Provider Cultural Competency, Client Satisfaction, and Engagement in Home-Based Programs to Treat Child Abuse and Neglect




Amy Damashek, David Bard, and Debra Hecht

Brief Type

Journal Publication


  • SafeCare/SafeCare Augmented


Home-based programs to treat child abuse and neglect suffer from high rates of attrition, limiting their impact. Thus, research is needed to identify factors related to client engagement. Using data (N = 1,305) from a statewide family preservation program, this study investigated the role of program type (i.e., SafeCare1 [SC] vs. Services as Usual [SAU]) and client perceived provider cultural competence on client satisfaction and engagement with services. Families in SC completed more treatment goals than those in SAU. In addition, provider cultural competence and client satisfaction were higher in SC than in SAU. Higher provider cultural
competence was associated with higher goal attainment and satisfaction, and these effects partially mediated the service program differences. The effects of service type and cultural competence on goal attainment and satisfaction varied somewhat by client ethnicity. Findings suggest that clients receiving manualized programs for child maltreatment may be more likely to meet their goals and may perceive such programs to be culturally appropriate and satisfactory. (author abstract)

Data Collection Methods

  • Standardized assessment tools
  • Surveys or questionnaires



For More Information

Damashek, A., Bard, D., Hecht, D. (2012). Provider cultural competency, client satisfaction, and engagement in home-based programs to treat child abuse and neglect. Child Maltreatment, 17(1), 56-66. doi:10.1177/1077559511423570
Author Contact Information:
Amy Damashek


  • Participant, Family, and Program Outcomes
  • Program Quality, Continuous Quality Improvement, and Fidelity
  • Participant Recruitment, Retention, Engagement, and Dosage