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Children's Aid Societies: Differential Response and Wraparound Prevention Trial

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ClinicalTrials.gov Identifier: NCT00559208
Recruitment Status : Completed
First Posted : November 16, 2007
Last Update Posted : June 23, 2011
McMaster University
Information provided by:
Hamilton Children's Aid Society

Brief Summary:
The purpose of this study is to assess the cost-effectiveness of this Differential Wraparound model, in 5 Children's Aid Societies within Hamilton-Niagara Region, in preventing maltreatment cases from either becoming ongoing protection cases, or the children ending up in out-of-home of out-of community placements, as well as reducing the amount of time in Children's Aid Society care as compared to usual Children's Aid Society risk assessment and protection service alone.

Condition or disease

Detailed Description:
The number of children in child welfare care has increased from 10,000 in the early 1990s to over 18,000. Ontario spends over $1.1 billion a year on direct child welfare services, more than twice as much as spent in the late 1990s, with the majority of these resources spent on investigation instead of treatment. In response to this situation, Differential Response models, sometimes called alternative, multiple or integrated system responses, have been implemented in the US, Australia and Canada and are all at the beginning stages of systematic evaluation. These models will help prevent maltreatment cases from becoming ongoing protection cases, or the children ending up in out of home or community placements, and reduce the amount of time in Children's Aid Society care. This research will show the benefits and costs of a Differential Response approach to Children's Aid Society care, specifically in the Hamilton-Niagara Region

Study Type : Observational
Actual Enrollment : 135 participants
Observational Model: Case Control
Time Perspective: Prospective
Official Title: The Comparative Effects and Expense of Augmenting Usual Children's Aid Society (CAS) Care With a Regional Differential Response and Wraparound Prevention Service for Children
Study Start Date : October 2006
Study Completion Date : December 2010

Children's Aid Societies
Comparing differential response (Wraparound) with usual care

Primary Outcome Measures :
  1. To measure the characteristics of families and their children and comparisons between usual care versus differential response [ Time Frame: Follow-up at 1 year and 2 years ]

Secondary Outcome Measures :
  1. Follow up measures at 1 year and 2 year follow ups including measuring whether differential response is happening [ Time Frame: 6 months after facilitator is assigned ]

Information from the National Library of Medicine

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Ages Eligible for Study:   1 Year to 80 Years   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Clients of CAS going on to protective custody cases

Inclusion Criteria:

  • Parent of children and youth, living in Hamilton and surrounding areas.
  • Newly referred substantiated cases going on to protective services.
  • English & non-English speaking.

Exclusion Criteria:

  • Safety threat
  • Non-substantiated cases not going to protective services.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00559208

Canada, Ontario
Children's Aid Society
Hamilton, Ontario, Canada, L8N 4B9
Sponsors and Collaborators
Hamilton Children's Aid Society
McMaster University
Principal Investigator: Dominic Verticchio Children's Aid Society

Responsible Party: Dominic Verticchio, Hamilton Children's Aid Society
ClinicalTrials.gov Identifier: NCT00559208     History of Changes
Obsolete Identifiers: NCT00397085
Other Study ID Numbers: 06-103
First Posted: November 16, 2007    Key Record Dates
Last Update Posted: June 23, 2011
Last Verified: November 2009

Keywords provided by Hamilton Children's Aid Society:
Children and Youth
Differential Response