Presentation Overview

Transcription

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2 Presentation Overview Why braided curriculum? SafeCare Overview Development of PATSCH Project Overview Preliminary Data & Provider Feedback Safety & Health Modules Next steps

3 Audience Poll How many of you deliver more than one program or model to your families? Does doing so act as an enhancement?

4 PATSCH Parents as Teachers + SafeCare at Home Randomized Controlled Trial funded by Annie E. Casey Foundation Research question: Does combining PAT and SafeCare result in better outcomes for families? Examining parenting outcomes, child developmental outcomes, school readiness and overall risk for child maltreatment

5 Development of PATSCH No panaceas Need for collaboration Georgia PAT Leader approaches SafeCare PATSCH is proposed & created

6 SafeCare Parent training program Birth to 5 Focuses on Parent-child and parent-infant interaction Child health Home Safety

7 SafeCare Modules Parent-Infant Interaction (0 walking) Parent-Child Interaction (walking 5) Home Safety Child Health Developmental milestones Developmental milestones Identifying hazards Heath recording chart Bonding skills Planned Activities Training Removing hazards Symptom and Illness Guide

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9 Braiding Braiding - not altering the integrity of either curriculum, but combining them in a unique way to create a new program Essential to keep requirements of both programs SafeCare visit fidelity PAT visit essential requirements Used SafeCare tool kit as model format

10 Sessions Session 1 [SafeCare only] Session 2 [Braided] Session 3 [SafeCare only] Session 4 [Braided] Baseline Assessment Training Training Training Training End-of- Module Assessment

11 PATSCH Tool Kit Use of Familiar Symbols PAT language and components

12 Color-coded information SafeCare documents

13 Specific PAT handouts Typical SafeCare outline format Detailed session outline to reduce Parent Educator preparation time

14 The Study Randomization at site level 3 states 6 PATSCH sites 7 control sites

15 Eligibility Criteria Completed 5 PAT Foundational Visits Target child under age 4 Meet at least 2 high-risk criteria Single parent Teen parent Low income Low education level English as a second language

16 Research Assessments Every family complete 3 research assessments Baseline (enrollment) 6-months post-enrollment 12-months post-enrollment

17 Study Measures ACASI Child development measures Parent measures Parent-Child Interaction Videos KIPS PICCOLO Environmental Scan Videos Home Accident Prevention Inventory (HAPI) PAT Data Process measures Demographics & service data PATSCH Data Module assessments & fidelity

18 The Numbers Implementation Site State # Enrolled Community Partnership of Elbert County Rockingham County Partnership for Children Kids Advocacy Resource Effort (KARE) Children & Family Resource Center Sampson County Partnership for Children NC Beaufort-Hyde Partnership for Children First Steps Parents as Teachers District 4 of Lexington County ParentSmart/Rock Hill School District 3 GA 12 NC 9 NC 8 NC 7 NC 12 NC 5 SC 12 SC 2 TOTAL 67 Control Site State # Enrolled Child Development Association Prevent Child Abuse Habersham GA 7 GA 11 Sheltering Arms GA 7 Catawba County Schools Early Head Start Easter Seals UCP North Carolina Jackson County Family Resource Center Marlboro County School District McCormick County Even Start Family Literacy Program NC 27 NC 19 NC 1 SC 6 SC 14 TOTAL 91 TOTAL N = 159

19 Project Status Current year: 5 Enrollment complete Delivery of PATSCH almost complete 6-month assessments complete December month assessments complete June 2016

20 Baseline Demographics Gender Participant Age Latino Female 145 Male 3 Mean = 28 Range: n (%) Yes 53 (35.33%) No 95 (63.33%) Race n (%) White 52 (35.14%) Black 47 (31.76%) Asian/Pacific Islander 10 (6.76%) Other 34 (22.97%)

21 # of families Baseline Demographics 60 Number of Children in Household child 2 children 3 children 4 children 5+ children

22 # of families Baseline Demographics Employed Annual Household Income Yes No 0 $0 - $4,999 $5,000 - $9,999 $10,000 - $14,999 $15,000 - $24,999 $25,000 +

23 Baseline Demographics Highest Completed Level of Education Marital Status < HS HS Graduate/GED Some College College Grad (assoc. degree +) Single Married or Living with Partner Separated/Divorced/Widowed

24 Parent Educator Surveys Online survey Parent educators Trained in PATSCH Delivered PATSCH Feedback on curriculum & implementation Own opinion Perceived participants opinion

25 Module Feedback How well, overall, did families like each module? (If you never delivered a particular module, mark as N/A)

26 Module Feedback Please select how well, overall, you, as a provider, liked each module. (If you never delivered a module, mark as N/A)

27 Home Safety Identify and remove safety hazards in home Evaluate 3 rooms Train parent Re-evaluate

28 Preliminary Data Safety Modest correlation between # of hazards and child abuse potential Brief Child Abuse Potential (BCAP) n = 89 mean = 4.12 Home Accident Prevention Inventory (HAPI) n = 75 mean = 16.55

29 Child Health Sick or Injured Child Chart Identify symptoms Decide what to do Emergency Room Call the Doctor Care at Home Symptoms & Illness Guide Prevention

30 Health Scenario

31 Health Scenario

32 PATSCH Feedback Overall, how much positive change has PATSCH made for your families?

33 PATSCH Feedback How likely are you to recommend PATSCH to other providers?

34 PATSCH Feedback Would you like to continue to use some or all of the PATSCH curriculum?

35 PATSCH Feedback If you would like to use some elements of the PATSCH curriculum, which module(s) would you still use?

36 Sustainability PAT & SafeCare National Offices The Institute for Innovation & University of Maryland School of Social Work Exploring public funding

37 Why Braid? Systematic and supported implementation of 2 programs together Provide best support for high-risk families Target specific needs of all families Potential to reduce cost of services

38 Katy Miller, M.Ed. Project Coordinator Center for Healthy Development School of Public Health Georgia State University Kate Guastaferro, MPH Doctoral Candidate, Research Assistant Center for Healthy Development School of Public Health Georgia State University