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Www.cebc4cw.org September 2014. The California Evidence-Based Clearinghouse for Child Welfare (CEBC) In 2004, the California Department of Social Services,

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Presentation on theme: "Www.cebc4cw.org September 2014. The California Evidence-Based Clearinghouse for Child Welfare (CEBC) In 2004, the California Department of Social Services,"— Presentation transcript:

1 September 2014

2 The California Evidence-Based Clearinghouse for Child Welfare (CEBC) In 2004, the California Department of Social Services, Office of Child Abuse Prevention contracted with the Chadwick Center for Children and Families, Rady Children’s Hospital-San Diego in cooperation with the Child and Adolescent Services Research Center to create the CEBC. The CEBC website was launched on 6/15/06. The mission of the California Evidence-Based Clearinghouse for Child Welfare (CEBC) is to advance the effective implementation of evidence-based practices for children and families involved with the child welfare system. September 2014

3 The CEBC Website: A searchable database of programs that can be utilized by professionals that serve children and families involved with the child welfare system. Each program description contains easily accessible and vital information, including, at a minimum, a CEBC Scientific Rating, citations and summaries of relevant published peer-reviewed research studies conducted on the program, a brief description of the program, and training and contact information. September 2014

4  Technical Assistance to advance the use of EBPs that address the needs of California Counties  Informal consultation to those outside of California to help advance the use of EBPs that address the needs of their systems (additional web-based resources to be available in 2015) CEBC Beyond the Website September 2014

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6 Advisory Committee California DSS - Child and Family Services Division County Child Welfare Departments County Welfare Directors Association of California California Child Welfare Training Organizations Public & Private Community Partners National Child Welfare Consultants Guidance for the CEBC September 2014

7 Implementation Science Panel Greg Aarons, PhD-University of California, San Diego Mark Chaffin, PhD-University of Oklahoma Health Sciences Center Patti Chamberlain, PhD-Oregon Social Learning Center Larry Palinkas, PhD-University of Southern California, School of Social Work Sonja Schoenwald, PhD-Medical University of South Carolina Guidance for the CEBC September 2014

8 Scientific Panel Scientific Panel Richard P. Barth, PhD - University of Maryland Lucy Berliner, MSW - Harborview Clinic for Sexual Assault & Traumatic Stress Mark Chaffin, PhD - University of Oklahoma Health Sciences Stan Huey, Jr., PhD University of Southern California Laurel Leslie, MD, MPH - Tufts University School of Medicine Benjamin E. Saunders, PhD - Medical University South Carolina Haluk Soydan, PhD - University of Southern California September 2014

9 CEBC Team CEBC Team Chadwick Center for Children and Families Rady Children's Hospital-San Diego Charles Wilson, MSSW Project Director Cambria Rose Walsh, LCSW Project Manager Jennifer Demaree, MS Content and Design Specialist Chris Perkins Project Analyst John Landsverk, PhD Scientific Director Jennifer Rolls Reutz, MPH Research Program Specialist Rhonda Williams, MA Research Associate Molly Robb Project Coordinator September 2014

10 What is Evidence-Based Practice (EBP)? September 2014

11 CEBC’s Definition of EBP for Child Welfare & Consistent with Family Client Values Best Clinical Experience Best Research Evidence EBP [Institute of Medicine (IOM), 2001] September 2014

12 The CEBC Review Process September 2014

13 CEBC Process Identify topic areas Review research on each program Narrow down program list Work with program representative to gather information Rate program, if applicable September 2014

14 Scientific Rating Process The Scientific Rating Scale September 2014

15 Scientific Rating Scale [**Based on a Continuum**] NR September 2014

16 Best Research Evidence September 2014

17 Important Concepts Randomized Controlled Trial Peer-Reviewed September 2014

18 2+ rigorous randomized controlled trials (RCTs) One RCT has shown practice to have sustained effect of at least one year beyond the end of treatment 1 = Well-Supported by Research Evidence September 2014

19 1+ RCTs One RCT has shown practice to have a sustained effect of at least six months beyond the end of treatment 2 = Supported by Research Evidence September 2014

20 At least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) has established the practice's benefit over the control, or found it to be comparable to a practice rated a 1, 2, or 3 on this rating scale or superior to an appropriate comparison practice 3 = Promising Research Evidence September 2014

21 Two or more randomized controlled trials (RCTs) have found the practice has not resulted in improved outcomes, when compared to usual care Preponderance of evidence does not support the efficacy of the practice 4 = Evidence Fails to Demonstrate Effect September 2014

