Abstract

Treatment foster care is a relatively new form of service to emotionally disturbed children and adolescents. Although there is not agreement on the term to use to define this model (e.g., therapeutic foster care, special foster care, foster family-based treatment, or individual residential treatment), all programs treating these youngsters within substitute families share certain characteristics: (1) treatment of only one or two children within the homes of carefully selected substitute families; (2) low caseloads (5 to 15); (3) frequent, treatment-oriented supervision of the treatment parents that promotes a therapeutic relationship with the child; (4) provision of treatment services that are well-documented for each child; (5) professionalizing treatment parents though intensive pre-service and in-service training, good pay, and frequent performance evaluations; (6) intensive support services to treatment parents; (7) crisis intervention services; and (8) education liaison; (9) health screening and medi...

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