Georgia State University, Institute of Public Health, Center for Healthy Development, National Safecare Training and Research Center, Atlanta, GA 30302, USA.
Child Maltreat. 2012 Feb;17(1):96-101. doi: 10.1177/1077559511430722. Epub 2011 Dec 5.
There is a strong movement toward implementation of evidence-based practices (EBP) in child welfare systems. The SafeCare parenting model is one of few parent-training models that addresses child neglect, the most common form of maltreatment. Here, the authors describe initial findings from a statewide effort to implement the EBP, SafeCare®, into a state child welfare system. A total of 50 agencies participated in training, with 295 individuals entering training to implement SafeCare. Analyses were conducted to describe the trainee sample, describe initial training and implementation indicators, and to examine correlates of initial training performance and implementation indicators. The quality of SafeCare uptake during training and implementation was high with trainees performing very well on training quizzes and role-plays, and demonstrating high fidelity when implementing SafeCare in the field (performing over 90% of expected behaviors). However, the quantity of implementation was generally low, with relatively few providers (only about 25%) implementing the model following workshop training. There were no significant predictors of training or implementation performance, once corrections for multiple comparisons were applied. The Discussion focuses on challenges to large-scale system-wide implementation of EBP.
目前,儿童福利系统正大力推行循证实践(EBP)。SafeCare 育儿模式是少数几种关注儿童忽视(最常见的虐待形式)的父母培训模式之一。在这里,作者描述了一项在全州范围内实施 EBP(SafeCare®)的初步发现,即将其引入州儿童福利系统。共有 50 个机构参与了培训,有 295 人参加了培训以实施 SafeCare。进行了分析以描述受训者样本,描述初始培训和实施指标,并检查初始培训表现和实施指标的相关性。在培训和实施过程中,SafeCare 的采用质量很高,受训者在培训测验和角色扮演中表现出色,并且在实地实施 SafeCare 时表现出高度的保真度(实施了超过 90%的预期行为)。但是,实施的数量通常较低,在工作坊培训后,只有相对较少的提供者(仅约 25%)实施该模式。在应用多次比较的校正后,培训或实施表现没有明显的预测因素。讨论的重点是在大规模系统范围内实施 EBP 所面临的挑战。