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Journal Information
Vol. 21. Issue 2.
Evidence-Based Programs for Children, Youth and Families: Introduction to the Special Issue
Pages 171-180 (August 2012)
Vol. 21. Issue 2.
Evidence-Based Programs for Children, Youth and Families: Introduction to the Special Issue
Pages 171-180 (August 2012)
Open Access
SafeCare®: Historical Perspective and Dynamic Development of an Evidence-Based Scaled-Up Model for the Prevention of Child Maltreatment
SafeCare®: Perspectiva Histórica, Desarrollo Dinámico y Diseminación de un Programa de Prevención del Maltrato Infantil Basado en la Evidencia
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Katelyn M. Guastaferro*
Corresponding author
kguastaferro1@gsu.edu

Institute of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302-3995, USA.
, John R. Lutzker*
Corresponding author
jlutzker@gsu.edu

Institute of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302-3995, USA.
, Megan L. Graham, Jenelle R. Shanley, Daniel J. Whitaker
Georgia State University, USA
This item has received

Under a Creative Commons license
Article information
Abstract

SafeCare is an evidence-based parent-training program that reduces child maltreatment, particularly neglect. The risk of child maltreatment, a public health issue affecting millions of U.S. children each year, can be markedly reduced by interventions such as SafeCare that deliver in-home services. Drawing from applied behavioral analysis roots, SafeCare focuses on providing parents with concrete skills in three areas: health, home safety, and parent-child/-infant interaction. This paper will include an overview of the SafeCare model, an historical perspective of its history and dynamic development, description of the theoretical underpinnings of the model, a description of the program targets and content by describing its modules and delivery, an overview of program outcomes, and data discussion of dissemination and implementation.

Keywords:
child maltreatment
evidence-based
implementation
parenting
SafeCare
Resumen

SafeCare es un programa basado en la evidencia de enseñanza de habilidades parentales que reduce el maltrato infantil, particularmente la negligencia. El riesgo de maltrato infantil, un problema público de salud que afecta cada año a millones de niños y niñas en Estados Unidos, puede ser reducido de forma notable mediante programas como el SafeCare, que desarrolla su intervención en el domicilio. Basado en la psicología conductual aplicada, el SafeCare se centra en dotar a los padres y madres de habilidades específicas en tres áreas: salud, seguridad en el hogar, e interacción padres-hijos. Este artículo expone una visión general del modelo de intervención del SafeCare, una perspectiva histórica de su desarrollo y evolución, sus bases teóricas, sus objetivos y contenido a través de la descripción de sus módulos y forma de provisión, recoge una visión general de sus resultados, y comenta los datos acerca de su diseminación e implantación.

