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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>

Prerequisites for Implementation

Last Updated

May 2018


Type of Implementing Agency

A variety of agencies have implemented SafeCare, including county and state public health departments, departments of family and children’s services, Head Start programs, intensive family preservation services, agencies working with parents with intellectual difficulties, criminal justice programs that serve parents recently released from jail, drug courts, and private agencies that receive referrals from state or local departments of family and children’s services.


Staffing Requirements

SafeCare sites are required to have two primary staff positions: (1) SafeCare providers who deliver home-based services, and (2) SafeCare coaches who monitor fidelity of SafeCare implementation, conduct coaching for providers, and may also deliver services to families. Local sites can choose to select staff to become certified SafeCare trainers. Certified SafeCare trainers can train providers and coaches within their agency or organizations that are conducting the work of their agency.


Staff Education and Experience

NSTRC does not have educational requirements for providers or coaches implementing SafeCare.  NSTRC recommends that sites train staff who have good communication and interpersonal skills and are comfortable delivering interventions to families in the home setting, responsive to coaching and constructive feedback, motivated to implement SafeCare with fidelity, open to new service models, and interested in using a structured protocol for service delivery. NSTRC can guide agencies in selecting appropriate candidates for each type of staff position. NSTRC requires that SafeCare providers, coaches, and trainers complete SafeCare trainings and receive certification.

Project 12-Ways is staffed primarily by specialized graduate students in the Behavior Analysis and Therapy Program in the Rehabilitation Institute of Southern Illinois University of Carbondale with training in behavioral psychology, behavioral assessment, and treatment strategies for children and families.


Supervision Requirements

NSTRC does not have a maximum ratio of coaches to providers, but agencies should consider the responsibilities of coaches along with other job responsibilities. Coaching involves rating model fidelity and providing feedback to the provider and may differ from staff supervision.

NSTRC requires that certified SafeCare coaches provide coaching to providers regularly and conduct monthly team meetings to discuss cases and SafeCare implementation. Coaching focuses on fidelity monitoring and feedback. Coaches are required to monitor the quality of home visits either in person or through audio or video recordings. NSTRC requires at a minimum that coaches monitor a provider’s delivery of three sessions in each module (nine sessions total) for certification. Following certification, coaches monitor at least one session per month for two years and one session per quarter thereafter.


Staff Ratio Requirements

NSTRC suggests that each full-time provider hold a caseload of 10 to 12 families.  NSTRC recommends that local sites determine their ratios based on the local implementation model (for example, more families can be seen if they are seen less frequently).


Data Systems/Technology Requirements

NSTRC uses an online data collection portal that tracks agency-level data and provider-level data. SafeCare trainers and coaches enter fidelity measures and certification components into the portal.



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.