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Implementing SafeCare®

Yes (SafeCare Augmented only) <p><em>A SafeCare module, Planned Activities Training, and a module with an add-on, Cellular Phone Enhanced Planned Activities Training, also show evidence of effectiveness.</em></p>

Training to Support Implementation

Last Updated

May 2018


Requirements for Program Certification

NSTRC works with interested implementation sites to determine the fit between the SafeCare model and the agency, as well as the readiness of a site to implement SafeCare. NSTRC reviews readiness information with sites through electronic surveys and discussions. Readiness information provides guidance about the conditions that are likely to lead to a successful implementation (including guidance about staffing, referral bases, and coaching requirements). Prior to initiating SafeCare training, NSTRC faculty and trainers prepare sites for training through conference calls and an in-person orientation visit. The goal of these activities is to make sure agency management, staff to be trained, and county/state officials understand the training and implementation process.

To encourage successful implementation, NSTRC suggests that, prior to training, sites (1) identify the target population and referrals; (2) engage appropriate staffing; (3) obtain a commitment of staff and management to SafeCare; (4) secure the infrastructure, support, and materials needed to implement SafeCare with fidelity; and (5) consider systemic-level issues that can affect implementation (such as funding streams or referral sources).

SafeCare sites are required to complete annual accreditation by documenting their compliance with NSTRC implementation standards. These standards require that agencies: (1) implement the SafeCare model as prescribed to maintain fundamental structural, measurement, and mastery criteria; (2) conduct ongoing quality assurance of staff’s SafeCare responsibilities; and (3) have a minimum number of providers actively delivering SafeCare at the time of accreditation.


Pre-Service Staff Training

NSTRC requires all SafeCare providers to complete a multi-day workshop delivered by NSTRC trainers. Providers implementing SafeCare Augmented also receive pre-service training in Motivational Interviewing from a member of the Motivational Interviewing Network of Trainers. After providers complete the workshop training objectives, they begin working with families to progress toward certification.

To become a coach, NSTRC requires that individuals are certified as SafeCare providers and complete a two-day workshop delivered by NSTRC trainers. After training, coaches begin coaching providers while working toward certification.


In-Service Staff Training

Following the pre-service workshop, providers receive feedback on their implementation of SafeCare in the field with families from a SafeCare coach. When providers demonstrate mastery of SafeCare skills in the field, they are granted certification as SafeCare providers.

Following the pre-service workshop, coaches must demonstrate coaching skills in live or recorded audio sessions with their providers and demonstrate mastery in fidelity monitoring to become certified.

Providers implementing SafeCare Augmented also receive ongoing training in Motivational Interviewing, and ongoing consultation from local experts in substance use, mental health, and intimate partner violence.


Training Materials

Training materials are available through NSTRC and are provided with training. Information on the training materials provided for SafeCare workshops can be found on NSTRC’s website.


Qualified Trainers

NSTRC trainers conduct trainings for providers, coaches, and trainers. Members of the Motivational Interviewing Network of Trainers provide training in motivational interviewing techniques for providers implementing SafeCare Augmented.

Local sites can choose to select staff to become certified SafeCare trainers. To become a SafeCare trainer, NSTRC requires individuals to be certified and have experience in delivering SafeCare home visiting and coaching for at least one year. Trainer trainees complete a three-day workshop. Following the trainer workshop, trainer trainees must demonstrate that they can successfully train others in accordance with the NSTRC training model. Certified SafeCare trainers can train individuals within their organization or organizations that are conducting the work of their organization.


Technical Assistance

NSTRC provides local sites technical assistance with implementation and quality assurance for a minimum of one year after training.



The information contained on this page was last updated in May 2018. 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 April 13, 2018. HomVEE reserves the right to edit the profile for clarity and consistency.