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Treatment Foster Care Oregon

Health Factors: Community Safety
Decision Makers: Community Members Local Government State Government Federal Government Nonprofit Leaders
Evidence Rating: Scientifically Supported
Population Reach: <1% of WI's population
Impact on Disparities: No impact on disparities likely

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Description

In the Treatment Foster Care Oregon (TFCO) model, severely and chronically delinquent youth join foster families who have received training in behavior management and are connected to TFCO-trained program supervisors through daily phone calls, weekly group meetings, family therapy, and case management (SPTW). Foster parents provide daily structure, set expectations, monitor youths’ behavior, and deliver rewards and consequences while helping youth avoid socially deviant peers (SAMHSA-NREPP). There are TFCO program versions for adolescents (TFCO-A), young children (TFCO-C), and preschoolers (TFCO-P) (TFCO). TFCO was formerly called Multidimensional Treatment Foster Care.

Expected Beneficial Outcomes

Reduced recidivism
Reduced delinquent behavior
Reduced violence
Reduced drug use
Reduced teen pregnancy
Increased academic achievement
Improved mental health
Increased foster care placement stability

Evidence of Effectiveness

There is strong evidence that Treatment Foster Care Oregon (TFCO) reduces participating youths’ recidivism (SPTW, Osei 2016) and delinquency (OJJDP Model Programs, Blueprints, Turner 2011) compared to peers in group homes. TFCO has also been shown to reduce violent crime (Blueprints, CG-Violence, OJJDP Model Programs), days of incarceration (SPTW, Osei 2016), and drug use (SAMHSA-NREPP, Blueprints, Leve 2013).

For girls, TFCO has been shown to reduce teen pregnancy and increase school attendance and homework completion (SAMHSA-NREPP, SPTW, Rhoades 2013). Juvenile female offenders in TFCO experience greater decreases in psychological problems, depression, and suicidal ideation than girls in group care homes (Poulton 2014, Harold 2013, Kerr 2014). TFCO for preschoolers (TFCO-P) can increase the likelihood of successful, permanent placement for participants and decrease their problem behaviors (CEBC).

A Washington-based analysis estimates that TFCO cost about $8,300 per juvenile offender in 2016, with a benefit to cost ratio of $1.70 (WSIPP-Benefit cost).

Implementation

United States

TFCO is used in more than 50 US locations and internationally (Henggeler 2012).

Implementation Resources

TFCO - TFC Consultants, Inc. Treatment Foster Care Oregon (TFCO). Accessed on September 2, 2016

Citations - Description

SAMHSA-NREPP - SAMHSA's National Registry of Evidence-based Programs and Practices (NREPP). Accessed on April 12, 2017
SPTW - Social Programs That Work (SPTW). Full list of programs. Accessed on April 19, 2017
TFCO - TFC Consultants, Inc. Treatment Foster Care Oregon (TFCO). Accessed on September 2, 2016

Citations - Evidence

Blueprints - Center for the Study and Prevention of Violence (CSPV). Blueprints for healthy youth development. Accessed on December 7, 2016
CEBC - California Evidence-Based Clearinghouse for Child Welfare (CEBC). Information and resources for child welfare professionals: List of programs. Accessed on March 17, 2017
CG-Violence - The Guide to Community Preventive Services (The Community Guide). Violence. Accessed on December 19, 2016
Harold 2013* - Harold GT, Kerr DCR, Van Ryzin M, et al. Depressive symptom trajectories among girls in the juvenile justice system: 24-month outcomes of an RCT of Multidimensional Treatment Foster Care. Prevention Science. 2013;14(5):437–446. Accessed on September 9, 2016
Kerr 2014* - Kerr DCR, DeGarmo DS, Leve LD, Chamberlain P. Juvenile justice girls’ depressive symptoms and suicidal ideation 9 years after Multidimensional Treatment Foster Care. Journal of Consulting and Clinical Psychology. 2014;82(4):684–693. Accessed on September 9, 2016
Leve 2013* - Leve LD, Kerr DCR, Harold GT. Young adult outcomes associated with teen pregnancy among high-risk girls in a randomized controlled trial of multidimensional treatment foster care. Journal of Child & Adolescent Substance Abuse. 2013;22(5):421–434. Accessed on September 9, 2016
OJJDP Model Programs - Office of Juvenile Justice and Delinquency Prevention (OJJDP). OJJDP model programs guide. Accessed on March 24, 2017
Osei 2016* - Osei GK, Gorey KM, Hernandez Jozefowicz DM. Delinquency and crime prevention: Overview of research comparing treatment foster care and group care. Child & Youth Care Forum. 2016;45(1):33–46. Accessed on September 9, 2016
Poulton 2014* - Poulton R, Van Ryzin MJ, Harold GT, et al. Effects of Multidimensional Treatment Foster Care on psychotic symptoms in girls. Journal of the American Academy of Child & Adolescent Psychiatry. 2014;53(12):1279–1287. Accessed on September 9, 2016
Rhoades 2013* - Rhoades KA, Chamberlain P, Roberts R, Leve LD. MTFC for high risk adolescent girls: A comparison of outcomes in England and the United States. Journal of Child & Adolescent Substance Abuse. 2013;22(5):435–449. Accessed on September 9, 2016
SAMHSA-NREPP - SAMHSA's National Registry of Evidence-based Programs and Practices (NREPP). Accessed on April 12, 2017
SPTW - Social Programs That Work (SPTW). Full list of programs. Accessed on April 19, 2017
Turner 2011* - Turner W, Macdonald G. Treatment foster care for improving outcomes in children and young people: A systematic review. Research on Social Work Practice. 2011;21(5):501–527. Accessed on September 9, 2016
WSIPP-Benefit cost - Washington State Institute for Public Policy (WSIPP). Benefit-cost results. Accessed on March 24, 2017

Citations - Implementation

Henggeler 2012* - Henggeler SW, Sheidow AJ. Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. Journal of Marital & Family Therapy. 2012;38(1):30–58. Accessed on September 6, 2016

Page Last Updated

September 6, 2016

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