Palabras clave:
ejercicio rol parental
implantación
maltrato infantil
programa basado en la evidencia
SafeCare
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References
[Aarons et al., 2009]
G.A. Aarons, D.H. Sommerfeld, D.B. Hect, J.F. Silovsky, M.J. Chaffin.
The impact of evidencebased practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect.
Journal of Consulting and Clinical Psychology, 77 (2009), pp. 270-280
[Anda, 2009]
Anda, R.F. (2009). The health and social impact of growing up with adverse childhood experiences: The human economic costs of the status quo. Retrieved from http://www.aapweb.com/files/ReviewofACEStudywithrefer encessummarytable.pdf.
[Azar and Weinzierl, 2005]
S.T. Azar, K.M. Weinzierl.
Child maltreatment and childhood injury research: A cognitive behavioral approach.
Journal of Pediatric Psychology, 30 (2005), pp. 598-614
[Bandura, 1975]
A. Bandura.
Social learning & personality development.
New Jersey: Hold, Rinehart & Winston, Inc, (1975),
[Barlow et al., 2009]
D.H. Barlow, M.K. Nock, M. Hersen.
Pearson Education, Inc, (2009),
[Barone et al., 1986]
V.J. Barone, B.F. Greene, J.R. Lutzker.
Home safety with families being treated for child abuse and neglect.
Behavior Modification, 10 (1986), pp. 93-114
[Belsky, 1980]
J. Belsky.
Child maltreatment: An ecological integration.
American Psychologist, 35 (1980), pp. 320-335
[Bigelow and Lutzker, 1998]
K.M. Bigelow, J.R. Lutzker.
Using video to teach planned activities to parents reported for child abuse.
Child & Family Behavior Therapy, 20 (1998), pp. 1-14
[Bigelow and Lutzker, 2000]
K.M. Bigelow, J.R. Lutzker.
Training parents reported for or at risk for child abuse and neglect to identify and treat their children's illnesses.
Journal of Family Violence, 15 (2000), pp. 311-330
[Bilukha et al., 2005]
O. Bilukha, R.A. Hahn, A. Crosby, M.T. Fullilove, A. Liberman, E. Moscicki, P.A. Briss.
The effectiveness of early childhood home visitation in preventing violence.
American Journal of Preventive. Medicine, 28 (2005), pp. 11-39
[Bronfrenbrenner, 1979]
U. Bronfrenbrenner.
The ecology of human development: Experiments by nature and design.
Harvard University Press, (1979),
[Butchart and Harvey, 2006]
A. Butchart, A.P. Harvey.
Preventing child maltreatment: A guide to taking action and generating evidence.
World Health Organization, (2006),
[Campbell et al., 1983]
R.V. Campbell, S. O’Brien, A. Bickett, J.R. Lutzker.
In-home parent-training, treatment of migraine headaches, and marital counseling as an ecobehavioral approach to prevent child abuse.
Journal of Behavior Therapy and Experimental Psychiatry, 14 (1983), pp. 147-154
[Centers for Disease, 2012]
Centers for Disease Control and Prevention (2012). Emergency Department Visits. Retrieved from http://www.cdc.gov/nchs/fastats/ervisits.htm
[Chaffin et al., 2012]
M. Chaffin, D. Hecht, D. Bard, J.F. Silovsky, W.H. Beasley.
A statewide trial of the safecare homebased services model with parents in child protective services.
Pediatrics, 129 (2012), pp. 509-515
[Chaffin et al., 2004]
M. Chaffin, J.F. Silovsky, B. Funderburk, L.A. Valle, E.V. Brestan, T. Balachova, B.L. Bonner.
parent-child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports.
Journal of Consulting and Clinical Psychology, 72 (2004), pp. 500-510
[Chapman et al., 2007]
D.P. Chapman, S.R. Dube, R.F. Anda.
Adverse Childhood events as risk factors for negative mental health outcomes.
Psychiatric Annals, 37 (2007), pp. 359-364
[Choudhry et al., 2007]
L. Choudhry, M. Douglass, J. Lewis, C.H. Olson, R. Osterman, P. Shah.
The impact of community health centers & community-affliated health plans on emergency department use.
Association for Community Affliated Plans, National Association of Community Health Centers Inc, (2007),
[Cicchetti and Rogosch, 2009]
D. Cicchetti, F.A. Rogosch.
Adaptive coping under conditions of extreme stress: Multilevel influences on the determinants of resilience in maltreated children.
Coping and the development of regulation New Directions for Child and Adolescent Development, pp. 47-59
[Dachman et al., 1984]
R.S. Dachman, M.M. Halasz, A.D. Bickett, J.R. Lutzker.
