Clinical trial NCT03199326: Collaborative Care for Infants at Risk
Official title: Collaborative Care for Infants at Risk
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Child Abuse
Primary Health Care
Child Welfare
Lead sponsor: University of Utah
Sponsor class: OTHER
Collaborators: name: Robert Wood Johnson Foundation
First posted: 2017-06-26
Enrollment: 468
Sex: ALL
Minimum age (years): 0
Maximum age (years): 364
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study evaluates the feasibility, acceptability, and impact of a collaborative care practice for infants investigated by state Child Protective Services (CPS) for suspected maltreatment. Recognizing the vulnerability of infants referred into CPS in the first year of life, as well as the frequent contact of infants with health care providers in the first year of life, the investigators will conduct a RCT to measure the impact of a collaborative practice model linking CPS caseworkers with primary health care providers during an investigation for suspected infant maltreatment. With this trial, the investigators will ask (3a) Can a collaborative practice model improve parent-reported infant health-related quality of life 6 months following child welfare involvement for suspected infant maltreatment? and (3b) Does a collaborative practice model impact repeat child welfare involvement for suspected child maltreatment over 6 months?


Eligibility criteria: Inclusion Criteria:

* Less than 12 months of age at referral
* Involved in a child welfare investigation for suspected maltreatment
* Investigation occurring in Utah DCFS Salt Lake Valley or Western regions

Exclusion Criteria:

For the primary and selected secondary outcomes,

* Caregiver with primary spoken language other than English or Spanish,
* CPS caseworkers not yet randomized to a practice arm
* Infants in out-of-home placement at the time of referral or case closure,
* Infants suffering fatal maltreatment
* Prior investigation of an infant in a household during study timeframe (e.g., twins, infant siblings, and repeat referrals will be excluded).

For other secondary outcomes related to CPS outcomes, language exclusion will not be considered.

Primary outcomes:
measure: Infant Health Related Quality of Life
timeFrame: Change from baseline to 6 months following CPS case closure
Secondary outcomes:
measure: Parent Perception of Child Welfare and Child Health Care
timeFrame: at baseline (child welfare) and at 6 months (child health care)
measure: Repeat Child Welfare Involvement
timeFrame: 6 months after CPS case closure
Other outcomes:
measure: Engagement of child welfare caseworkers
timeFrame: baseline
measure: Acceptance of parents
timeFrame: baseline
measure: Recruiting and retention of high-risk longitudinal cohort
timeFrame: baseline and 6 months
Locations:
city: Salt Lake City
country: United States
facility: The Center for Safe and Healthy Families, Primary Children's Hospital Eccles Outpatient Building, 81 North Mario Capecchi Dr 4E-200
state: Utah
Study officials:
affiliation: University of Utah
name: Kristine A Campbell, MD, MSc
role: PRINCIPAL_INVESTIGATOR
References: