Quality Improvement Center on Domestic Violence in Child Welfare

Study Overview
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Brief Summary
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The Quality Improvement Center on Domestic Violence in Child Welfare (QIC-DVCW) is a five-year federal cooperative agreement with the Children's Bureau to test an approach to improve how child welfare agencies and their partners work collaboratively to help families experiencing domestic violence. The safety and well-being of child survivors of domestic violence and child maltreatment are closely connected to the safety and well-being of the adult survivor of domestic violence. For this reason, the QIC-DVCW is testing an Adult & Child Survivor-Centered Approach to addressing the needs of both the parent and child, which includes effectively engaging and working with the person causing them harm. The following four research questions were developed to guide the work of the Recipient's evaluation of the QIC-DVCW, and Provider's data will help to answer these questions: Does a collaborative, adult and child survivor-centered approach-that includes safely engaging and establishing accountability of the DV offender-improve adult and child survivor safety, child permanence, and child and family well-being for child welfare involved families experiencing DV? For which families and in which social contexts does an adult and child survivor-centered approach improve these outcomes? What factors are associated with successful implementation and sustainability of an adult and child survivor-centered approach? What are the costs associated with the implementation and maintenance of an adult and child survivor-centered approach, and how do these costs compare to the costs of practice as usual?

Official Title
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Quality Improvement Center on Domestic Violence in Child Welfare

Conditions
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Multiple Forms of Child Abuse, Domestic Violence

Intervention / Treatment
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* Other: Adult and Child Survivor Centered Approach


Participation Criteria
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Eligibility Criteria
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There are several aspects to study. Data collection strategies have distinct eligibility criteria. These are described below. Overall Study Inclusion Criteria: Staff members of child welfare agencies and community partners, and the families experiencing domestic served in the intervention and comparison sites. Exclusion Criteria: All non-staff members of child welfare agencies and community partners, and the families experiencing domestic served in the intervention and comparison sites. Caseworker, Supervisor, Community Partner Self-Survey Inclusion Criteria: Staff members of child welfare agencies and community partners in the intervention and comparison sites. Exclusion Criteria: All non-staff members of child welfare agencies and community partners in the intervention and comparison sites. Caseworker Case Specific Survey Inclusion Criteria: Caseworkers (i.e., case carrying) in the intervention and comparison sites. Exclusion Criteria: Anyone who is not a caseworker in the intervention and comparison sites. Inclusion Criteria by case. The following criteria must be met to be included in case-specific survey: Newly investigated cases (i.e., cases that have been screened in for a response - investigation, alternate response - within the research period, in other words, not cases that have been open for DV for a while with no recent new reports) Subject to investigation or alternative response Active DV Cases (defined by type - partner violence and time -within the last year - of violence/cc All survivors (inclusive of all gender identities) Only if survivor whereabouts are known Only families with at least one child that is or under 10 years old Served by standard (i.e., not adolescent or youth units) All relationships included (i.e., no type of relationship excluded) 4. Adult Survivor Survey Inclusion criteria: Adult survivors of domestic violence who are part of a case that met the criteria of case specific survey and a case specific survey has been completed on that case. Exclusion criteria: Anyone who is not an adult survivor of domestic violence and/or are not part of a case that met the criteria of case specific survey and/or a case specific survey has not been completed on that case. 5. People Who Use Violence web-based survey Inclusion criteria: People who use violence who are part of a case that met the criteria of case specific survey and a case specific survey has been completed on that case. Exclusion criteria: People who do not use violence and/or who are not part of a case that met the criteria of case specific survey and/or a case specific survey has not been completed on that case.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Implementation of the Adult and Survivor Centered Approach. | Other: Adult and Child Survivor Centered Approach<br>* Child welfare workers and supervisors, and community partners will be trained in the Adult and Child Survivor Centered Approach, and supervisors will receive ongoing coaching and training.<br>|
| No Intervention: Comparison<br>No implementation of intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline child safety at 6 months | Administrative data: maltreatment report, type of maltreatment | Baseline and six months later | 
| Change from baseline child residence permanency at 6 months | Administrative data: residence stability measured by type of residence and time in care | Baseline and six months later | 
| Change from baseline child education stability at 6 months | projected created items on surveys; caseworker survey and survey of parent (adult survivor) report of frequency of changes in educational setting, frequency of suspensions/expulsions | Baseline and six months later | 
| Change from baseline child exposure to domestic violence at 6 months | projected created items on surveys; caseworker survey and survey of parent (adult survivor); report of exposure | Baseline and six months later | 
| Change from baseline child social and emotional abilities at 6 months | projected created items on surveys; caseworker survey and survey of parent report of perception of social and emotional abilities | Through study completion, an average of 1 year | 
| Change from baseline child emotional and social development at 6 months | projected created items on surveys; caseworker survey and survey of parent; report of perception of child's emotional and social development | Through study completion, an average of 1 year | 
| Change from baseline child physical health at 6 months | projected created items on surveys; caseworker survey and survey of parent; report of perception of child's physical health | Baseline and six months later | 
| Change from baseline child supportive relationships with specific individuals at 6 months | projected created items on surveys; caseworker survey and survey of parent; report of child's supportive relationships | Baseline and six months later | 
| Change from baseline person who uses violence use of domestic violence/coercive control | projected created items on surveys; self-report of person using violence and adult survivor report of violence; frequency and type of violence used | One time point (retrospective pre and post) and Baseline and six months later | 
| Change of person who uses violence understanding of the nature, and dynamics, and impact of DV on adult and child survivors | projected created items on surveys; self-report of person using violence and adult survivor report | One time point (retrospective pre and post) and Baseline and six months later | 
| Change person who uses violence blaming adult survivor and justification for violence | projected created items on surveys; self-report of person using violence and adult survivor report | One time point (retrospective pre and post) and Baseline and six months later | 
| Change person who uses violence understanding of healthy relationships | projected created items on surveys; self-report of person using violence and adult survivor report | One time point (retrospective pre and post) and Baseline and six months later | 
| Change person who uses violence positive parent-child interactions | projected created items on surveys; self-report of person using violence and adult survivor report | One time point (retrospective pre and post) and Baseline and six months later | 
| Change from baseline adult survivor safer and more stable conditions at 6 months | projected created items on surveys; self-report adult survivor report of violence - frequency and type of violence used, assessment of risk level of violence, employment and housing stability | Baseline and six months later | 
| Change from baseline adult survivor social, cultural, and spiritual connections at 6 months | projected created items on survey, self-report by adult survivor | Baseline and six months later | 
| Change from baseline adult survivor resilience and growth mindset at 6 months | projected created items on survey,, self-report by adult survivor | Through study completion, an average of 1 year | 
| Change from baseline adult survivor nurturing parent-child interactions at 6 months | projected created items on survey, self-report by adult survivor | Baseline and six months later | 
| Change from baseline adult survivor social and emotional abilities at 6 months | projected created items on survey, self-report by adult survivor | Baseline and six months later |