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NCJ Number: NCJ 240536     Find in a Library
Title: Is a Structured, Manualized, Evidence-Based Treatment Protocol Culturally Competent and Equivalently Effective Among American Indian Parents in Child Welfare?
  Document URL: HTML 
Author(s): Mark Chaffin ; David Bard ; Dolores Subia Bigfoot ; Erin J. Maher
  Journal: Child Maltreatment  Volume:17  Issue:3  Dated:August 2012  Pages:242 to 252
Date Published: 08/2012
Page Count: 11
  Annotation: This article discusses the manualized SafeCare home–based model.
Abstract: In a statewide implementation, the manualized SafeCare home–based model was effective in reducing child welfare recidivism and producing high client satisfaction. Concerns about the effectiveness and acceptability of structured, manualized models with American Indians have been raised in the literature, but have rarely been directly tested. This study tests recidivism reduction equivalency and acceptability among American Indian parents. A subpopulation of 354 American Indian parents was drawn from a larger trial that compared services with versus without modules of the SafeCare model. Outcomes were 6-year recidivism, pre/post/follow-up measures of depression and child abuse potential, and posttreatment consumer ratings of working alliance, service satisfaction, and cultural competency. Recidivism reduction among American Indian parents was found to be equivalent for cases falling within customary SafeCare inclusion criteria. When extended to cases outside customary inclusion boundaries, there was no apparent recidivism advantage or disadvantage. Contrary to concerns, SafeCare had higher consumer ratings of cultural competency, working alliance, service quality, and service benefit. Findings support using SafeCare with American Indians parents who meet customary SafeCare inclusion criteria. Findings do not support concerns in the literature that a manualized, structured, evidence-based model might be less effective or culturally unacceptable for American Indians. Abstract published by arrangement with Sage Journals.
Main Term(s): Child welfare
Index Term(s): Home environment ; American Indians ; Neglectful parents ; Family intervention programs ; Cross cultural training ; Treatment intervention model
Sponsoring Agency: National Institute of Mental Health
United States of America

Casey Family Programs
United States of America
Grant Number: R01MH065667;R01MH072961
Type: Program/Project Evaluation
Country: United States of America
Language: English
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