A Randomized Trial of Wraparound Facilitation Versus Usual Child Protection Services

Dillon T. Browne, Sofia Puente-Duran, Aron Shlonsky, Lehana Thabane, Dominic Verticchio

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

Abstract

Objective: To evaluate whether the addition of a wraparound facilitator to regular child protection services improved child and family functioning over 20 months. Method: A single blind randomized controlled trial with concealment and stratification across three sites (N = 135 eligible families with substantiated maltreatment). Results: Based on 2 × 2 mixed analysis of variance and intention to treat, both groups improved in child impairments, d = −.60 [−.81, −.39], caregiver psychological distress, d = −.33 [−.52, −.13], and family resources, d =.44 [.27,.62]. No measurable benefit was associated with the intervention (e.g., child impairments, d =.14 [−.12,.52]). However, treatment fidelity analysis revealed that many components of wraparound were either missing or present in both groups. Conclusions: The presence of a facilitator alone did not appear to improve child or family functioning if the various components of wraparound were not adequately implemented.

Original languageEnglish
Pages (from-to)168-179
Number of pages12
JournalResearch on Social Work Practice
Volume26
Issue number2
DOIs
Publication statusPublished - Mar 2016
Externally publishedYes

Keywords

  • child abuse
  • child neglect
  • child welfare
  • community intervention
  • RCT

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