Clinical trial NCT05475457: Oregon Supplement: Supporting Sustainable Positive Interactions in the Child Welfare System: The R3 Supervisor Strategy
Official title: Oregon Supplement: Supporting Sustainable Positive Interactions in the Child Welfare System: The R3 Supervisor Strategy
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Evidence-Based Practice
Lead sponsor: Oregon Social Learning Center
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
First posted: 2022-07-27
Enrollment: 404
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Study participants include casework supervisors in the child welfare system (CWS) from two counties most heavily impacted by the opioid and methamphetamine crisis (Lane and Douglas county).

Brief summary: This administrative supplement capitalized on the preliminary positive outcomes from the primary parent grant award (R01DA040416), and lessons learned from the implementation of the R3 Supervisor Strategy (R3) throughout the participating four regions (12 counties) in Tennessee. This project aimed to pilot the implementation of R3 with a new sample, a cohort of counties in Oregon particularly affected by the current opioid epidemic, for potential scale-up.

Detailed description: Oregon currently is experiencing a crisis within its Child Welfare System (CWS), with combined challenges within the workforce and departmental support, and a staggering rise in referrals for parental substance abuse. The R3 Supervisor Strategy (R3) provides training, consultation, and fidelity-monitoring to supervisors in the CWS, who are centrally positioned between caseworkers (who have daily interactions with CWS-involved families) and leadership (who make decisions that affect the organization in which families receive services). Supervisors are trained to implement key reinforcement strategies that make up the three Rs including reinforcement of (1) effort, (2) relationships and roles, and (3) small steps toward goal achievement. R3 is relatively easy to learn and sustain and has demonstrated promise in improving CWS outcomes in the parent grant award (R01DA040416). Because many of the counties most impacted by the opioid crisis are rural and under-resourced, an approach like R3 provides the opportunity to introduce evidence-based strategies to these regions where it otherwise is not feasible to adopt more intensive services. This study utilized the same Hybrid Type II design as its parent grant in which supervisors and caseworkers from two Oregon counties particularly affected by the substance abuse crisis were recruited to to provide a pilot assessment of the effectiveness of R3 with an emphasis on referrals for opioid and methamphetamine use (Aim 1). In doing so, the study also sought to modify the R3 training materials to emphasize examples of working with families referred for parental substance abuse (Aim 2) and replicate the preliminary findings from the parent grant, providing pilot data for a larger state scale-up of R3. This administrative supplement allowed an initial assessment to identify if R3's strategies are profound enough to impact the most challenging systems, faced with the most challenging public health crisis presented currently-the impact of the opioid epidemic on families.

Eligibility criteria: Inclusion Criteria:

* Oregon Child welfare workforce employee in a participating county.

Exclusion Criteria:

- Contract Workers

Primary outcomes:
measure: Mean Changes in Organizational Support of Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Assistance Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organization Keeping Others Informed of Evidence-Based Practices Changes and Needs from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organizational Climate for Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organizational Focus on Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organization's Educational Support for Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Recognition for Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Rewards for Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organization's Selection for Evidence-Based Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in the Organization's Selection for Openness to New Practices from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Self-Reported Leadership Abilities for Implementation from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Self-Reported Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Self-Reported Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Self-Reported Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Self-Reported Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Leadership Ability for Implementation from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Supervisors' Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Commitment to Implementing Changes from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Effectiveness in Implementing Changes from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
measure: Mean Changes in Organizational Readiness to Implement Changes from Baseline to 18-Months Post-Baseline
timeFrame: Baseline to 18-months Post-Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Eugene
country: United States
facility: Oregon Social Learning Center
state: Oregon
Study officials:
affiliation: OSLC
name: Lisa Saldana, PhD
role: PRINCIPAL_INVESTIGATOR
References: