The program included only home visiting (six studies). According to the studies that reported this information, home visits encompassed baseline and follow-up assessments, observations, and trainings with parents (five studies). The parent training included three modules: health, home safety, and Planned Activities Training, which focuses on parent-child interactions. During the parent trainings, home visitors explained the rationale for each concept, modeled the concepts for the parents, encouraged the parents to practice the steps, and then provided feedback (three studies). Each module was intended to be covered over five weeks (one study). The Planned Activities Training module consisted of five to seven sessions conducted about weekly (one study).
The full service period was intended to last 18 to 20 weeks, depending on parents’ progress in meeting skill-based criteria for each module. Home visits were intended to occur weekly and last one to two hours (two studies).
One study described a streamlined version of the home safety module received by families enrolled in Project 12-Ways, a precursor to SafeCare. The module was designed to reduce home safety hazards to children younger than 5 years old. The program covered up to five topics from the Home Accident Prevention Inventory (HAPI): poisoning by solids and liquids; suffocation by mechanical objects; fire and electrical hazards; suffocation by ingested objects; and firearms. The streamlined version of the module included (1) an audio slideshow to instruct parents on relevant home safety hazards and model ways of making the hazards inaccessible, such as installing safety latches; (2) self-feedback stickers, designed as a white circle with a red circumference and diameter representing “No’ to place on storage areas accessible to children; (3) home safety accessories including safety latches, electrical and switch plates, and electrical tape; and (4) a home safety review manual consisting of images from the slideshow and guidelines for using the “No’ stickers and safety accessories. Counselors from Project 12-Ways visited homes twice per topic and made unannounced follow-up home safety checks about every two to three weeks until families completed Project 12-Ways. Counselors assessed home safety using the HAPI during each visit.
One study described the Planned Activities Training module of the model. The module aimed to teach parenting strategies to improve parent-child interactions and prevent challenging child behavior. Parenting strategies included establishing limits and rules, planning and explaining activities in advance, and employing positive interaction skills.
The families that enrolled in SafeCare were assessed in various ways, such as via questionnaires, direct observations of parent-child interactions, and direct behavioral assessment of parents’ health care skills as well as home safety (five studies). The assessments took place at the start and end of each of the three modules (health, home safety, and Planned Activities Training).