Care ◽

Mental Health Treatment ◽

Health Treatment ◽

Permanency Outcomes ◽

Out Of Home Care ◽

Inpatient Mental Health ◽

Outcomes For Children

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“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

Families in Society The Journal of Contemporary Social Services ◽

10.1606/1044-3894.2017.98.28 ◽

2017 ◽

Vol 98 (3) ◽

pp. 169-177 ◽

Cited By ~ 2

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.

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