Implementing SafeCare requires partner agencies follow the evidence-based model with fidelity. NSTRC is committed to supporting partners both in maintaining fidelity and continually improving their implementations. Fidelity measurement occurs at all levels through Provider, Coach, and Trainer certification and maintenance as well as agency-level annual accreditation.
Fidelity is measured using assessment forms designed specifically for the SafeCare assessment and training sessions. These forms are used by Coaches and Trainers to assess Providers’ and Coaches’ fidelity to the model.
SafeCare Providers begin delivering SafeCare with families immediately after completing the SafeCare Provider Workshop. Providers work closely with SafeCare Coaches and Trainers to build proficiency and competency in delivering the SafeCare model. To do this, the Provider audio records sessions for the Coach or Trainer to review. Coaches/Trainers may also observe live sessions. The Coach/Trainer reviews the audio and scores fidelity, and then conducts a coaching session with the Provider before the Provider’s next session with the family. Providers are required to pass fidelity units in all modules in order to achieve certification. After certification, Providers continue to receive coaching support on a monthly basis for two years post-certification. The frequency of coaching decreases to a quarterly basis after completing twenty-four monthly fidelity checks.
Certified SafeCare Providers are eligible to become SafeCare Coaches. Coaches receive support from a SafeCare Trainer or NSTRC Training Specialist to achieve certification after completing the SafeCare Coach Workshop. To achieve Coach certification, a Coach must demonstrate reliability and fidelity to the coaching process. To assess a Coach’s reliability in scoring fidelity, the Coach and a SafeCare Trainer rate fidelity independently and compute percent agreement. To achieve fidelity in the coaching session, a SafeCare Trainer observes the subsequent coaching session between the Coach and Provider, scores the session for fidelity, and provides feedback to the Coach. Once a Coach is certified, he/she maintains certification through reliability and fidelity checks twice annually.
NSTRC requires that certified SafeCare Coaches provide coaching to Providers regularly and conduct monthly team meetings to discuss cases and the SafeCare implementation. Coaches are required to monitor the quality of SafeCare sessions either in person or through audio or video recordings.
Local sites can choose to select staff to become certified SafeCare Trainers. To become a SafeCare Trainer, NSTRC requires individuals to be a Certified Coach and have experience in delivering SafeCare sessions and coaching for at least one year. Following the Trainer Workshop, Trainer trainees must demonstrate that they can successfully train others in accordance with the NSTRC training model. Certified SafeCare Trainers can train individuals within their agency or organizations that are conducting the work of their agency.
Each year, Trainers are required to demonstrate their accuracy in assessing fidelity of Provider and Coach support sessions and workshop training skills.
In order for a Trainer to remain certified and “active”, they must complete annual tasks to maintain their Trainer Certification. The intent of SafeCare’s Trainer Certification Maintenance is to:
- Ensure the highest quality of workshop delivery for Providers and Coaches
- Promote strong support of Coaches by Trainers
- Facilitate an interactive online community among Trainers
- Provide opportunities for Trainers to obtain regular updates from the national office, and
- Complement the accreditation process
SafeCare agencies may opt to complete annual accreditation by documenting their with NSTRC implementation standards. These standards require that agencies:
(1) implement the SafeCare model as prescribed to maintain fundamental structural, measurement, and mastery criteria;
(2) conduct ongoing quality assurance of staff’s SafeCare responsibilities; and
(3) have a minimum number of Providers actively delivering SafeCare at the time of accreditation.
The National SafeCare Training and Research Center (NSTRC) conducts annual agency accreditation, in which SafeCare agencies provide documentation of compliance with the SafeCare Implementation Standards. Accreditation standards are based on the core program criteria that promotes a high quality service delivery in order to maximize the effectiveness of SafeCare for families. The NSTRC’s accreditation process also provides opportunities to obtain SafeCare program and technology updates, the latest research findings regarding SafeCare and its implementation, as well as an opportunity to highlight the strengths of an agency’s implementation and to obtain consultation about challenges or concerns.
The accreditation process begins with agency’s completing an online survey documenting alignment with SafeCare Implementation Standards. This helps an agency describe their SafeCare implementation over the last year. After the survey, NSTRC completes a follow up phone conference to discuss responses, obtain additional information/clarification as needed, and address any concerns noted in the survey. The phone discussion includes updates when available.
Cutler/Orosi Family Education Center
Earlimart/Tulare Family Resource Center
Family Services of Tulare County
Family Support Services Epiphany Center
Family Service Association Riverside
Humboldt County DHHS
JFK Memorial Foundation
Lindsay Healthy Start- Tulare County
Unified Family Resource Center–Tulare
Parenting Network Visalia
Riverside County DPSS, Children’s Services
San Diego County
Shasta County Health and Human Services, Children’s Services
Shasta Child Abuse Prevention Coordinating Council
Woodlake Family Resource Center—Tulare
Arapahoe County Early Childhood Council (ACECC)
Baby Bear Hugs
Catholic Charities Diocese of Pueblo
High Plains Community Health Center
Lutheran Family Services Rocky Mountains
Mesa County Health Department
North Range Behavioral Health
Northwest Colorado Health
Savio House Prevention
Ute Mountain Ute Tribe
Hibiscus Children’s Center
Children & Families of Iowa
Mid-Iowa Family Therapy Clinic
Family Access Center (formerly SWIAFAC)
Big Sky Therapeutic Services
Butte 4 C’s & AWARE Butte
Cascade City-County Health Department
Family Support Network
Flathead Healthy Montana Families (Flathead County Health Dept., The Nurturing Center & Sunburst Community Services Foundation)
Healthy Families Network
Lewis and Clark Partnership
Florence Crittenton & AWARE Helena
Missoula City-County Health Department
Social Service Technicians- State of Montana
Yellowstone Boys & Girls
Youth Dynamics, Inc.
Tompkins County DSS
Exchange Family Center, Durham
YWCA Greater Cincinnati
Eastern Oklahoma Youth Services
Family Children’s Services
Latino Community Development Agency
Parent Child Center of Tulsa
Rocmnd Youth Services
Centre County Youth Service Bureau (Centre County YSB)
Lackawanna County DHS, Office of Youth and Family Services
Family Service of Rhode Island
Serving Children & Adults in Need, Inc. (SCAN)
Catholic Charities-serving Central Washington
Children’s Home Society of Washington
Connections: A Center for Healthy Families
Enriching Therapy Services
Esther Patrick & Associates
Evergreen Family Counseling
Family Counseling Northwest
Grassroots Therapy Group
Institute for Family Development (IFD)
Multicultural Child and Family Hope Center (MCFHC)
Pioneer Human Services
Washington National Counseling, LLC
Working Choices, Inc.
Yakima Valley Family Counseling
New South Wales
Act for Kids
Children’s Aid Society (Hamilton) – Ontario
Children’s Aid Society (Kenora) – Ontario
Children’s Aid Society (Niagara & Halton) – Ontario