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Presentation Overview
Why braided curriculum? SafeCare Overview
Development of PATSCH Project Overview
Preliminary Data & Provider Feedback Safety & Health Modules
Audience Poll
How many of you deliver more than one program or
model to your families?
PATSCH
Parents as Teachers + SafeCare® at Home Randomized Controlled Trial funded by Annie E. Casey
Foundation
Research question: Does combining PAT and SafeCare
result in better outcomes for families?
Examining parenting outcomes, child developmental
outcomes, school readiness and overall risk for child maltreatment
Development of PATSCH
No panaceas
Need for collaboration
Georgia PAT Leader approaches SafeCare
PATSCH is proposed & created
SafeCare
Parent training program
Birth to 5
Focuses on
Parent-child and parent-infant interaction Child health
SafeCare Modules
Parent-Infant Interaction (0 – walking) Developmental milestones Bonding skills Parent-Child Interaction (walking – 5) Developmental milestones Planned Activities Training Home Safety Identifying hazards Removing hazards Child Health Heath recording chart Symptom and Illness GuideBraiding
Braiding - not altering the integrity of either curriculum,
but combining them in a unique way to create a new program
Essential to keep requirements of both programs
SafeCare visit fidelity
PAT visit essential requirements
Sessions
Session 1 [SafeCare only] • Baseline Assessment • Training Session 2 [Braided] • Training Session 3 [SafeCare only] • Training Session 4 [Braided] • Training • End-of-Module AssessmentPATSCH Tool Kit
Use of Familiar Symbols
PAT language and components
Color-coded information
Typical SafeCare outline format Specific PAT handouts Detailed session outline to reduce Parent Educator preparation time
The Study
Randomization at site level
3 states
6 PATSCH sites
7 control sites
Eligibility Criteria
Completed 5 PAT Foundational Visits Target child under age 4
Meet at least 2 high-risk criteria
Single parent Teen parent Low income
Low education level
Research Assessments
Every family complete 3 research assessments
Baseline (enrollment)
6-months post-enrollment 12-months post-enrollment
Study Measures
ACASI
Child development measures
Parent measures
Parent-Child Interaction Videos
KIPS
PICCOLO
Environmental Scan Videos
Home Accident Prevention
Inventory (HAPI)
PAT Data
Process measures
Demographics & service data
PATSCH Data
The Numbers
Control Site State # Enrolled
Child Development Association
GA 7
Prevent Child Abuse Habersham
GA 11
Sheltering Arms GA 7 Catawba County
Schools Early Head Start
NC 27
Easter Seals UCP North Carolina
NC 19
Jackson County Family Resource Center NC 1 Marlboro County School District SC 6 McCormick County Even Start Family Literacy Program
SC 14
TOTAL 91
Implementation Site State # Enrolled
Community Partnership of Elbert County
GA 12
Rockingham County Partnership for Children
NC 9
Kids Advocacy Resource Effort (KARE)
NC 8
Children & Family Resource Center
NC 7
Sampson County
Partnership for Children NC
NC 12
Beaufort-Hyde
Partnership for Children
NC 5
First Steps Parents as Teachers – District 4 of Lexington County SC 12 ParentSmart/Rock Hill School District 3 SC 2 TOTAL 67 TOTAL N = 159
Project Status
Current year: 5
Enrollment complete
Delivery of PATSCH almost complete
6-month assessments complete December 2015 12-month assessments complete June 2016
Baseline Demographics
Gender Female 145 Male 3 Participant Age Mean = 28 Range: 15 - 65 n (%) Latino Yes 53 (35.33%) No 95 (63.33%) n (%) Race White 52 (35.14%) Black 47 (31.76%) Asian/Pacific Islander 10 (6.76%) Other 34 (22.97%)Baseline Demographics
0 10 20 30 40 50 601 child 2 children 3 children 4 children 5+ children
#
of
famili
es
Baseline Demographics
Employed Yes No 0 5 10 15 20 25 30 35 40 45 50 $0 - $4,999 $5,000 -$9,999 $10,000 -$14,999 $15,000 -$24,999 $25,000 + # of famili esBaseline Demographics
46.62
29.73 14.86
8.78
Highest Completed Level of Education
< HS HS Graduate/GED
Some College College Grad (assoc. degree +)
31.08
64.86
4.06
Marital Status
Single
Married or Living with Partner Separated/Divorced/Widowed
Parent Educator Surveys
Online survey Parent educators
Trained in PATSCH Delivered PATSCH
Feedback on curriculum & implementation
Own opinion
How well, overall, did families like each module? (If you
never delivered a particular module, mark as N/A)
Please select how well, overall, you, as a provider,
liked each module. (If you never delivered a module,
mark as N/A)
Home Safety
Identify and remove safety
hazards in home
Evaluate 3 rooms Train parent
Preliminary Data
Safety
Modest correlation between # of hazards and child abuse potential Brief Child Abuse Potential (BCAP)
n = 89
mean = 4.12
Home Accident Prevention Inventory (HAPI)
n = 75
Child Health
Sick or Injured Child Chart Identify symptoms Decide what to do
Emergency Room Call the Doctor Care at Home
Symptoms & Illness Guide Prevention
Overall, how much positive change has
PATSCH made for your families?
How likely are you to recommend PATSCH to
other providers?
PATSCH Feedback
Would you like to continue to use some or all
of the PATSCH curriculum?
If you would like to use some elements of the
PATSCH curriculum, which module(s) would
you still use?
Sustainability
PAT & SafeCare National Offices The Institute for Innovation & Implementation @
University of Maryland School of Social Work
Why Braid?
Systematic and supported implementation of 2
programs together
Provide best support for high-risk families Target specific needs of all families
Katy Miller, M.Ed.
Project Coordinator
Center for Healthy Development School of Public Health
Georgia State University
Kate Guastaferro, MPH
Doctoral Candidate, Research Assistant Center for Healthy Development
School of Public Health Georgia State University
