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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
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
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
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
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
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
CEBC Team
Chadwick Center for Children and FamiliesRady Children's Hospital-San Diego
Charles Wilson, MSSWProject Director
Cambria Rose Walsh, LCSW
Project Manager
Jennifer Demaree, MSContent and Design
Specialist
Chris PerkinsProject Analyst
John Landsverk, PhDScientific Director
Jennifer Rolls Reutz, MPHResearch Program Specialist
Rhonda Williams, MAResearch Associate
Molly RobbProject Coordinator
September 2014
What is Evidence-Based Practice(EBP)?
September 2014
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
The CEBC Review Process
September 2014
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
Scientific Rating Process
The Scientific Rating Scale
September 2014
Scientific Rating Scale [**Based on a Continuum**]
NR
September 2014
Important Concepts
Randomized Controlled Trial
Peer-Reviewed
September 2014
• 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
• 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
• 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
• 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
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; andb) 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
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
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
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
CEBC ProcessIdentify 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
Total= 339 programs as of September 30, 2014
Number of Programs by Rating
September 2014
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
What You Can Find on the CEBC Website
September 2014
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
Other Resources on the CEBC Website
September 2014
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
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
Practical Application of the CEBC Website
September 2014
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
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
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
For More Information about the CEBC:
Sign up for Email Alerts of new programs and content:
www.cebc4cw.org/email-alerts
Visit the Website: www.cebc4cw.org
Contact Us – [email protected]
38September 2014
For More Information:
Cambria Rose Walsh, LCSW, Project ManagerChadwick Center- Rady Children’s Hospital-San Diego
CEBC E-Mail: [email protected]
CEBC Website: www.cebc4cw.org
September 2014
