An interventional study of Collaborative Care in Child Abuse, Primary Health Care and Child Welfare, sponsored by University of Utah. Completed at 1 site in United States. Open to participants aged 0 Days to 364 Days. Per ClinicalTrials.gov, last updated 2020-11-10.
Sponsored by University of Utah · Not applicable, Interventional, and Supportive care
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?
University of Utah is the lead sponsor of 969 studies on the registry; 178 are open to participants now.
Of its 107 completed or terminated interventional studies of FDA-regulated products, 62 (58%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
For the primary and selected secondary outcomes,
For other secondary outcomes related to CPS outcomes, language exclusion will not be considered.
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the collaborative practice, the caseworkers will conduct a standard CPS investigation. Additionally, caseworkers will seek parental permission to contact an identified primary health care provider at two points in the CPS investigation for information sharing related to health needs, social risks, and recommended interventions.
Other: Collaborative Care
CPS caseworkers will be randomized to collaborative or comparison practice. For any infant investigated by a caseworker in the comparison practice, the caseworkers will conduct a standard CPS investigation.
CPS caseworkers will explain collaborative care to parents, ask parents to allow communication with an infant's primary care provider, and have willing parents sign a release allowing communication with the infant's provider during the investigation. Caseworkers will make at least two attempts to contact identified providers with parental consent. In the first week, caseworkers will contact the provider, identify the infant, and summarize the child maltreatment concerns. The caseworker will ask whether the provider recognizes any additional strengths or vulnerabilities for the infant. Prior to case closure, caseworkers will provide a summary of investigation findings, disposition, and service referrals including placement changes, safety planning, family preservation, and community resources, with a summary letter delivered to the provider after case closure.
Infant Health Related Quality of Life
Difference in Change in Infant Health Related Quality of Life based on practice arm
Time frame: Change from baseline to 6 months following CPS case closure
Parent Perception of Child Welfare and Child Health Care
Difference in parent perceptions of child welfare and child health care based on practice arm
Time frame: at baseline (child welfare) and at 6 months (child health care)
Repeat Child Welfare Involvement
Repeat Child Welfare Involvement
Time frame: 6 months after CPS case closure
Engagement of child welfare caseworkers
Proportion of eligible cases investigated that were offered collaborative practice
Time frame: baseline
Acceptance of parents
Proportion of cases offered collaborative practice in which parents allowed practice
Time frame: baseline
Recruiting and retention of high-risk longitudinal cohort
Proportion of eligible cases willing to enroll in and follow-up with researchers
Time frame: baseline and 6 months
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.
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University of Utah