Private Organization Accreditation

Lutheran Social Services of New England is a high-performing nonprofit organization. LSS is a powerful difference maker and go-to resource, driving ourselves to constantly anticipate futures that are different from the past. For 140 years, LSS has been caring for people in need in New England.


Rochelle Haimes, ACSW

Volunteer Roles: Commissioner; Peer Reviewer; Standards Panel Member; Team Leader

Rochelle is a Consultant working with a variety of private organizations to become accredited. Her primary area of expertise is in facilitating the development of PQI systems and activities. Her previous experience with both small and large organizations is the cornerstone for her long-standing volunteer activities as a Peer reviewer and as a Team Leader.
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Children in Family Foster Care and Kinship Care live in safe, stable, nurturing, and often temporary family settings that best provide the continuity of care to preserve relationships, promote well-being, and ensure permanency.

FKC 13: Treatment Foster Care

Children with significant emotional, behavioral, medical, or developmental needs receive structured treatment within a therapeutic family setting that promotes well-being, family connections, and community integration.

Note: Organizations providing Foster Care Home Services only will complete FKC 13.07, FKC 13.08 and FKC 13.10 only. 

NA The organization does not provide treatment foster care services.

Rating Indicators
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • A number of client records are missing important information  or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • A description of the treatment model
    • A description of:
      1. the needs of children served in the program;
      2. team roles and functioning;
      3. treatment services
    • Treatment planning and review procedures
    • Worker contact and meeting procedures
    • Discharge procedures
    • Table of Contents of treatment model training for staff and treatment foster parents
    • Criteria for selection of treatment foster parents
    • Formal agreements with therapeutic facilities and/or providers that serve children and families in the program
    • On-call schedule for treatment foster care programs
    • Documentation of staff and treatment foster parent attendance at training, including treatment model training
    • Interview:
      1. Program director
      2. Parents
      3. Treatment team members
      4. Treatment foster parents
      5. Children and youth
    • Review case records
    • Review treatment foster parent records

  • FKC 13.01

    The treatment foster care program follows an articulated treatment model, and program personnel receive training and support that enable them to understand and implement the program’s approach to treatment. 

    Interpretation: The treatment model should contain components that are either evidence-based or evidence-informed. Program staff should receive pre-service and in-service training to understand and implement the treatment approach.

    NA The organization provides treatment foster care for medically fragile children only.

    NA The organization provides Family Foster Care Home Services only.

  • FKC 13.02

    Treatment foster services are delivered by individualized treatment teams that include: 
    1. family members; 
    2. treatment foster parents; 
    3. local child welfare agency workers;
    4. treatment foster care program personnel, including the program supervisor, case managers, and clinicians or clinical consultants;
    5. education representatives or personnel; and
    6. a range of specialized providers, as appropriate to children’s needs. 

    Interpretation: Depending on the needs of children, specialized providers may include, but are not limited to: behavior support specialists; nurses and physicians; psychiatric nurses and psychiatrists; and rehabilitation therapists. The treatment team should include at least one worker or contract employee, in addition to the supervisor, who has an advanced degree in social work or a related field and at least two years of professional experience working with children with specialized treatment needs.

    NA The organization provides Family Foster Care Home Services only.

  • FKC 13.03

    Preliminary treatment plans developed prior to placement identify:

    1. diagnoses;
    2. strategies to ensure children’s adjustment to treatment families; and
    3. short-term goals for the first 30 days of out-of-home care.

    NA The organization provides Family Foster Care Home Services only.

  • FP
    FKC 13.04

    Within 30 days of placement, treatment teams develop individualized, comprehensive treatment plans that: 
    1. identify, incorporate, and build on children’s strengths and assets;
    2. specify diagnoses and presenting problems that prompted the referral to treatment foster care or were identified during assessment;
    3. assess needs in major developmental areas; 
    4. specify short- and long-term therapeutic interventions; and
    5. address stressors in the children’s environment that are trauma reminders or contribute to their emotional or behavioral issues. 

    NA The organization provides Family Foster Care Home Services only.

  • FKC 13.05

    Comprehensive treatment plans are:
    1. discussed weekly by the treatment team to coordinate an effective response to current issues and behaviors;
    2. reviewed monthly to evaluate progress towards treatment goals; and 
    3. officially updated every 90 days to evaluate progress and the continued need for treatment foster care.

    Interpretation: Weekly communication between treatment team members can occur by teleconference, when necessary.

    Regarding element (a), treatment teams should coordinate effective response to current issues as needed for cases concerning medically fragile children.  


    NA The organization provides Family Foster Care Home Services only.

  • FKC 13.06

    The organization coordinates and ensures the provision of needed services, including specialized treatment services. 

    Interpretation: Services should be provided by specialized providers as appropriate to children’s emotional, behavioral, medical, or developmental needs. Needed services may include, but are not limited to:
    1. individual, family, and/or group therapy, 
    2. social skills groups, and 
    3. medical treatment. 
    Organizations should provide formal and informal support to other service providers in order to maximize service benefits and best meet the specialized needs of the children in their program.

    NA The organization provides Family Foster Care Home Services only.

  • FP
    FKC 13.07

    The organization selects treatment foster parents based on established criteria that include: 

    1. proven experience as resource parents, work experience in a setting such as a group home or residential center, or specialized training in treatment foster care; 
    2. three non-relative references; and 
    3. attainment of at least twenty-one years of age.

  • FKC 13.08

    Treatment foster parents assume primary responsibility for:
    1. implementing in-home treatment strategies;
    2. assisting children to understand treatment goals and interventions; 
    3. documenting children’s behaviors and progress in targeted areas; and
    4. acting as liaisons with clinical personnel.

    Interpretation: Treatment foster parents should receive ongoing training and support designed to help them assume these responsibilities.

  • FP
    FKC 13.09

    Formal relationships are established with: 
    1. 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 
    2. a board-certified physician with appropriate experience who assumes responsibility for medical elements of a program that serves children with significant medical needs.

    Interpretation: The board-certified physician can provide service as an employee, contractor, or through formal agreement. Experience should be appropriate to the level and intensity of service, as well as the needs of the population served.

    NA The organization provides Family Foster Care Home Services only.

  • FP
    FKC 13.10

    Treatment foster parents receive the support of: 
    1. weekly contact by the assigned worker; 
    2. in-person contact every two weeks and more frequently when indicated; 
    3. on-call crisis intervention 24-hours a day, seven days a week; and 
    4. the availability of additional personnel, technical assistance, and needed training.

    Interpretation: Additional personnel should be available during critical or stressful periods, such as the time from the end of the school day until bedtime.

  • FKC 13.11

    Discharge reports are tailored to support the transition to the next home or program, and document:
    1. the course of treatment and treatment recommendations;
    2. the transfer of records and appointment information;
    3. the nature, frequency and duration of aftercare services, when applicable.

    Note: The organization should maintain documentation on the provision of aftercare services.

    NA The organization provides Family Foster Care Home Services only.

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