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Implementing SafeCare®

Yes (SafeCare Augmented only)

Materials and Forms to Support Implementation

Last Updated

April 2017


Operations Manuals

NSTRC provides implementing sites with an operations manual during training.


Service Delivery Forms

NSTRC requires sites to use SafeCare forms, which are provided during training.


Assessment Tools

Each module begins with a baseline assessment and includes follow-up assessments to monitor change. SafeCare providers also conduct observations of parental skills for each module by using validated assessment forms. Each module is followed by a social validation questionnaire to assess parent satisfaction with trainings. Additional assessment recommendations are available through NSTRC.



SafeCare providers follow structured protocols that cover the program’s three modules. Each module is designed to be implemented in five to seven sessions. The health module trains parents to use health reference materials, record health information, use basic health supplies (such as a thermometer), prevent illness, identify symptoms of childhood illnesses or injuries, and provide or seek appropriate treatment. The providers also teach parents decision-making skills based on common scenarios involving childhood injury and illness using the Sick and Injured Child Checklist. The home safety module helps parents identify and eliminate safety and health hazards to children using the Home Accident Prevention Inventory, a tool to assess common household hazards. The parent-child/parent-infant interactions module aims to teach parents to provide engaging and stimulating activities, increase positive interactions, and prevent troublesome child behaviors. Staff use a PAT checklist to observe and code for specific parenting behaviors during parent-child play and/or daily routines. They reinforce positive behaviors with parents and address problematic ones. Parents also use the PAT checklist, as well as activity cards with prompts for planned activities, to help structure their everyday activities.


Available Languages

Materials are available in English and Spanish.


Fidelity Measurement

Fidelity is measured using standard assessment forms. Provider sessions are viewed and listened to by coaches and/or trainers, who use these forms to evaluate the provider’s accuracy in conducting each session. This information is used to provide feedback regarding their sessions as well as for the purpose of certification.

Coaches periodically conduct recordings or observations of home visits for quality assurance purposes. SafeCare trainers (from NSTRC or SafeCare agency trainers) also conduct quality assurance checks of coaches.


Fidelity Standards

NSTRC generally requires fidelity to be consistently at 85 percent or greater for continued SafeCare implementation.



The information contained on this page was last updated in April 2017. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the National SafeCare Training and Research Center on January 18, 2017. HomVEE reserves the right to edit the profile for clarity and consistency.