About this trial
The proposed project seeks to achieve three objectives that will, collectively, evaluate the effectiveness of a one-year version of the Parent-Child Assistance Program (PCAP-1) -a model for a home visitation and case management program for parents who used substances. First, the proposed project aims to estimate the causal impact of PCAP-1 on preventing the need for foster care and promoting reunification. Second, the project will estimate PCAP-1's effectiveness in achieving other program goals: parent recovery, parent's connection with needed comprehensive community resources, and preventing future children from being exposed to drugs and alcohol. Finally, causal evidence of program effectiveness across the prior two objectives would enable PCAP-1 to be rated according to strength of evidence on relevant federal registries (i.e., FFPSA and HOMEVEE). All objectives will be pursued with substantial backing from public and private partners, including the Oklahoma Department of Human Services (OK's Title IV-E agency). This quasi-experimental project will recruit 40 new participants to receive one year of PCAP-1 services. It will use administrative data on participants from the Oklahoma Department of Human Services for the control group. Given that the population PCAP serves are disproportionately poor and low-income and PCAP is designed to be culturally competent and relevant, PCAP-1 harbors the potential to address inequities in child welfare outcomes, substance use disorder treatment services, and child and family well- being by improving outcomes for these families. With a strong backing by state agencies and community partners, the evaluation of PCAP-1 will contribute to a knowledge gap in the field for in-home program models serving a highly vulnerable population with high rates of child welfare involvement and use of foster care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
People over the age of 18
Parents with children under the age of 6 living with them
Resides within a 50-mile radius of Enid, OK or Oklahoma City, OK (for treatment group)
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Parent-Child Assistance Program - One-Year Version
BehavioralCase managers work closely with parents over the course of one year, meeting them in their own homes when possible, to help them set goals and take advantage of available resources.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of target children not placed in foster care
The target child is not placed in foster care.
Parent acquires or maintains child custody
The parent has physical custody of the target child.
Reduction in costs to state agencies
Reduced costs to state agencies following PCAP-1 participation.
Secondary outcomes
Proportion of parents who acquire or maintain stable housing
The parent resides in stable housing.
Proportion of parents who acquire or maintain employment
The parent is employed.
Proportion of parents who enroll in or complete an educational program
The parent has completed or is enrolled in an educational program.
Proportion of parents who receive public benefits
The parent receives public benefits (e.g., housing, food, cash)
Sponsors and contacts
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University of Oklahoma
Lead sponsor
Children's Bureau - Administration for Children and Families
Collaborator
Oklahoma Department of Health and Human Services
Collaborator