TFCO Program Implementation

Multidimensional Treatment Foster Care

Developing a TFCO Program

Implementation

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TFC Consultants, Inc. specializes in providing complete implementation services for TFCO sites. In order to realize positive treatment outcomes similar to those attained in the evaluation studies, implementation efforts focus on promoting program fidelity. To facilitate adherence to the treatment model, TFC Consultants, Inc., works with communities to identify issues that are likely to affect their ability to successfully implement the TFCO model.

First Year Schedule of Implementation Activities  (Adjustments to this schedule are occasionally made to accommodate specific circumstances).
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  1. TFC Consultants, Inc., visits your site. The focus of this visit is to bring all of the stakeholders to a common understanding about the model and implementation procedures. Program success depends on the participation in and commitment to the model of all relevant agencies and officials, so it is important to include all of the stakeholders at this initial step. The model is presented to administrators, program staff, any foster parents who may have already been identified for participation, and representatives from relevant outside entities, such as the local juvenile justice community, mental health community, and/or foster care certification agency. Finally, an implementation plan and timelines are developed for training program staff; recruiting, training, and certifying foster parents; and placements in the foster homes.
  2. Your agency staff attends a four-day training session at the model site in Eugene, Oregon (five days for Program Supervisors). Clinical training sessions are scheduled three times a year for replacement staff and new implementation teams.

    TFCO-A Training Schedule:

    September 12-16, 2016

    February 6 – 10, 2017

    May 8 – 12, 2017

    September 11 – 15, 2017

    Applications are available on TFCO Program Forms.

  3. TFCO-P and TFCO-C training sessions are scheduled as needed.
  4. Consultation is provided regarding foster parent recruitment with your agency staff, as needed.
  5. The first group of foster parents are trained at your site during a two-day training.
  6. FOCUS PDR procedures are initiated and training is provided for staff.
  7. Ongoing weekly telephone consultation is conducted with your program supervisors regarding treatment plans, progress, issues, and problems for each placement.
  8. Periodic reports are prepared for your program director or administrator on implementation progress, staff performance, model adherence and other relevant issues. As part of the quarterly review, videotapes of your site’s weekly foster parent and clinical meetings are coded for adherence to TFCO principles and procedures.
  9. Additional in-person training, problem solving, and consultation can be provided when needed. Up to six days of on-site consultation is provided. 

In most cases, new sites can be fully operational within a year from start-up of the implementation.

Adequate staffing is an important factor in starting up the TFCO model and in the program’s continued success. To operate a program with approximately 10 beds (the typical start-up size), the following staff is needed:

    •     Full-time program supervisor
    •     Half-time individual therapist for TFCO-A or hourly playgroup staff for TFCO-P
    •     Half-time family therapist
    •     Skills trainer(s) at 20-25 hours a week per 10-bed program
    •     .75 FTE foster parent recruiter, trainer, and PDR caller
    •     One foster family for each placement (except sibling groups in TFCO-P)
    •     Psychiatry services on an hourly fee basis