R3

Based on Research Conducted at OSLC

Public child welfare systems (CWS) in the United States are populated with vulnerable children and families at high risk of negative outcomes, including substance use, risky sexual behavior, delinquency, incarceration, homelessness, and early mortality. This project will evaluate the effectiveness of a supervisor-targeted implementation strategy in creating organizational change and positive family outcomes such as placement permanency, child stability and well-being.

Project Overview

This NIDA-funded study will evaluate the effectiveness of a supervisor-targeted implementation strategy in creating organizational change and subsequent positive family outcomes. The R3 Supervisor Strategy was developed to modify the way that the CWS workface supports families toward completing their treatment plans. Training, consultation, and fidelity-monitoring is provided to supervisors, who are centrally positioned in the system between caseworkers (who have daily interactions with CWS-involved families) and leadership (who make decisions that affect the organization in which families receive services). The three Rs are founded on social learning theory and include reinforcement of (1) effort, (2) relationships and roles, and (3) small steps toward goal achievement. This project will examine: (1) the potential of R3 to influence supervisor interactions with caseworkers and subsequent family outcomes; (2) the impact of R3 on organizational characteristics known to impact staff retention and the successful adoption of innovations such as climate, leadership, readiness, and citizenship; and (3) the potential for maintaining fidelity standards to the R3 strategy as consultation and coaching are fully transferred to the child welfare system.

Year Project Began: 2015

Principal Investigator

Lisa Saldana, Ph.D.

Senior Research Scientist
Oregon Social Learning Center

Active Research Projects

Primary Research and Clinical Interests

Lisa joined OSLC in 2007. She received her doctorate in clinical psychology from the University of Missouri-Columbia in 2003 with a research and clinical emphasis in child maltreatment and evidence-based practice. She has been active in the development, evaluation, and implementation of evidence-based practices, with a particular emphasis in services for child welfare populations.

Lisa is currently the PI on the Stages of Implementation Completion for Evidence-Based Practice, an NIMH-funded R01 that examines the successful implementation of interventions in community settings. She is also working on NIH-funded research grants focusing on the economic evaluation of EBPs and is a Co-Investigator on the NIDA-funded Translational Drug Abuse Prevention Center at OSLC. Lisa is a Co-Investigator on a large real-world implementation of two linked EBPs in a large multi-site child welfare system. She is the developer of the Stages of Implementation Completion (SIC) and Cost of Implementing New Strategies (COINS) implementation tools. Recently, in collaboration with OSLC colleague Patti Chamberlain, Lisa has helped to develop the R3 practice model focused on maximizing the quality of positive relationships between caseworkers and families involved in the child welfare system.

She received funding from ACYF to conduct an efficacy evaluation of the FAIR model, an integrative treatment for maternal substance abuse and child neglect which she developed using a NIDA-funded Career Development award. The Families Actively Improving Relationships (FAIR) model integrates evidence-based techniques targeting three key components: treatment of parenting deficits, substance use, and mental health symptoms as well as their correlated contextual problems such as housing and employment. Families referred to FAIR receive services in their natural environments (e.g., home, school, court) and receive incentives that are related to healthy households for meeting individualized treatment goals. A dynamic wait-list design is being utilized to evaluate services being delivered in a  Medicaid environment to families referred through the child welfare system.

Previously, Lisa was a Co-Investigator on a large-scale trial evaluating “what it takes” to implement an evidence-based practice (TFCO) for youth in foster care in communities with barriers to implementation. Lisa also collaborated on a trial evaluating the dissemination of the KEEP foster parent training group to prevent placement disruptions in foster children.