Treatment Foster Care Oregon

Kids should live in homes, not institutions.

we are strong together

Our services

Treatment Foster Care Oregon (TFCO) was developed as an alternative to institutional, residential, and group care placements for children and youth with severe emotional and behavioral disorders. Multiple randomized trials confirm a number of positive results.

The model is tailored to the unique developmental needs of children from ages 3 to 17 years.

TFCO was formerly known as Multidimensional Treatment Foster Care (MTFC).


TFCO for Preschoolers (TFCO-P) serves children aged 3-6


TFCO for Childhood (TFCO-C) serves children aged 7-11


TFCO for Adolescents (TFCO-A) serves youth aged 12-17


The two main goals of TFCO are to create opportunities for youth to successfully live in a family setting and to simultaneously help parents (or other long-term family resource) provide effective parenting.

TFCO focuses on five key areas: (1) a consistent, reinforcing environment with mentoring and encouragement; (2) daily structure with clear expectations and specific consequences; (3) a high level of youth supervision; (4) limited access to problem peers along with access to prosocial peers; and (5) an environment that supports daily school attendance and homework completion.

Consistent Reinforcing Environment
Daily Structure
Promote Prosocial Peers
Support School Success



Responsible Use of Funds

Cost Effectiveness

“TFCO costs are lower when compared to the fees set by secure residential care, 
but slightly higher than the rates of residential homes, assuming that the care times for the different settings are the same. Considering the longterm effects, TFCO is more cost-effective than both types of residential care mentioned above.”
— SBU • Swedish Agency for Health Technology Assessment and Assessment of Social Services –

Evidence Based

Science matters

With a strong focus on evidence-based interventions, government and philanthropic spending can successfully address poverty, educational failure, violence, drug abuse, and other critical problems.

— Washington State Institute for Public Policy

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Benefit/Cost ratio
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Chance program will produce benefits greater than cost

Research Conclusions

TFCO Has Proven To:

  • Prevent or reduce the number of days in institutional or residential settings
  • Prevent the escalation of delinquency, youth violence and pregnancy
  • Increase positive academic engagement
  • Reduce placement disruptions
  • Increase attachment
  • Improve brain stress regulatory systems


Global Reach

we can do it

Get in touch

Contact John or Rena to see how TFCO can help you.

John Aarons, M.S.

President, TFC Consultants, Inc.

(541) 343-2388 – Ext. 1 

Rena Gold, M.S.W.

VP of Implementations, TFC Consultants, Inc.

(541) 343-2388 – Ext. 2 

Main Office Contact

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"... (TFCO) has been rigorously studied and proven to help children 12-18 years of age that have high needs or as an alternative to residential care. ...."
Savio House