Implementing Parent-Child Assistance Program (P-CAP)

Implementation last updated: 2016

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Materials and forms to support implementation

Operations manuals

An operations manual is available on the website that includes an overview of the model, implementation planning materials and discussion, information on delivering the intervention, and program evaluation guidance.

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Service delivery forms

The PCAP website provides documents for intake, service tracking, client outcomes, and forms related to case management tasks such as goal planning and case notes.

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Assessment tools

PCAP conducts an initial assessment of the client’s needs using the Addiction Severity Index, additional family strengths and needs assessments during the first six weeks, and monthly and biannual status updates. These tools are used for evaluation and service delivery purposes.

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Case managers do not follow a set curriculum because the program is tailored to the individual client’s strengths, needs, and readiness for change. However, case managers are required to use the PCAP service delivery tools.

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Available languages

The Difference Game, an assessment tool case managers use in their initial meetings with clients, is available in Spanish. Other materials are only available in English.

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Fidelity measurement

A site’s exit interviewer administers the client outcomes assessment (Addiction Severity Index) and a survey assessing the quality of the case manager-client relationship. Programs may use the exit interview data to assess whether the model was delivered to the client in a way that adhered to model guidelines and to promote program improvement.

The developers strongly encourage program evaluation, but replication sites are not required to submit exit data to the UW Fetal Alcohol and Drug Unit.

PCAP provides a fidelity self-assessment tool that new replication sites can use to assess their adherence to the model. The tool assesses 37 program characteristics using a five-point scale ranging from full correspondence to the model to no correspondence.

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Fidelity standards

The fidelity assessment tool covers 8 program components, each containing 2 to 11 characteristics of ideal model replication. The 8 components address:

  1. Client characteristics, including client eligibility and enrollment
  2. Client intervention setting, including frequency of home visits and case manager caseload
  3. Characteristics of staff, including professional qualifications of case managers and supervisors and whether case managers have experienced similar life circumstances
  4. Training, including whether staff received initial and ongoing training
  5. Conducting the intervention, including the degree to which the theoretical underpinnings of the model are being implemented and whether continual assessment of client progress and needs occurs
  6. Clinical supervision of case managers, including the frequency of supervisor-case manager meetings and quality of the relationship
  7. Clinical supervisor in the community, including the degree to which the clinical supervisor obtains referrals and helps address service barriers
  8. Program evaluation, including data collection and the sharing of evaluation results with staff
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Implementation notes

The information contained on this page was last updated in May 2016. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Therese Grant, Ph.D., University of Washington, on May 6, 2016. HomVEE reserves the right to edit the profile for clarity and consistency.

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