Structured Decision Making (SDM)
Effectiveness

Promising

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Promising

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Description

This is a case management system that is implemented in tandem with child protective services. The objective is to explore the strengths and address the needs of at-risk children who have been removed from their families to reduce their exposure to maltreatment.
The system consists of implementing objective procedures to improve childcare interventions, such as identification of high-risk children and referral of their families to social services.
The program proposes that appropriate decision-making is achieved through the following components:
1) Basic needs assessment/case data (demand analysis);
2) Definition of appropriate immediate interventions;
3) Risk assessment of future readmissions to the guardianship council;
4) Individualized and effective treatment planning;
5) Measuring progress and updating treatment plans as progress is made toward completion of the intervention;
6) Evaluation of the child’s return to the family;
7) Periodic follow-up based on risk level; efforts to achieve equity in the implementation of services.

Impact evaluations

Impact evaluations show that children in the treatment group had higher rates of permanency with their families and a modest effect on maltreatment prevention. However, there were no differences between groups in rates of reentry into foster care after returning to the family [1] [2] [3] [3] [4].

Bibliographic reference

[1] Johnson, K. & Wagner, D. (2005). Evaluation of Michigan's Foster Care Case Management System. Research on Social Work Practice, 15(5), 372–380. https://doi.org/10.1177/1049731505276312

[2] Van der Put, C. E., Hermanns, J., van Rijn-van Gelderen, L. & Sondeijker, F. (2016). Detection of unsafety in families with parental and/or child developmental problems at the start of family support. BMC Psychiatry, 16, 15. https://doi.org/10.1186/s12888-016-0715-y

[3] Baird, C., Wagner, D., Healy, T. y Johnson, K. (1999). Risk Assessment in Child Protective Services: Consensus and Actuarial Model Reliability. Child Welfare, 78(6), 723–748. https://www.jstor.org/stable/45400189?refreqid=excelsior%3A0dfce074fa9b…

[4] Campbell, C. A., Howard, D., Rayford, B. S. y Gordon, D. M. (2015). Fathers Matter: Involving and Engaging Fathers in the Child Welfare System Process. Children and Youth Services Review, 53, 84–91. https://doi.org/10.1016/j.childyouth.2015.03.020