The Quality Improvement Center for Adoption and Guardianship Support and Preservation (QIC-AG) recently completed its evaluation of an enhanced approach for Adoption Support and Preservation (ASAP) services in Tennessee. Specifically, the Tennessee Department of Children’s Services (DCS), in collaboration with a private agency (Harmony Family Center, or Harmony), implemented the Neurosequential Model of Therapeutics (NMT) in the eastern area of the state.i The QIC-AG compared outcomes for families served in that part of Tennessee (the treatment group) with families that received services as usual (the comparison group) in the remainder of the state. A second private agency under subcontract with Harmony—Catholic Charities—served the comparison group.ii Across four outcome measures (child behavior problems, staff satisfaction with their delivery of ASAP services,iii familial relationships, and caregiver commitment), the QIC-AG observed gains for treatment and comparison groups, on average, in all four fields. However, the only statistically significant impact that emerged—that is, the only area in which progress was greater for the treatment than for the comparison group—was for behavior problems, and the effect size was small.
To better understand and contextualize the evaluation findings, Child Trends partnered with the QIC-AG on a qualitative study to learn more about how NMT was implemented and how families in both the treatment and comparison groups experienced ASAP services. If the NMT training, assessment, and recommendations did not affect clinicians’ practice with families, then we would not expect to find impacts. Differences in the progress that treatment and comparison group families achieved would also be unlikely if treatment and comparison families experienced similar services.iv
© Copyright 2023 ChildTrendsPrivacy StatementNewsletter SignupLinkedInThreadsYouTube