Entries in this row combine information across all versions of SafeCare. Only SafeCare Augmented meets HHS criteria for an evidence-based home visiting model. For SafeCare itself, there are no manuscripts about high- or moderate-quality impact studies. Some other versions of SafeCare have at least one such manuscripts. Planned Activities Training (a SafeCare module) and Cellular Phone Enhanced Planned Activities Training (a SafeCare module with an add-on) show evidence of effectiveness.
Last updated: 2018
Evidence of model effectiveness
An adaptation of SafeCare, called SafeCare Augmented, meets the criteria established by the Department of Health and Human Services (HHS) for an "evidence-based early childhood home visiting service delivery model" for the general population, but it does not meet the criteria for tribal populations because the research on the adaptation did not report findings by ethnicity/tribal community affiliation, so HomVEE could not determine the evidence of effectiveness of SafeCare Augmented with tribal participants. In addition, a module of SafeCare, Planned Activities Training, and a module with an add-on, Cellular Phone Enhanced Planned Activities Training, demonstrate evidence of effectiveness.
SafeCare does not meet the HHS criteria for the general population or for tribal populations because there are no high- or moderate-rated effectiveness studies of the core model.
SafeCare aims to improve (1) parental health decision making skills, (2) the safety of the home environment, and (3) parenting skills and parent-infant/parent-child interactions. SafeCare serves families with young children from birth through age 5 years. It was specifically designed to benefit families with risk factors for child maltreatment. SafeCare is an adaption of Project 12-Ways that includes a subset of the Project 12-Ways modules. SafeCare was developed to offer a more streamlined and easy-to-disseminate intervention.
SafeCare is typically delivered in 18 or fewer sessions. Trained SafeCare providers conduct 60-minute weekly or biweekly home visits involving three modules: (1) infant and child health, (2) home safety, and (3) parent-infant/parent-child interactions (Planned Activities Training). Each of the three SafeCare modules typically includes a baseline assessment to observe parents’ knowledge and skills, four parent training sessions, and a follow-up assessment to monitor change. During the parent training sessions, SafeCare providers explain the rationale for each target behavior, model that behavior, ask the parent to practice the behavior, and then provide feedback. SafeCare providers are not required to meet specific education requirements.
This report includes reviews of two adaptations of SafeCare: (1) SafeCare Augmented and (2) an Australian adaptation of a version of SafeCare, the University of California, Los Angeles (UCLA) Parent-Child Health and Wellness Project. SafeCare Augmented adds Motivational Interviewing—a technique that explores and builds on an individual’s motivation to change—and additional training for providers on identifying and responding to imminent child maltreatment and risk factors, such as substance use and depression. SafeCare Augmented was adapted for high-risk, rural communities. The Australian adaptation of the UCLA Parent-Child Health and Wellness Project modified that program’s health and safety interventions (created collaboratively with the SafeCare model developer, with identical goals and methods) to fit an Australian context (for example, 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 intervention consists of 10 lessons over a 10- to 12-week period.
This report also includes reviews of SafeCare’s parent-infant/parent-child interactions (Planned Activities Training) module and an add-on to that module, Cellular Phone Enhanced Planned Activities Training. The parent-infant/parent-child interactions (Planned Activities Training) module focuses on skills such as engaging in positive interactions and establishing rules and limits, and is administered to mothers during five sessions at families’ homes. Cellular Phone Enhanced Planned Activities Training adds encouragement and skill reinforcement via text messages and phone calls between in-home parent-infant/parent-child interactions (Planned Activities Training) sessions.
For more information on SafeCare, please read the Model Overview.
Extent of evidence
Criteria established by the U.S. Department of Health and Human Services
Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.