Blueprints Program Rating: Promising
A six-session group-based intervention, facilitated by paraprofessionals, for youth in foster care as they transition to middle school to prevent internalizing and externalizing problems that may lead to more serious longer term outcomes such as delinquency, substance use, and high-risk sexual behavior. Foster parents also attend a six-session program.
Initial Training and Technical Assistance
$40,000 for a five-day, on-site training for a facilitator and co-facilitator; execution of a contract along with site readiness activities; weekly recording and upload of KEEP SAFE group sessions via a HIPAA-compliant system; weekly consultations with a KEEP SAFE consultant; and fidelity review for certification after the facilitator has competed three KEEP SAFE groups. Up to four additional teams (facilitator and co-facilitator) can be added to the training for an additional $24,000 per team. These costs do not include travel and related expenses (airfare, hotel, per diem) for the trainers.
Curriculum and Materials
The costs of the curriculum are included in the initial training costs.
Materials Available in Other Language: KEEP is available in Danish and Spanish. Contact developers for costs as they are not billed in any consistent manner.
There are no additional licensing costs.
Other Start-Up Costs
$1,950 for initial planning consultation, plus travel costs. Many teams find a one-day stakeholders meeting to be helpful in establishing a referral base and galvanizing community interest, support and understanding. Holding a stakeholders meeting is not a requirement to receive training or support.
Running KEEP SAFE groups requires sufficient space for a group of up to 12 participants. The space should be readily accessible to the foster parents. Most providers find that they are able to use agency and community resources.
Intervention Implementation Costs
Ongoing Curriculum and Materials
Facilitators are required to record and upload each KEEP SAFE session to a secure website. This requires a Windows-based computer and internet access. It is also helpful to have an external microphone to make the recordings clear. The use of computers dedicated to recording and uploading of session recordings helps to facilitate this process.
Qualifications: Facilitators and co-facilitators are child welfare professionals.
Ratios: 1 facilitator and 1 co-facilitator lead a group of 12 participants.
Time to Deliver Intervention: 90 minute weekly group sessions for 20 weeks.
It is helpful, but not required to have an on-site supervisor who is involved in the training and support processes. While there will be weekly consultation regarding the KEEP SAFE intervention and fidelity, this consultation does not replace local knowledge about foster parent certification, policies, and legal requirements. Trained supervisors are also able to provide coverage and support for facilitators.
Other Implementation Costs
Once facilitators have run three KEEP SAFE groups, they are eligible to be certified as KEEP SAFE facilitators. This certification permits the facilitator to continue to run KEEP SAFE groups without the need or cost of weekly consultation. Certified facilitators are also eligible (with additional selection criteria) for a subsequent three-day training which would permit them to train others within their organization. This on-site training costs $12,900 (with travel costs additional) and includes the three-day training, shadowing of the trainee’s first training, and support in achieving reliability of the fidelity tracking system.
KEEP SAFE has a strong commitment to sustaining the participation of foster parents who start the groups. In the randomized controlled trials, participating foster parents were given training credits, incentives for participation (as reimbursement for travel expenses) and make-up sessions in their homes when they were unable to meet with the group. These practices resulted in a high percentage of foster parents receiving all of the KEEP SAFE material, and reinforced the status of the foster parents as partners in the care of the young people in their homes.
Implementation Support and Fidelity Monitoring Costs
Ongoing Training and Technical Assistance
There are no additional or ongoing trainings required. If a facilitator finds that he/she is having difficulty maintaining intervention fidelity, additional training can be outlined.
Fidelity Monitoring and Evaluation
$3,000 per year. Once a facilitator is certified, the individual must run at least one KEEP SAFE group each year, and then continue to upload sessions to the website. Access to the site costs $3,000 per year and includes a quarterly review of available sessions for fidelity.
Ongoing License Fees
Other Cost Considerations
Staff turnover is an important cost consideration. Certifications are held by the individual, rather than the organization. Making plans for sustainability and potential staff turnover are an important part of the site readiness and initial planning.
Year One Cost Example
This example assumes that a community-based organization would offer the KEEP SAFE program to 3 groups of 12 parents, each with 1 facilitator and 1 co-facilitator, for 20 sessions, with three cohorts of parent groups per year.
With 108 foster parents participating, the initial cost of the program is approximately $1,874/parent.