Abstract
The Interdisciplinary Collaborative Team (ICT) strategy uses front-line providers as adaptation, training and quality control agents for multi-agency EBT implementation. This study tests whether an ICT transmits fidelity to subsequent provider cohorts. SafeCare was implemented by home visitors from multiple community-based agencies contracting with child welfare. Client-reported fidelity trajectories for 5,769 visits, 957 clients and 45 providers were compared using three-level growth models. Provider cohorts trained and live-coached by the ICT attained benchmark fidelity after 12 weeks, and this was sustained. Hispanic clients reported high cultural competency, supporting a cultural adaptation crafted by the ICT.
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Acknowledgments
This study was supported by Grant R18CE001334 from the U.S. Centers for Disease Control and Prevention (CDC) to the University of Oklahoma Health Sciences Center, with Mark Chaffin as PI. Support for the SafeCare implementation initiative was provided by the United Way of San Diego. The contents of this report are solely the responsibility of the authors and do not necessarily represent the views of the CDC or any other supporting organizations or individuals. The authors wish to recognize the support and contributions of the community-based organizations providing San Diego County Community Services for Families. We also wish to recognize the contributions of San Diego County Child Welfare Services, United Way of San Diego, and the National SafeCare Training and Research Center. Additional thanks go out to Roseann Myers, Mary Harris, Richele Swagler, Charles Wilson, Clorinda Merino, Steve Ross, Tia McGill, Courtney Jones, John Lutzker, Dan Whitaker, Jane Silovsky, Darden White, Anna Edwards-Gaura, Jennifer Perrot, Amanda Zimmerman, John Landsverk, and David Bard. A version of this paper was presented at the 22nd NIMH Conference on Mental Health Services Research, April 2, 2014.
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Chaffin, M., Hecht, D., Aarons, G. et al. EBT Fidelity Trajectories Across Training Cohorts Using the Interagency Collaborative Team Strategy. Adm Policy Ment Health 43, 144–156 (2016). https://doi.org/10.1007/s10488-015-0627-z
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DOI: https://doi.org/10.1007/s10488-015-0627-z