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Date: April 30, 2024 Tue
Time: 3:53 am
Time: 3:53 am
Results for safe start promising approaches
3 results foundAuthor: Jaycox, Lisa H. Title: National Evaluation of Safe Start Promising Approaches: Assessing Program Outcomes Summary: Safe Start Promising Approaches (SSPA) is the second phase of a community-based initiative focused on developing and fielding interventions to prevent and reduce the impact of children's exposure to violence (CEV). This report shares the results of SSPA, which was intended to implement and evaluate promising and evidence-based programs in community settings, and includes all data available in the project, updating an earlier report. Fifteen program sites across the country were selected to implement a range of interventions for helping children and families cope with the effects of CEV. The settings, populations served, intervention types, types of violence addressed, community partners, and program goals differed across the 15 sites. The main body of this report provides information on the designs of the studies, instruments used, data collection and cleaning, analytic methods, and an overview of the results across the 15 sites. The appendixes provide a detailed description of the outcome evaluation conducted at each SSPA program, including a description of the enrollees, enrollment and retention, the amount and type of services received, and child and family outcomes over time. Details: Santa Monica, CA: RAND, 2011. 83p. Source: Internet Resource: Accessed November 12, 2014 at: http://www.rand.org/content/dam/rand/pubs/technical_reports/2011/RAND_TR991-1.pdf Year: 2011 Country: United States URL: http://www.rand.org/content/dam/rand/pubs/technical_reports/2011/RAND_TR991-1.pdf Shelf Number: 134022 Keywords: Children and Violence Community-Based Initiatives (U.S.) Community-Based Programs Delinquency Prevention Family Interventions Safe Start Promising Approaches |
Author: Schultz, Dana Title: National Evaluation of Safe Start Promising Approaches: Assessing Program Implementation Summary: Children's exposure to violence (CEV) - including direct child maltreatment, witnessing domestic violence, and witnessing community and school violence - can have serious consequences, including a variety of psychiatric disorders and behavioral problems, such as posttraumatic stress disorder, depression, and anxiety. Fortunately, research has shown that interventions for CEV can substantially improve children's chances of future social and psychological well-being. Safe Start Promising Approaches (SSPA) was the second phase of a planned four-phase initiative focusing on preventing and reducing the impact of CEV, sponsored by the U.S. Department of Justice's Office of Juvenile Justice and Delinquency Prevention (OJJDP). OJJDP selected 15 program sites across the country that proposed a range of intervention approaches, focused on multiple types of violence, included variations in ages and age-appropriate practices, and would be implemented in different settings. Each site participated in a national evaluation, conducted by the RAND Corporation. The evaluation design involved three components: a process evaluation, an evaluation of training, and an outcomes evaluation. This report presents the results of the first two evaluations. It describes the program and community settings, interventions, and implementations of the 15 SSPA programs for the first two years of implementation (through March 2009), as well as the training evaluation results. Details: Santa Monica, CA: RAND, 2010. 292p. Source: Internet Resource: Accessed November 12, 2014 at: http://www.rand.org/content/dam/rand/pubs/technical_reports/2010/RAND_TR750.pdf Year: 2010 Country: United States URL: http://www.rand.org/content/dam/rand/pubs/technical_reports/2010/RAND_TR750.pdf Shelf Number: 134021 Keywords: Children and Violence Community-Based Initiatives (U.S.) Community-Based Programs Delinquency Prevention Family Interventions Safe Start Promising Approaches |
Author: Schultz, Dana Title: Improving Outcomes for Children Exposed to Violence Safe Start Promising Approaches Summary: Children's exposure to violence is common and can lead to mental health problems and delinquent behaviors. Because many interventions have focused on specific violence types or symptoms and been difficult to implement in real-world settings, the evidence base is still emerging. The Office of Juvenile Justice and Delinquency Prevention's Safe Start Promising Approaches (SSPA) initiative focused on preventing and reducing the impact of children's exposure to violence through interventions in ten diverse communities. The evaluation examined the effectiveness of the SSPA interventions to address issues for children and families exposed to violence. The ten sites were diverse in their intervention approaches, types of violence exposure targeted, and implementation settings. To evaluate each approach's effectiveness in reducing violence's harmful effects, RAND researchers partnered with the community-based sites to develop a rigorous controlled evaluation design for each intervention, with either a randomized control group or a comparison group selected on similar characteristics. The longitudinal analyses found that families in both the intervention and comparison groups had positive gains on many outcomes, but there was no evidence that the intervention groups improved more. Among those who received Safe Start services, one site produced large, significant improvements in posttraumatic stress disorder symptoms, and another site produced medium, significant effects on several outcomes (child self-control, posttraumatic stress disorder, and behavior; caregiver depression; and family conflict). Although the initiative added to knowledge about how to address the problem, there was no clear case for using a particular intervention to help these children and their families. Key Findings Almost All of the Sites Succeeded in Launching Interventions Relevant to Children Exposed to Violence Almost 1,500 families received Safe Start services (and about 1,250 received comparison group services) across the ten sites. However, families did not take up the services fully, receiving fewer services than planned. Nonetheless, satisfaction with services was high. Program staff were trained in specific intervention models and brought those skills to families who might not otherwise have had access to these types of family-focused programs. Families Who Participated in Safe Start Improved over Time Analyses found positive change in many of the outcomes, with families in six of the studies showing statistically significant improvement in their primary outcomes over time (in the intervention or comparison group). Among the powered studies, there was no strong evidence that the intervention groups improved more than the comparison groups on the outcomes examined. There Was a Range of Effect Size Changes Across the Outcomes Examined For those who received Safe Start services, only one site had large significant effect size changes on outcomes (child posttraumatic stress disorder), and one site had medium significant effect size changes on multiple outcomes (child self-control, posttraumatic stress disorder, and behavior; caregiver depression; and family conflict). Otherwise, the changes in outcomes within the intervention group were generally small. Recommendations From a public health perspective, efforts to improve outcomes for children exposed to violence should include targeted, selective, and universal prevention and intervention approaches. Although there are proven and promising approaches that provide intensive services for those experiencing prolonged adjustment issues, more work is needed to see how these treatments can be delivered effectively in real-world settings. For families who have been identified as exposed to violence but who are experiencing only mild or moderate symptoms or on a path to recovery on their own, it will be necessary to explore a range of services, identify the intensity level of services and supports that might be most fruitful, and offer a flexible menu of services and supports to meet families' needs. Prevention efforts that might prepare families and communities for recovery from violence are needed. Collecting longitudinal data on children following violence exposure to learn about how they fare and recover without specialized intervention is important. Future research efforts should include evaluations of interventions at multiple levels, including community and agency prevention efforts focused on improving resilience in the face of violence; supportive and mental health early interventions geared toward helping families and children with mild to moderate symptoms; and bringing evidence-based, intensive services into the community in ways that retain their effectiveness. Details: Santa Monica, CA: RAND, 2017. 122 p., app. Source: Internet Resource: Accessed April 8, 2017 at: http://www.rand.org/pubs/research_reports/RR1728.html Year: 2017 Country: United States URL: http://www.rand.org/pubs/research_reports/RR1728.html Shelf Number: 144758 Keywords: Children and Violence Community-Based Initiatives (U.S.) Community-Based Programs Delinquency Prevention Family Interventions Safe Start Promising Approaches |