A Statewide Trial of the SafeCare Home-based Services Model With Parents in Child Protective Services




Mark Chaffin, Debra Hecht, David Bard, Jane F. Silovsky, and William Howard Beasley

Brief Type

Journal Publication


  • Project 12 Ways/Safecare


Objectives: In this trial, we compared Child Protective Services (CPS) recidivism outcomes between the home-based SafeCare (SC) model for child neglect and comparable home-based services, but without SC modules, for parents in the CPS system across 2 quality control strategies: coached (C) and uncoached implementation. SC is a home-based behavioral skills training model designed for neglecting or maltreating parents. The study was conducted in a scaled-up, statewide implementation setting. Methods: Two thousand  one  hundred  seventy-five  maltreating parents, treated by 219 home visitors, were enrolled and treated in a 232 (SC versus services as usual 3C versus uncoached implementation strategy) randomized cluster experiment. Cases were followed for an average of 6 years for CPS recidivism events. Subpopulation analyses were conducted for parents meeting customary SC inclusion criteria. Results: Consistently significant main effects in favor of SC were found across simple and more complex modeling approaches (hazard ratios = 0.74–0.83). Larger effects were found among the subpopulation meeting customary SC inclusion criteria. C implementation yielded smaller and occasionally significant effects in analyses that included more diverse cases falling outside customary SC inclusion criteria. Conclusions: Findings support the adoption and use of SC within CPS home-based services systems. C implementation may be especially valuable for cases where the client-model fit is less strong. (author abstract)

Data Collection Methods

  • Interviews
  • Standardized assessment tools



For More Information

Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H. (2012). A statewide trial of the SafeCare home-based services model with parents in Child Protective Services. Pediatrics, 129(3), 509-515. doi: 10.1542/peds.2011-1840
Author Contact Information:
Mark Chaffin


  • Participant, Family, and Program Outcomes