22 If multiple outcome studies have been conducted, the overall weight of evidence suggests the intervention has a negative effect upon clients served. and/or There is case data suggesting a risk of harm that: a)was probably caused by the treatment; and b) the harm was severe and/or frequent and/or There is a legal or empirical basis suggesting that, compared to its likely benefits, the practice constitutes a risk of harm to those receiving it. 5 = Concerning Practice September 2014

23 There is no case data suggesting a risk of harm that: a) was probably caused by the treatment; and b) the harm was severe and/or frequent There is no legal or empirical basis suggesting that, compared to its likely benefits, the practice constitutes a risk of harm to those receiving it. The practice does not have any published, peer-reviewed study utilizing some form of control that has established the practice's benefit over the control, or found it to be comparable to a practice rated 3 or higher on the CEBC or superior to an appropriate comparison practice. The practice does not meet criteria for any other level on the CEBC Scientific Rating Scale. NR = Not able to be Rated September 2014

24 Strengths & Limitations Rating scale is clear cut Numbering system is easy to follow May miss high quality research and null studies by relying on published, peer- reviewed research September 2014

25 Medium: Designed or is commonly used for populations similar to child welfare clients. Child Welfare System Relevance Level High: Designed or commonly used for child welfare clients. Low: Designed for populations with little apparent similarity to the child welfare services population. September 2014

26 CEBC Process Identify topic areas Review research on each program Narrow down program list Work with program representative to gather information Review each program and rate, if applicable Post program information September 2014

27 Total= 339 programs as of September 30, 2014 Number of Programs by Rating September 2014

28 We also examined whether programs had included outcomes from the Child and Family Services Reviews in their published, peer- reviewed research: Safety Permanency Well-Being *In order to determine whether the program addressed a particular Child Welfare Outcome, the research evidence must include studies evaluating measures relevant to that Child Welfare Outcome. Child Welfare Outcomes September 2014

29 What You Can Find on the CEBC Website September 2014

30 Topics Currently on the Website 41 topics are clustered in the following areas: Anger Management, Domestic Violence, and Substance Abuse Behavior Management including Parent Training Core Child Welfare Services including Placement and Reunification Engagement and Parent Partnering Programs Mental Health Prevention and Early Intervention Support Services for Youth in the Child Welfare System September 2014

31 Other Resources on the CEBC Website September 2014

32 Implementation Tools- Selection Guide Selecting a practice that is a good fit with one's organization goes beyond choosing a practice that is scientifically rated a "1" on the website. The Selection Guide is based on the work of Trisha Greenhalgh and her colleagues (2004). Greenhalgh conducted a systematic literature review that addressed the question: "How can we spread and sustain innovations in health service delivery and organization?" Using the key findings of this review, we have designed the Selection Guide which is posted on the CEBC website. This guide is designed to assist child welfare professionals in selecting which practices highlighted on the CEBC website to implement in their agency. September 2014

33 Online Trainings Recordings of Webinars Approaches and Outcomes for Implementing Evidence-Based Practices in Child Welfare Assessing Evidence-Based Practices in Child Welfare: A Benefit-Cost Approach Evidence-Based Treatments (EBTs) for Ethnic Minority Youth: What We Know and What We Don’t Know Integrating Evidence-Based Practice into Strategic Planning: Building an Evidence-Based Continuum of Services Knowing the Best of What’s Out There: Understanding and Identifying Evidence-Based Practices in Child Welfare Parenting Programs for Children Birth-8: What is the Evidence and What Seem to be the Common Components? "So Much Trauma, So Many Interventions: How Do We Choose?“ (Parts 1 and 2) September 2014

34 Practical Application of the CEBC Website September 2014

35 Using the Website Basic information is provided in the brief outline More detailed information allows a user to drill down to get further information: Research Information that helps plan implementation strategy (Training, Identified Resources, Minimum Provider Qualifications) September 2014

36 Finding Information Fast Using the Search Tools –Aside from searching by program name, the website allows one to quickly identify programs by: Topic Area Scientific Rating Child Welfare System Relevance Level Child Welfare Outcomes Age of Child September 2014

37 Information for Students and Professors Sample Lesson Plan for using the CEBC in the classroom How to Conduct a Literature Review Other information on how the CEBC can be helpful for students and professors September 2014

38 For More Information about the CEBC: Sign up for Alerts of new programs and content: alertswww.cebc4cw.org/ - alerts Visit the Website: Contact Us – 38 September 2014

39 For More Information: Cambria Rose Walsh, LCSW, Project Manager Chadwick Center- Rady Children’s Hospital-San Diego CEBC CEBC Website: September 2014


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