FC 11: Therapeutic Services
Intensive and supportive services are provided to children and youth with significant medical, developmental, emotional, or behavioral needs, who, with additional resources, can remain in a family
setting and achieve positive growth and development.
Research Note: Research
on outcomes for children with histories of chronic and serious juvenile delinquency found that youth receiving treatment foster care services were more likely to complete the program
, less likely to run away, less likely to be incarcerated, and less likely to commit violent offenses.
NA The organization does not provide therapeutic foster care services.
Therapeutic foster care services are team delivered, as appropriate to the needs of the child, the treatment team includes:
- family members;
- foster parents;
- caseworkers and parole or probation officers;
- behavior support specialists;
- nurses and physicians;
- psychiatric nurses, psychologists and psychiatrists; and
- rehabilitation therapists.
The treatment team includes at least one agency or contract employee
, in addition to the supervisor, who has an advanced degree
in social work
or a related field and at least three years of professional experience working with children with therapeutic needs. Team members should have demonstrated child welfare experience or specialized training
. When the case
involves an Indian child
, a representative from the tribe or a local Indian organization
should be included on the treatment team.
The treatment team develops an individualized, strengths-based treatment plan that:
- specifies a diagnosis;
- identifies current and anticipated needs, and specifies short- and long-term therapeutic interventions;
- is reviewed by the treatment team weekly to coordinate an effective response to current issues and behaviors; and
- is reviewed within 30 days of placement, and every 90 days, to evaluate continued need for therapeutic foster care.
Weekly communication between treatment team members can occur by teleconference, when necessary.
The organization provides or arranges for needed therapeutic and rehabilitative services for the child, and foster parents assume primary responsibility for providing therapeutic interventions in the home and acting as a liaison with clinical personnel
Therapeutic and rehabilitative services may include, and are not limited to, individual counseling, family counseling, group counseling, and medical treatment. The organization should recognize the value of incorporating culturally-grounded interventions into the treatment plan, and include traditional practices
or customs of the child's culture
, faith-based community
, or tribe to the greatest extent possible and appropriate. Whenever possible, Indian children should receive therapeutic and rehabilitative services from qualified professionals
who have experience working with the tribe and knowledge of tribal customs and practices.
Formal agreements are established with:
- mental health facilities, medical institutions including neonatal and pediatric facilities, and other rehabilitation service providers to ensure the availability of requisite medical and mental health services; and
- a board-certified physician with appropriate experience who assumes responsibility for medical elements of a program that serves children with significant medical needs.
The board-certified physician can provide service as an employee, contractor, or through formal arrangement. Experience should be appropriate to the level and intensity of service, as well as the needs of the population served.