方法对比

	Child Safety Assessment	Standardized Clinical Cutoff
领域	Social Work	Social Work
方法族	Process / pipeline	Process / pipeline
起源年份	2003	1991
提出者	Child protective services practice; codified in CPS guidance and Structured Decision Making	Neil S. Jacobson & Paula Truax
类型	Structured determination of whether a child faces immediate serious danger	Method for judging whether individual change on a standardized measure is reliable and clinically meaningful
开创性文献	Child Welfare Information Gateway. (2018). Child Protective Services: A Guide for Caseworkers. U.S. Department of Health and Human Services, Children's Bureau.	Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19.
别名	Safety Assessment (Child Welfare), Present Danger Assessment, Child Protective Services Safety Assessment, Safety Determination	Clinical Cutoff Score, Clinical Significance Method, Reliable Change Index, Jacobson-Truax Method
相关	4	3
摘要	Child safety assessment is the structured process child protective services uses to decide whether a child faces immediate, serious danger and, if so, what must be done right now to protect them. Unlike risk assessment, which estimates the probability of future maltreatment, safety assessment focuses on the present: it identifies active safety threats, weighs them against the child's vulnerability and the caregivers' capacity to protect, and reaches a safe-or-unsafe determination that, when unsafe, triggers an immediate safety plan up to and including removal.	The standardized clinical cutoff approach, developed by Jacobson and Truax, judges whether an individual client's change on a standardized measure is both statistically reliable and clinically meaningful. It pairs a Reliable Change Index — which asks whether a pre-to-post change is larger than the measurement error of the instrument — with a cutoff score that marks the boundary between the dysfunctional and functional (normal) populations. A client who moves reliably across that cutoff is counted as recovered, giving practice and research a defensible, individual-level definition of meaningful improvement.