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Experiment on Children
September 14, 2008 permalink
When a child is in need, the best help comes from:
The Children's Aid Society of Hamilton is engaged in a study to prove that d is the correct answer. Five hundred Hamilton children have been enrolled in a study to determine the value of differential response and wraparound services. Does that phrase make you feel warm and cuddly?
Children separated from their parents by force of arms are easy prey for junk science experiments. The large number of children required may explain the greed of Hamilton CAS in taking children.
Below we have captured most of a webpage announcing the study. Refer to the source for the complete page. Under "Genders Eligible for Study" it lists "Both". The politically correct children's aid society has gone back to admitting there are only two sexes.
Comparing Usual CAS Care With Differential Response and Wraparound Services
This study is currently recruiting participants.
Verified by Hamilton Children's Aid Society, November 2006
Sponsored by: Hamilton Children's Aid Society Information provided by: Hamilton Children's Aid Society ClinicalTrials.gov Identifier: NCT00397085
The purpose of this study is to compare 250 children randomly assigned to receive usual Children's Aid Society (CAS) care versus 250 children allocated to receive differential response wraparound service in 5 regions in the Hamilton-Niagara areas. Who (children and families) with what characteristics and available resources (themselves and within the 5 participating communities) most benefits from which approach to CAS care at what expense?
Condition Intervention Child Abuse Behavioral: child abuse
- Study Type:
- Study Design:
- Prevention, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
- Official Title:
- The Comparative Effects and Expense of Augmenting Usual Children's Aid Society Care With Regional Differential Response and Wraparound Prevention Service Referred to the Care of Children's Aid Societies
Further study details as provided by Hamilton Children's Aid Society:
Primary Outcome Measures:
- Sociodemographic questionnaire (brief child and family phone intake - BCFPI)
- Family history (social, psychiatric, biological)
- Family resource scale and items
- Record abstraction
- Suter (2003) Wraparound Fidelity Index 3.0 (caregiver and youth forms)
- Debicki (2004) Ontario Wraparound Fidelity Index (Facilitator form)and wait time for services
- Canadian Community Health Survey (CCHS) Wellbeing and Kessler 10 Measure of Axis 1 disorders
- Child and Youth Resiliency questionnaire (Donnon and Hammond 2005) strength approach
- Hodges (1997) child and adolescent functional assessment scale (deficit approach CAFAS)
- NLSCY infant development measures
- Restrictiveness of living environmental scale (ROLES) number of moves and months involved with child family CAS welfare service
- Browne (2006) Health and Social Service Utilization questionnaire (costs)
- Browne (2004a) measuring inter-sectoral agency integration
- Community resource team assessment (adapted from Walker, 2003)
Secondary Outcome Measures:
- Follow-up measures at 1 year and 2 year follow-ups.
- Estimated Enrollment:
- Study Start Date:
- October 2006
- Estimated Completion:
- September 2009
The number of children in child welfare care has increased from 10,000 in the early 1990s to over 18,000. Ontario spends $1.1 billion a year on direct child welfare services, more than twice as much as spent in the late 1990s, with the majority of these resources spent on investigation instead of treatment. In response to this situation, Differential Response models, sometimes called alternative, multiple or integrated system responses, have been implemented in the US, Australia and Canada and are all at the beginning stages of systematic evaluation. These models will help prevent maltreatment cases from becoming ongoing protection cases, or the children ending up in out of home or community placements, and reduce the amount of time in Children's Aid Society care. This research will show the benefits and costs of a differential response approach to Children's Aid Society care, specifically in the Hamilton-Niagara Region.
A majority of substantiated cases (89%) are not severe and therefore have the potential to be diverted from or exit earlier from the protection service of Children's Aid Societies. Communities can design service responses for families without opening (or closing more quickly) a child protection case thereby avoiding highly intrusive and often adversarial service. This alternative response has been called differential response and includes interagency and intersectoral partnerships and community development.
Therefore our purpose is to assess the cost-effectiveness of this differential response wraparound model, in 5 Children's Aid Societies within Hamilton-Niagara Region, in preventing maltreatment cases from either becoming ongoing protection cases, or the children ending up in out-of-home of out-of-community placements, as well as reducing the amount of time in Children's Aid Society care as compared to usual Children's Aid Society risk assessment and protection service alone.
We anticipate a sample size of 500 children randomly selected to receive usual care (250 children) versus differential response wraparound service (250 children). All cases will receive a 1 year follow-up and half will receive a 2 year follow-up during the 3 year study. Decisions for extending the follow-up for the second half of the participants can be made later.
- Genders Eligible for Study:
- Accepts Healthy Volunteers:
- Newly referred substantiated moderate to high risk cases of child maltreatment and/or their families
- Safety risk for mom too high (dad unaware mom working with CAS)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00397085
Dominic Verticchio, ED
905 560 8417
Gina Browne, PhD
905 525 9140
LocationsHamilton Children Aid Society RecruitingHamilton, Ontario, Canada, L8N 4B9
Contact: Dominic Verticchio, ED905 560 8417Contact: Gina Browne, PhD
firstname.lastname@example.org 525 9140 ext 22293Principal Investigator: Dominic Verticchio, ED
Sponsors and CollaboratorsHamilton Children's Aid Society
InvestigatorsPrincipal Investigator:Dominic Verticchio, ED
Hamilton Children's Aid Society
- Study ID Numbers:
- First Received:
- November 6, 2006
- Last Updated:
- November 6, 2006
- ClinicalTrials.gov Identifier:
- Health Authority:
- Canada: Ethics Review Committee
Keywords provided by Hamilton Children's Aid Society:
children's aid society
integration of services
ClinicalTrials.gov processed this record on September 12, 2008
Source: US National Institute of Health