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

June 22, 2011 updated by: Hamilton Children's Aid Society

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

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.

Study Overview

Status

Completed

Conditions

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

Enrollment (Actual)

135

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Ontario
      • Hamilton, Ontario, Canada, L8N 4B9
        • Children's Aid Society

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 year to 80 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Clients of CAS going on to protective custody cases

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Control
  • Time Perspectives: Prospective

Cohorts and Interventions

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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
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
Follow-up at 1 year and 2 years

Secondary Outcome Measures

Outcome Measure
Time Frame
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
6 months after facilitator is assigned

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hamilton Children's Aid Society

Collaborators

McMaster University

Investigators

  • Principal Investigator: Dominic Verticchio, Children's Aid Society

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2006

Study Completion (Actual)

December 1, 2010

Study Registration Dates

First Submitted

November 15, 2007

First Submitted That Met QC Criteria

November 15, 2007

First Posted (Estimate)

November 16, 2007

Study Record Updates

Last Update Posted (Estimate)

June 23, 2011

Last Update Submitted That Met QC Criteria

June 22, 2011

Last Verified

November 1, 2009

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 06-103
  • NCT00397085 (Other Grant/Funding Number: Ministry of Children & Youth Services)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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