Evaluating a One-Year Version of the Parent-Child Assistance Program

Conditions

• Alcohol Use Complicating Pregnancy, Unspecified Trimester
• Alcohol Use Disorder
• Drug Use Complicating Pregnancy, Unspecified Trimester
• Drug Use Disorders
• Substance Use Disorders

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Parent-Child Assistance Program - One-Year Version — BEHAVIORAL
  Case managers work closely with parents over the course of one year, meeting them in their own homes when possible, to help them set goals and take advantage of available resources.

Study Details

The proposed project seeks to achieve three objectives that will, collectively, evaluate the effectiveness of a one-year version of the Parent-Child Assistance Program (PCAP-1) -a model for a home visitation and case management program for parents who used substances. First, the proposed project aims to estimate the causal impact of PCAP-1 on preventing the need for foster care and promoting reunification. Second, the project will estimate PCAP-1's effectiveness in achieving other program goals: parent recovery, parent's connection with needed comprehensive community resources, and preventing future children from being exposed to drugs and alcohol. Finally, causal evidence of program effectiveness across the prior two objectives would enable PCAP-1 to be rated according to strength of evidence on relevant federal registries (i.e., FFPSA and HOMEVEE). All objectives will be pursued with substantial backing from public and private partners, including the Oklahoma Department of Human Services (OK's Title IV-E agency). This quasi-experimental project will recruit 40 new participants to receive one year of PCAP-1 services. It will use administrative data on participants from the Oklahoma Department of Human Services for the control group. Given that the population PCAP serves are disproportionately poor and low-income and PCAP is designed to be culturally competent and relevant, PCAP-1 harbors the potential to address inequities in child welfare outcomes, substance use disorder treatment services, and child and family well- being by improving outcomes for these families. With a strong backing by state agencies and community partners, the evaluation of PCAP-1 will contribute to a knowledge gap in the field for in-home program models serving a highly vulnerable population with high rates of child welfare involvement and use of foster care.

Key Dates

Start date

Jun 23, 2025

Status verified

Jun 2025

Primary completion

Sep 29, 2026

Completion

Sep 30, 2026

Study Design

Enrollment

80 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Arms

• Experimental: Treatment Group
  The treatment group consists of parents who meet our eligibility criteria. Parents in the treatment group will receive PCAP-1 services through the work of highly trained, closely-supervised case managers.
• No Intervention: Control Group
  The control group consists of parents who meet our eligibility criteria and are part of administrative data from the Oklahoma Department of Human Services in a comparable county to our intervention county, or from prior historical cases within the same county. Parents in the control group can access "services as usual" in the community, but will not receive PCAP in any form.

Primary Outcome Measure

Proportion of target children not placed in foster care [ Time Frame: Measured after 1 year of study participation. ]

Central Contacts

• Julie Gerlinger, PhD
  405-325-1751
  [email protected]

Locations (2)

Find similar trials in Enid, OK

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