A home-based ecobehavioral parent-training and generalization package with a neglectful mother.
Education and Treatment of Children, 7 (1984), pp. 183-202
[Daro, 2012]
D. Daro.
The promise with prevention: expanding with quality.
APSAC Advisor, 24(1&2), (2012), pp. 44-47
[Delgado and Lutzker, 1988]
L.E. Delgado, J.R. Lutzker.
Training young parents to identify and report their children's illnesses.
Journal of Applied Behavior Analysis, 21 (1988), pp. 311-319
[Denicola and Sandler, 1980]
J. Denicola, J. Sandler.
Training child abusers in cognitive behavior modification.
Behavioral Therapy, 11 (1980), pp. 263-270
[Dowrick, 1999]
P.W. Dowrick.
A review of self modeling and related interventions.
Applied and Preventative Psychology, 8 (1999), pp. 23-39
[Fixsen et al., 2005]
D.L. Fixsen, S.F. Naoom, K.A. Blase, R.M. Friedman, F. Wallace.
Implementation research: A synthesis of the literature.
University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network, (2005),
[Gaskin et al., 2012]
E.H. Gaskin, J.R. Lutzker, D. Crimmins, L. Robinson.
Using a digital frame and pictorial information to enhance the safecare parent-infant interactions module with a mother with intellectual disabilities: Results of a pilot study.
Journal of Mental Health Research in Intellectual Disabilities, 5 (2012), pp. 187-202
[Gelles and Perlman, 2012]
R.J. Gelles, S. Perlman.
Estimated annual cost of child abuse and neglect.
Prevent Child Abuse America, (2012),
[Gershater-Molko et al., 2002]
R.M. Gershater-Molko, J.R. Lutzker, D. Wesch.
Using recidivism data to evaluate project safecare: Teaching bonding, safety, and health care skills to parents.
Child Maltreatment, 7 (2002), pp. 277-285
[Gershater-Molko et al., 2003]
R.M. Gershater-Molko, J.R. Lutzker, D. Wesch.
Project SafeCare: Improving health, safety, and parenting skills in families reported for, and at-risk for child maltreatment.
Journal of Family Violence, 18 (2003), pp. 377-386
[Hagele, 2005]
D.M. Hagele.
The impact of maltreatment on the developing child.
North Carolina Medical Journal, 66 (2005), pp. 356-359
[Hart and Risley, 1995]
B. Hart, T.R. Risley.
Meaningful differences in the everyday experience of young american children.
Baltimore: Paul H Brookes Publishing Co, (1995),
[Hélie and Bouchard, 2010]
S. Hélie, C. Bouchard.
Recurrent reporting of child maltreatment: State of knowledge and avenues for research.
Children and Youth Services Review, 32 (2010), pp. 416-422
[Henggeler, 2002]
S.W. Henggeler.
Treatment manuals: Necessary, but far from sufficient.
Clinical Psychology Science and Practice, 9 (2002), pp. 419-420
[Henggeler et al., 2002]
S.W. Henggeler, S.K. Schoenwald, J.G. Liao, E.J. Letourneau, D.L. Edwards.
Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs.
Journal of Clinical Child Psychology, 31 (2002), pp. 155-167
[Herschell et al., 2009]
A. Herschell, C. McNeil, A. Urquiza, J. McGrath, N. Zebell, S. Timmer, A. Porter.
Evaluation of a treatment manual and workshops for disseminating, parent–child interaction therapy.
Administration and Policy in Mental Health and Mental Health Services Research, 36 (2009), pp. 63-81
[Jabaley et al., 2011]
J.J. Jabaley, J.R. Lutzker, D.J. Whitaker, S. Self-Brown.
Using iPhones™ to enhance and reduce faceto- face home safety sessions within SafeCare®: An evidence-based child maltreatment prevention program.
Journal of Family Violence, 26 (2011), pp. 377-385
[Kempe et al., 1962]
C.H. Kempe, F.N. Silverman, B.F. Steele, W. Droegemueller, H.K. Silver.
The batteredchild syndrome.
Journal of the American medical Association, 181 (1962), pp. 17-24
[Lee et al., 2012]
S. Lee, S. Aos, E. Drake, A. Pennucci, M. Miller, L. Anderson.
Return on investment: Evidencebased options to improve statewide outcomes April 2012. (Document No. 12-04-1201).
Washington State Institute for Public Policy, (2012),
[Lutzker and Bigelow, 2002]
J.R. Lutzker, K.M. Bigelow.
Reducing child maltreatment: A guidebook for parent services.
Guilford Press, (2002),
[Lutzker et al., 1982]
J.R. Lutzker, R.E. Frame, J.M. Rice.
Project 12-Ways: An ecobehavioral approach to the treatment and prevention of child abuse and neglect.
