Silovsky, J. F., Bard, D., Chaffin, M., Hecht, D., Burris, L., Owora, A., Beasley, L., Doughty, D., & Lutzker, J. (2011). Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes. Children and Youth Services Review, 33, 1435-1444.

Citation Year
Used in Implementation Reports
Study Participants

Eligible families had a caregiver at least 16 years of age, at least one child aged 5 or younger, and at least one of the following risk factors: parental substance abuse, mental health issues, or intimate partner violence (IPV). Eligible participants who consented to be a part of the study completed the baseline assessment and were randomized to the intervention or control condition. African Americans and American Indians were over-represented relative to their rates in the general population for the county. In the treatment group, the sample was 74 percent white, 14 percent African American, 4 percent Latino, 7 percent American Indian or Alaska Native, and 1 percent Asian.


The study took place in a rural county in the American Southwest, with a population of fewer than 100,000 people and fewer than 30,000 households.

Home Visiting Services

SafeCare Augmented (SC+) consists of SC and two additional components: (1) motivational interviewing (MI) (not described) and (2) training of home visitors on identification and response to risk factors of substance abuse, depression, IPV, and impending child maltreatment. For this study, SC+ was adapted for use in a rural setting, including selection of providers who are established in the community and knowledgeable about local resources.

Comparison Conditions

The comparison group received standard home-based mental health services, including individual and family therapy and case management services.

Staff Characteristics and Training

The providers of SC+ were trained and observed for fidelity to the model by monitors certified by the national developers. A member of the Motivational Interviewing Network of Trainers provided initial and ongoing MI training. Local experts in IPV, substance abuse, and mental health consulted with the SC+ team.

Author Affiliation

John R. Lutzker, a study author, is a developer of SafeCare.

Funding Sources

Not specified.

Citation short
Silovsky, J. F., Bard, D., Chaffin, M., Hecht, D., Burris, L., Owora, A., Beasley, L., Doughty, D., & Lutzker, J. (2011)
Confounding Factors
Baseline Equivalence
Established on race, SES, and baseline outcomes
Not applicable
Screening Decision
Passes screens
Design Detail
Randomized controlled trial
General Effects Notes
Results for SafeCare Augmented.
General Outcome Notes
Results for SafeCare Augmented.