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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>

Materials and Forms to Support Implementation

Last Updated

May 2018


Operations Manuals

NSTRC provides implementing sites with an operations manual during training.


Service Delivery Forms

NSTRC requires sites to use SafeCare forms. All necessary documents are provided during training.


Assessment Tools

SafeCare providers conduct observations of parental skills at baseline, during training sessions, and before concluding each module. All assessments are documented 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 model’s three modules. Each module is designed to be implemented in five to seven sessions. In the health module, the providers use the Sick and Injured Child Checklist to teach parents decision-making skills based on common scenarios involving childhood injury and illness. In the home safety module, providers use the Home Accident Prevention Inventory, a tool used to assess common household hazards, to help parents identify and eliminate safety and health hazards to children. As part of the Planned Activities Training module, providers use a Planned Activities Training 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 Planned Activities Training 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.

Each year, trainers are required to demonstrate their accuracy in assessing fidelity of provider and coach support sessions, and workshop training skills.


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 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.