Is a structured, manualized, evidence-based treatment protocol culturally competent and equivalently effective among American Indian parents in child welfare?
Is a structured, manualized, evidence-based treatment protocol culturally competent and equivalently effective among American Indian parents in child welfare?
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DOI：
10.1177/1077559512457239
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发表时间：
2012-08
影响因子：
5.1
通讯作者：
Maher EJ
中科院分区：
文献类型：
--
作者：
Chaffin M;Bard D;Bigfoot DS;Maher EJ
在全州范围内的实施中，手动 SafeCare 家庭模式有效减少了儿童福利累犯并产生了较高的客户满意度。文献中已经提出了对美洲印第安人结构化、手动化模型的有效性和可接受性的担忧，但很少经过直接测试。这项研究测试了美国印第安人父母减少累犯的等效性和可接受性。从一项更大规模的试验中抽取了 354 名美国印第安人父母的亚群体，该试验比较了有 SafeCare 模式模块的服务与没有 SafeCare 模式模块的服务。结果包括 6 年累犯、抑郁症和虐待儿童可能性的前/后/后续测量，以及治疗后消费者对工作联盟、服务满意度和文化能力的评级。研究发现，美国印第安人父母的累犯率减少与符合惯用 SafeCare 纳入标准的案件相同。当扩展到习惯包含范围之外的案件时，累犯没有明显的优势或劣势。与担忧相反，SafeCare 在文化能力、工作联盟、服务质量和服务效益方面的消费者评分较高。研究结果支持对符合 SafeCare 惯例纳入标准的美国印第安人父母使用 SafeCare。研究结果并不支持文献中的担忧，即手动化、结构化、基于证据的模型可能不太有效或在文化上对美洲印第安人来说不可接受。
In a statewide implementation, the manualized SafeCare home–based model was effective in reducing child welfare recidivism and producing high client satisfaction. Concerns about the effectiveness and acceptability of structured, manualized models with American Indians have been raised in the literature, but have rarely been directly tested. This study tests recidivism reduction equivalency and acceptability among American Indian parents. A subpopulation of 354 American Indian parents was drawn from a larger trial that compared services with versus without modules of the SafeCare model. Outcomes were 6-year recidivism, pre/post/follow-up measures of depression and child abuse potential, and posttreatment consumer ratings of working alliance, service satisfaction, and cultural competency. Recidivism reduction among American Indian parents was found to be equivalent for cases falling within customary SafeCare inclusion criteria. When extended to cases outside customary inclusion boundaries, there was no apparent recidivism advantage or disadvantage. Contrary to concerns, SafeCare had higher consumer ratings of cultural competency, working alliance, service quality, and service benefit. Findings support using SafeCare with American Indians parents who meet customary SafeCare inclusion criteria. Findings do not support concerns in the literature that a manualized, structured, evidence-based model might be less effective or culturally unacceptable for American Indians.
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影响因子：
3.8
作者：
Cook, Thomas D.;Shadish, William R.;Wong, Vivian C.
通讯作者：
Wong, Vivian C.
影响因子：
8
作者：
Chaffin, Mark;Hecht, Debra;Beasley, William Howard
通讯作者：
Beasley, William Howard
影响因子：
--
作者：
Miranda, J;Schoenbaum, M;Wells, K
通讯作者：
Wells, K
影响因子：
4.8
作者：
Chaffin M;Bard D
通讯作者：
Bard D
影响因子：
3.4
作者：
Beck, AT;Steer, RA;Ranieri, WF
通讯作者：
Ranieri, WF