title: Implementation and evaluation of linked parenting models in a large urban child welfare system.
abstract: During the past decade, there have been increased efforts to implement evidence-based practices into child welfare systems to improve outcomes for children in foster care and their families. In this paper, the implementation and evaluation of a policy-driven large system-initiated reform is described. Over 250 caseworkers and supervisors were trained and supported to implement two evidence-based parent focused interventions in five private agencies serving over 2,000 children and families. At the request of child welfare system leaders, a third intervention was developed and implemented to train the social work workforce to use evidence-based principles in everyday interactions with caregivers (including foster, relative, adoptive, and biological parents). In this paper, we describe the policy context and the targeted outcomes of the reform. We discuss the theory of the interventions and the logistics of how they were linked to create consistency and synergy. Training and ongoing consultation strategies used are described as are some of the barriers and opportunities that arose during the implementation. The strategy for creating a path to sustainability is also discussed. The reform effort was evaluated using both qualitative and quantitative methods; the evaluation design, research questions and preliminary results are provided.
authors.affiliation: Oregon Social Learning Center, 10 Shelton-McMurphey Boulevard, Eugene, OR 97401, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Chamberlain
authors.affiliation: Chapin Hall, University of Chicago, 1313 East 60th Street, Chicago, IL 60637, USA.
authors.forename: Sara Wolf
authors.initials: SW
authors.lastname: Feldman
authors.affiliation: Chapin Hall, University of Chicago, 1313 East 60th Street, Chicago, IL 60637, USA.
authors.forename: Fred
authors.initials: F
authors.lastname: Wulczyn
authors.affiliation: Oregon Social Learning Center, 10 Shelton-McMurphey Boulevard, Eugene, OR 97401, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Saldana
authors.affiliation: Implementation Sciences International, Inc., 10 Shelton-McMurphey Boulevard, Eugene, OR 97401, USA.
authors.forename: Marion
authors.initials: M
authors.lastname: Forgatch
mesh_terms: D002648:Child; D000068216:Child Protective Services / Q000379:methods*; D055317:Evidence-Based Practice / Q000458:organization & administration / Q000592:standards*; D006282:Health Personnel / Q000193:education; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D009936:Organizational Innovation; D016134:Organizational Policy; D016487:Parenting; D017149:Private Sector; D000068217:Social Workers / Q000193:education; D014481:United States; D014504:Urban Health
keywords: KEEP; Linked evidence-based practices; PMTO; Scale-up