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 manuscript. Planned Activities Training (a SafeCare module) and Cellular Phone Enhanced Planned Activities Training (a SafeCare module with an add-on) show evidence of effectiveness.
Model effectiveness research report last updated: 2018
SafeCare is a structured parenting intervention that is designed to address behaviors that can lead to child neglect and abuse. The model emphasizes learning in a social context and uses behavioral principles for parent training. SafeCare is an adaptation of Project 12-Ways that includes a subset of the Project 12-Ways modules. SafeCare was developed to offer a more easily disseminated and streamlined intervention to parents at risk for child abuse and neglect.
Project 12-Ways, the model SafeCare was based on, employs an ecobehavioral approach to the treatment and prevention of child abuse and neglect. Ecobehavioral refers to the multifaceted in-home services provided to families.
SafeCare includes one-on-one home visits between home visitors (referred to as providers) and families. SafeCare includes three modules: (1) infant and child health, (2) home safety, and (3) parent-infant/parent-child interactions (Planned Activities Training). The health module trains parents to use health reference materials, record health information, use basic health supplies (such as a thermometer), prevent illness, identify symptoms of childhood illnesses or injuries, and provide or seek appropriate treatment. The safety module helps parents identify and eliminate safety and health hazards and teaches parents how to appropriately supervise their young children. The parent-infant/parent-child interactions (Planned Activities Training) module aims to teach parents how to provide engaging and stimulating activities, increase positive interactions, and prevent challenging child behaviors.
The three SafeCare modules typically include a baseline assessment and observation of parents’ knowledge and skills, followed by four parent training sessions, and conclude with a follow-up assessment to monitor change. Providers use a four-step approach during parent training sessions to instill target behaviors: (1) describe and explain the rationale for each behavior, (2) model that behavior, (3) ask the parent to practice the behavior, and (4) provide positive and constructive feedback. This approach is designed to help parents generalize skills across time, behaviors, and settings.
SafeCare serves families with young children from birth through age 5 years. The model is designed to benefit families with risk factors for child maltreatment. Populations served include young parents; parents with multiple children; parents with a history of depression, other mental health problems, substance use, or intellectual disabilities; foster parents; parents involved with the child protective system for neglect or physical abuse; parents being reunified with their children; parents recently released from incarceration; and parents with a history of domestic violence or intimate partner violence. The model also serves parents of children with developmental or physical disabilities or mental health, emotional, or behavioral issues. SafeCare is intended to complement the more specialized intervention services these families might be receiving from other agencies.
SafeCare has been used with culturally diverse populations.