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Trial record 8 of 68 for:    "social work" OR "social services" OR "social care" | Recruiting, Not yet recruiting Studies | Studies received from 01/01/2017 to 08/18/2017

Collaborative Care for Infants at Risk (CCIR)

This study is not yet open for participant recruitment.
See Contacts and Locations
Verified August 2017 by Kristine Campbell, University of Utah
Sponsor:
Collaborator:
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
Kristine Campbell, University of Utah
ClinicalTrials.gov Identifier:
NCT03199326
First received: June 21, 2017
Last updated: August 10, 2017
Last verified: August 2017
  Purpose
This study evaluates the feasibility, acceptability, and impact of a collaborative care practice for infants investigated by state Child Protective Services (CPS) for suspected maltreatment. Recognizing the vulnerability of infants referred into CPS in the first year of life, as well as the frequent contact of infants with health care providers in the first year of life, the investigators will conduct a RCT to measure the impact of a collaborative practice model linking CPS caseworkers with primary health care providers during an investigation for suspected infant maltreatment. With this trial, the investigators will ask (3a) Can a collaborative practice model improve parent-reported infant health-related quality of life 6 months following child welfare involvement for suspected infant maltreatment? and (3b) Does a collaborative practice model impact repeat child welfare involvement for suspected child maltreatment over 6 months?

Condition Intervention
Child Abuse Primary Health Care Child Welfare Other: Collaborative Care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description:
Surveys will be collected without knowledge of intervention assignment
Primary Purpose: Supportive Care
Official Title: Collaborative Care for Infants at Risk

Resource links provided by NLM:


Further study details as provided by Kristine Campbell, University of Utah:

Primary Outcome Measures:
  • Infant Health Related Quality of Life [ Time Frame: Change from baseline to 6 months following CPS case closure ]
    Difference in Change in Infant Health Related Quality of Life based on practice arm


Secondary Outcome Measures:
  • Parent Perception of Child Welfare and Child Health Care [ Time Frame: at baseline (child welfare) and at 6 months (child health care) ]
    Difference in parent perceptions of child welfare and child health care based on practice arm

  • Repeat Child Welfare Involvement [ Time Frame: 6 months after CPS case closure ]
    Repeat Child Welfare Involvement


Other Outcome Measures:
  • Engagement of child welfare caseworkers [ Time Frame: baseline ]
    Proportion of eligible cases investigated that were offered collaborative practice

  • Acceptance of parents [ Time Frame: baseline ]
    Proportion of cases offered collaborative practice in which parents allowed practice

  • Recruiting and retention of high-risk longitudinal cohort [ Time Frame: baseline and 6 months ]
    Proportion of eligible cases willing to enroll in and follow-up with researchers


Estimated Enrollment: 850
Anticipated Study Start Date: August 15, 2017
Estimated Study Completion Date: July 31, 2019
Estimated Primary Completion Date: July 31, 2019 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Collaborative Care
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the collaborative practice, the caseworkers will conduct a standard CPS investigation. Additionally, caseworkers will seek parental permission to contact an identified primary health care provider at two points in the CPS investigation for information sharing related to health needs, social risks, and recommended interventions.
Other: Collaborative Care
CPS caseworkers will explain collaborative care to parents, ask parents to allow communication with an infant's primary care provider, and have willing parents sign a release allowing communication with the infant's provider during the investigation. Caseworkers will make at least two attempts to contact identified providers with parental consent. In the first week, caseworkers will contact the provider, identify the infant, and summarize the child maltreatment concerns. The caseworker will ask whether the provider recognizes any additional strengths or vulnerabilities for the infant. Prior to case closure, caseworkers will provide a summary of investigation findings, disposition, and service referrals including placement changes, safety planning, family preservation, and community resources, with a summary letter delivered to the provider after case closure.
No Intervention: Comparison Care
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the comparison practice, the caseworkers will conduct a standard CPS investigation.

  Eligibility

Ages Eligible for Study:   up to 364 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Less than 12 months of age at referral
  • Involved in a child welfare investigation for suspected maltreatment
  • Investigation occurring in Utah DCFS Salt Lake Valley or Western regions

Exclusion Criteria:

For the primary and selected secondary outcomes,

  • Caregiver with primary spoken language other than English or Spanish,
  • CPS caseworkers not yet randomized to a practice arm
  • Infants in out-of-home placement at the time of referral or case closure,
  • Infants suffering fatal maltreatment
  • Prior investigation of an infant in a household during study timeframe (e.g., twins, infant siblings, and repeat referrals will be excluded).

For other secondary outcomes related to CPS outcomes, language exclusion will not be considered.

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT03199326

Contacts
Contact: Kristine A Campbell, MD, MSc 801-662-5742 kristine.campbell@hsc.utah.edu

Locations
United States, Utah
The Center for Safe and Healthy Families, Primary Children's Hospital Eccles Outpatient Building, 81 North Mario Capecchi Dr 4E-200 Active, not recruiting
Salt Lake City, Utah, United States, 84113
Sponsors and Collaborators
University of Utah
Robert Wood Johnson Foundation
  More Information

Responsible Party: Kristine Campbell, Associate Professor, Pediatrics, University of Utah
ClinicalTrials.gov Identifier: NCT03199326     History of Changes
Other Study ID Numbers: 00098047
Study First Received: June 21, 2017
Last Updated: August 10, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

ClinicalTrials.gov processed this record on September 21, 2017