Child and Family Services (PA-CFS) 19: 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.
NA The agency does not provide treatment foster care services.
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Full Implementation, Outstanding Performance A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.
All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions; exceptions do not impact service quality or agency performance.
Substantial Implementation, Good Performance A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
The majority of the standards requirements have been met and the basic framework required by the standard has been implemented.
Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
Partial Implementation, Concerning Performance A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.
The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.
Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.
Service quality or agency functioning may be compromised.
Capacity is at a basic level.
Unsatisfactory Implementation or Performance A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.
The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Treatment planning and review procedures
Criteria for selection of treatment foster parents
Table of contents of training curricula for treatment foster parents
Worker contact procedures
Formal agreements with therapeutic facilities and/or providers that serve children and families in the program
Training curricula for treatment foster parents
Documentation tracking treatment foster parent completion of required training
On-call schedule for treatment foster care programs for the past six months
Interviews may include:
Treatment team members
Treatment foster parents
Review case records
Review treatment foster parent records
Treatment foster care services are delivered by individualized treatment teams that include:
treatment foster parents;
child welfare agency workers;
treatment foster care program personnel, including the program supervisor, case managers, and clinicians or clinical consultants;
education representatives or personnel; and
a range of specialized providers, as appropriate to children’s emotional, behavioral, medical, and/or developmental needs.
The treatment team should include at least two agency or contract employees who have an advanced degree in social work or a related field experience and at least two years of professional experience working with children with specialized treatment needs.
Examples: 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.
Preliminary treatment plans developed prior to placement identify:
strategies to ensure children’s adjustment to treatment families; and
short-term goals for the first 30 days of out-of-home care.
Within 30 days of placement, treatment teams develop individualized, comprehensive treatment plans that:
identify, incorporate, and build on children’s strengths and assets;
specify diagnoses and presenting problems that prompted the referral to treatment foster care or were identified during assessment;
address needs in major developmental areas;
specify short- and long-term therapeutic interventions; and
address stressors in the children’s environment that are trauma reminders or contribute to their emotional or behavioral issues.
Treatment plans are:
discussed weekly by the treatment team to coordinate an effective response to current issues and behaviors;
reviewed monthly to evaluate progress towards treatment goals; and
officially updated every 90 days to evaluate progress and the continued need for treatment foster care.
The agency coordinates and ensures the provision of needed therapeutic, rehabilitative, and support services, including specialized treatment services.
Examples: Needed services may include, but are not limited to:
individual, family, and/or group therapy,
social skills groups, and
Providing formal and informal support to other service providers can help the agency maximize service benefits and best meet the specialized needs of the children in the program.
Formal relationships 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 experience appropriate to the level and intensity of service, and the needs of the population served, who assumes responsibility for medical elements of a program that serves children with acute medical needs.