Title IV-E Waiver Demonstration

SRI is evaluating the federally funded Utah Title IV-E waiver demonstration looking at the effect of four components:

1. An evidence-based assessment adapted from the Child and Adolescent Needs and Strengths (CANS) assessment
2. A caseworker-led in-home family focused intervention (The Strengthening Families Protective Factor Framework, SFPF)
3. Trauma-informed care
4. Identification and building an array of services in the community to meet the needs of the target population including implementation of the Systematic Training for Effective Parenting (STEP) program

Desired outcomes include:

1. Increased child well-being
2. Reduced foster care use
3. Shorter length of foster care stays
4. Decreased further abuse and/or neglect
5. Cost neutrality or savings

The evaluation includes a process evaluation which focuses on the degree to which principles of implementation science are used along with measurement of evidenced based training and fidelity to each waiver component. The outcome evaluation uses a multi-group time series approach but incorporates analysis strategies similar to multilevel growth models. The cost analysis examines the specific cost components for services provided during the demonstration. Funding sources include Title IV-A, Titles IV-B, Title IV-E, Title XX, all state and local funds.

SRI’s partners on the project include the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Department of Pediatrics, University of Colorado School of Medicine; the Louis de la Part Florida Mental Health Institute (FMHI), University of South Florida; and the Department of Economics at the University of Utah.

Key Research Personnel

• Mindy Vanderloo, Ph.D.
• Mike Tanana, Ph.D.
• Kristen West, M.P.A.
• Allison O'Connor, M.S.W.
• Rod Hopkins, M.S.

 

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