Kansas Intensive Permanency Project

Study Overview
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Brief Summary
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The intervention provides services to children with Serious Emotional Disturbance (SED) who are in foster care and to their parent(s) to prepare the families for reunification.

Detailed Description
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The intervention provide services to children with Serious Emotional Disturbance (SED) who are in foster care and to their birth parents to prepare the families for reunification. The evaluation follows a randomized design. The pretest will assess the procedures and instruments for collecting data on child, youth, and family functioning. Ultimately, after the pretest is complete, the data collected through the evaluation will provide information on the extent to which the intervention achieved its goal of improving parenting skills and enhancing readiness for reunification among the families who received the services.

Official Title
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Permanency Innovations Initiative- Kansas Intensive Permanency Project

Conditions
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Serious Emotional Disturbance, In Foster Care

Intervention / Treatment
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* Other: Parent Management Training - Oregon Model (PMTO)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children age 3-16 with severe emotional disturbances In foster care and their families (parents). Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment<br> | Other: Parent Management Training - Oregon Model (PMTO)<br>* Evidence-based, behavioral parent management training model, Parent Management Training - Oregon Model (PMTO) tailored to address permanency barriers of parents of children with SED.<br>|
| No Intervention: Comparison<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to stable permanence | Measured by administrative data from the Adoption and Foster Care Analysis and Reporting System (AFCARS) | Measured from the date of random assignment to the discharge date or to the end of the study period for cases that did not discharge | 
| Positive parenting behaviors | Measured by administering two standardized instruments: 1) the Caregiver Wish List (CWL); and, 2) the Family Interaction Task (FIT). | Pre intervention, post intervention and at 12-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of community resources & social supports | Measured by observing the results of a subscale of a standardized instrument, the North Carolina Family Assessment Scale, General and Reunification services (NCFAS-G+R). The subscale is identified as social/community life. | Pre intervention, post intervention and at 12-months | 
| Readiness for Reunification | Measured by the readiness for reunification subscale of the North Carolina Family Assessment Scale, General and Reunification services (NCFAS-G+R). | Pre intervention, post intervention and at 12-months | 
| Improve parent mental health & Substance Abuse | Measured by the relevant items on the North Carolina Family Assessment Scale, General and Reunification services (NCFAS-G+R). | Pre intervention, post intervention and at 12-months | 
| Child behavior | Measured with Social Skills Improvement System rating scales (SSIS). | Intake & every 6-months post intake | 
| Child functioning | Measured by assessing the child's functioning with the Child and Adolescent Functional Assessment Scale (CAFAS) for school-aged children and the Preschool and Early Childhood Functional Assessment Scale (PECFAS) for preschool-aged children. | Intake & every 6-months post intake | 
| Reunification | Measured using data from Kansas' state administrative database for child welfare as reported to AFCARS/NCANDS. | 18 months post intervention start date | 
| Long-term foster care | Measured by using data from Kansas' state administrative database for child welfare as reported to AFCARS/NCANDS. | Measured at 6 and 12 months post entry into foster care | 
| Stable permanency | Measured by using data from Kansas' state administrative database for child welfare as reported to AFCARS/NCANDS. | Measured at 6 and 12 months post entry into foster care | 
| Child safety | Measured by using data from Kansas' state administrative database for child welfare as reported to AFCARS/NCANDS. | Measured at 6 and 12 months post entry into foster care | 
| Coercive parenting practices | Measured by administering two standardized instruments: 1) the Caregiver Wish List (CWL); and, 2) the Family Interaction Task (FIT). | Pre intervention, post intervention and at 12-months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Serious emotional disturbance, foster care, child protective services