title: Initial implementation indicators from a statewide rollout of SafeCare within a child welfare system.
abstract: There is a strong movement toward implementation of evidence-based practices (EBP) in child welfare systems. The SafeCare parenting model is one of few parent-training models that addresses child neglect, the most common form of maltreatment. Here, the authors describe initial findings from a statewide effort to implement the EBP, SafeCare®, into a state child welfare system. A total of 50 agencies participated in training, with 295 individuals entering training to implement SafeCare. Analyses were conducted to describe the trainee sample, describe initial training and implementation indicators, and to examine correlates of initial training performance and implementation indicators. The quality of SafeCare uptake during training and implementation was high with trainees performing very well on training quizzes and role-plays, and demonstrating high fidelity when implementing SafeCare in the field (performing over 90% of expected behaviors). However, the quantity of implementation was generally low, with relatively few providers (only about 25%) implementing the model following workshop training. There were no significant predictors of training or implementation performance, once corrections for multiple comparisons were applied. The Discussion focuses on challenges to large-scale system-wide implementation of EBP.
authors.affiliation: Georgia State University, Institute of Public Health, Center for Healthy Development, National Safecare Training and Research Center, Atlanta, GA 30302, USA. dwhitaker@gsu.edu
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Whitaker
authors.forename: Kerry A
authors.initials: KA
authors.lastname: Ryan
authors.forename: Robert C
authors.initials: RC
authors.lastname: Wild
authors.forename: Shannon
authors.initials: S
authors.lastname: Self-Brown
authors.forename: John R
authors.initials: JR
authors.lastname: Lutzker
authors.forename: Jenelle R
authors.initials: JR
authors.lastname: Shanley
authors.forename: Anna M
authors.initials: AM
authors.lastname: Edwards
authors.forename: Erin A
authors.initials: EA
authors.lastname: McFry
authors.forename: Colby N
authors.initials: CN
authors.lastname: Moseley
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Hodges
mesh_terms: D000328:Adult; D002649:Child Abuse / Q000517:prevention & control; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D005845:Georgia; D006801:Humans; D007223:Infant; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000193:education / Q000523:psychology; D016730:Program Development; D013219:State Government