An adaptation of SafeCare, called SafeCare Augmented, meets the criteria established by the Department of Health and Human Services (DHHS) for an “evidence-based early childhood home visiting service delivery model” for the general population, but does not meet the criteria for tribal populations.
Project 12-Ways/SafeCare does not meet the DHHS criteria for the general population or for tribal populations.
SafeCare aims to prevent and address factors associated with child abuse and neglect among the clients served. Eligible clients include families with a history of child maltreatment or families at risk for child maltreatment. SafeCare was developed to offer a more streamlined and easy-to-disseminate program based on key components of its precursor, Project 12-Ways.
SafeCare typically provides 18 to 22 weeks of training to parents with children from birth to age 5. Trained home visitors conduct 60- to 90-minute weekly or biweekly home visits focusing on three modules: (1) parent-child/parent-infant interactions, (2) infant and child health, and (3) home safety. All SafeCare modules include baseline assessments and observations of parental knowledge and skills, parent training, and follow-up assessments to monitor change. Each module typically involves one assessment session and five training sessions. During the parent trainings, SafeCare home visitors explain the rationale for a particular concept, model the concept, have the parent practice the steps, and then provide feedback. SafeCare home visitors are not required to meet specific education requirements.
Project 12-Ways, the precursor to SafeCare, provides twelve key services: (1) parent-child interaction support, (2) stress reduction for parents, (3) basic skills training for children, (4) money management training, (5) social support, (6) home safety training, (7) multisetting behavior management, (8) information on infant and child health and nutrition, (9) problem solving, (10) marital discord counseling, (11) alcohol abuse referral, and (12) a variety of pre- and post-natal prevention services for young and unwed mothers. Direct services are delivered to families in their homes by highly-trained counselors, most of whom are advanced graduate students with specialized training.
This report also includes reviews of four adaptations or enhancements to SafeCare: (1) SafeCare Augmented, (2) Project 12-Ways/SafeCare Plus a Home Safety Enhancement, (3) an Australian adaptation of University of California, Los Angeles (UCLA) Parent-Child Health and Wellness Project, and (4) Cellular Phone Enhanced Planned Activities Training.
SafeCare Augmented adds motivational interviewing—a technique that explores and builds on an individual’s motivation to change—and additional training of home visitors on the identification and response to imminent child maltreatment and risk factors, such as substance abuse and depression. SafeCare Augmented was adapted for high-risk, rural communities.
Project 12-Ways/SafeCare Plus a Home Safety Enhancement includes Project 12-Ways services and a Home Safety Education Package, with an audio slide-show containing information on hazards such as poisoning, suffocation, and firearms. Parents are also offered safety accessories, a review manual and stickers they could place on storage areas that were accessible to their children.
The Australian adaptation of the UCLA Parent-Child Health and Wellness Project adapted the UCLA Health and Safety interventions (based on SafeCare) for the Australian context (e.g., language was changed to reflect Australian usage). The goal of the intervention is to equip parents of young children with the knowledge and skills necessary for managing home dangers, accidents, and childhood illnesses. The HLP consists of 10 lessons over a 10- to 12-week period.
The core of Cellular Phone Enhanced Planned Activities Training (CPAT) is the parent training component of the SafeCare model. Mothers receive services during five home visiting sessions, focusing on skills such as engaging in positive interactions and establishing rules and limits. The cellular phone component of CPAT provides encouragement and skill reinforcement via text messages and phone calls.
For more information, please read the Program Model Overview.
For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.
Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.