Education and Treatment of Children, 5 (1982), pp. 141-155
[Lutzker and Rice, 1984]
J.R. Lutzker, J.M. Rice.
Project 12-Ways: Measuring outcome of a large in-home service for treatment and prevention of child abuse and neglect.
Child Abuse & Neglect, 8 (1984), pp. 519-524
[Lutzker et al., 1985]
J.R. Lutzker, D.A. Megson, M.E. Webb, R.S. Dachman.
Validating and training adult-child interaction skills to professionals and to parents indicated for child abuse and neglect, Journal of Child and.
Adolescent Psychotherapy, 2 (1985), pp. 91-104
[Lutzker et al., 1987]
S.Z. Lutzker, J.R. Lutzker, D. Braunling-McMorrow, J. Eddleman.
Prompting to increase mother-baby stimulation with single mothers.
Journal of Child and Adolescent Psychotherapy, 4 (1987), pp. 3-12
[Mandel et al., 1998]
U. Mandel, K.M. Bigelow, J.R. Lutzker.
Using video to reduce home safety hazards with parents reported for child abuse and neglect.
Journal of Family Violence, 13 (1998), pp. 147-162
[O’Brien et al., 1993]
M.P. O’Brien, J.R. Lutzker, R.V. Campbell.
Consumer evaluation of an ecobehavioral program for families with children with developmental disabilities.
Journal of Mental Health Administration, 20 (1993), pp. 278-284
[Ogden et al., 2005]
T. Ogden, M.S. Forgatch, E. Askeland, G.R. Patterson, B.M. Bullock.
Implementation of parent management training at the national level: The case of Norway.
Journal of Social Work Practice, 19 (2005), pp. 317-329
[Palusci, 2011]
V.J. Palusci.
Risk factors and services for child maltreatment among infants and young children.
Children and Youth Services Review, 33 (2011), pp. 1374-1382
[Prevention, 2010]
Prevention, C. f. D. C. a. (2010). Web-based injury statistics query and reporting system (WISQARS). Retrieved from National Center for Injury Prevention and Control, Centers for Disease Control and Prevention www.cdc.gov/ncipc/wisqars
[Prinz et al., 2009]
R.J. Prinz, M.R. Sanders, C.J. Shapiro, D.J. Whitaker, J.R. Lutzker.
Population-based prevention of child maltreatment: The U.S Triple P system population trial.
Prevention Science, 10 (2009), pp. 1-12
[Rosenfeld-Schlichter et al., 1983]
M.D. Rosenfeld-Schlichter, R.E. Sarber, G. Bueno, B.F. Greene, J.R. Lutzker.
Maintaining accountability for an ecobehavioral treatment of one aspect of child neglect: Personal cleanliness.
Education and Treatment of Children, 6 (1983), pp. 153-164
[Sarber et al., 1983]
R.E. Sarber, M.M. Halasz, M.C. Messmer, A.D. Bickett, J.R. Lutzker.
Teaching menu planning and grocery shopping skills to a mentally retarded mother.
Mental Retardation, 21 (1983), pp. 101-106
[Self-Brown and Whitaker, 2008]
S. Self-Brown, D.J. Whitaker.
Parent-focused child maltreatment prevention: Improving assessment, intervention, and dissemination with technology.
Child Maltreatment, 13 (2008), pp. 400-416
[Taban and Lutzker, 2001]
N. Taban, J.R. Lutzker.
Consumer evaluation of an ecobehavioral progam for prevention and intervention of child maltreatment.
Journal of Family Violence, 16 (2001), pp. 323-330
[Tertinger et al., 1984]
D.A. Tertinger, B.F. Greene, J.R. Lutzker.
Home safety: development and validation of one component of an ecobehavioral treatment program for abused and neglected children.
Journal of Applied Behavior Analysis, 17 (1984), pp. 159-174
[Department, 2010]
U.S. Department of Health and Human Services. (2011). Child Maltreatment 2010. Author
[Weisz et al., 2006]
J.R. Weisz, A. Jensen-Doss, K.M. Hawley.
Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons.
The American Psychologist, 61 (2006), pp. 671-689
[Whitaker et al., 2008]
D.J. Whitaker, J.R. Lutzker, S. Self-Brown, A. Edwards.
Moving evidenced-based child maltreatment programs to practice settings: The SafeCare model.
Report on Emotional & Behavioral Disorders in Youth, 8 (2008), pp. 55-62
[Whitaker et al., 2012]
D.J. Whitaker, K.A. Ryan, R. Wild, S. Self-Brown, J.R. Lutzker, J. Shanley, A.E. Hodges.
Initial implementation indicators from a statewide rollout of SafeCare within a child welfare system.
Child Maltreatment, 17 (2012), pp. 96-101

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