Family Centered Treatment (FCT)

Scientific Rating:
Promising Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Family Centered Treatment (FCT) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Family Centered Treatment (FCT) as listed below:

The Readiness Assessment is designed to evaluate applicant agency capacity to implement the components necessary for the provision of Family Centered Treatment© (FCT). In that FCT is both a management and clinical model, this process will include:

  • Completion of the FCT Readiness Assessment Matrix©, a 100-component tool designed to assess the scope and readiness of prospective organizations across nine different implementation domains.
  • A review of submitted materials such as philosophy or organizational design of management, to include the mission statement and other policy and procedures that demonstrate the support necessary to fulfill the Family Centered Treatment agency licensing process
  • Interview of the top management system
  • Willingness to enter contract for board/funding commitment and support to enable Family Centered Treatment Certification for all FCT therapists
  • Willingness to enter contract for board/funding commitment and support to ensure sustainability of adherence (fidelity) to the FCT model after the rollout of the training and certification of therapists, (oversight and management contract with Family Centered Treatment Foundation)
  • Willingness to enter contract for board/funding commitment and support to ensure a system to provide data collection and research as required to assure fidelity to the FCT model during the course of treatment for each client and outcome data provided upon discharge
  • Interview with key clinical staff and Executive Director regarding applicant agency’s rationale for the selection of FCT as the model of choice for the agency
  • Review of applicant agency’s accreditation, endorsement, and CABHA assignment records and responses
  • The process includes the agency’s provision of required materials and documents prior to the onsite visit. During the onsite evaluation, the applicant agency is expected to provide or make available specifically requested clinical and management staff and materials that prove capacity to implement specific components of the model as part of the FCT Readiness Assessment Matrix©.
  • Review and willingness of external stakeholders and funders to support FCT implementation.

The pre-implementation materials are available on the FCT website at or via request through Timothy Wood from the Family Centered Treatment Foundation at (704) 787-6869.

Formal Support for Implementation

There is formal support available for implementation of Family Centered Treatment (FCT) as listed below:

Family Centered Treatment Foundation (FCTF) provides onsite and web-based direction, technical assistance, formal coaching, consultation, oversight, and monitoring for implementation. It also provides adherence verification for provider agencies. Upon FCT licensure, the FCTF consults with organizations as necessary on the effective use and assessment of implementation tools. Various assessments and tracking mechanisms are incorporated to ensure that organizational development around the model is nearly as important as the clinical approach itself. Tools and trackers are utilized at varying intervals depending on their use and need.

Stage of implementation specific tools include:

  • FCT Readiness Assessment Matrix©
  • Fidelity Adherence Compliance Tracker (FACT)
  • Implementation Driver Assessment©
  • FCT Implementation Strategy Tool (FIST)
  • Licensing and Implementation Report

For more information, please contact Timothy Wood at (704) 787-6869 or go to the FCT website at

Fidelity Measures

There are fidelity measures for Family Centered Treatment (FCT) as listed below:

There are 15 core Family Centered Treatment® Adherence Measures that gauge fidelity to the model. They are produced during the treatment process for each client and utilize actual written records that become file documents. The activities that enable the production of the individual written record (adherence measure) cannot occur without the corresponding progression in treatment. As explanation, all of the measures, excepting the case review instrument, are client-participatory, FCT phase-of-treatment specific, and designed to be done with the family. Because the measures are phase-of-treatment specific, they are indicators of progress and also serve as quantification of the degree to which the model has been adhered.

As needed, assistance in the development of an information management system that enables maintenance of a record review for which electronic technology is required. This includes a tracking process necessary to assure maintenance of fidelity (15-individual phase specific treatment activities and dosage requirements) to the model for individual cases and for evaluation of outcomes in the aggregate. An electronic information management system and devices are needed. The Family Centered Treatment Foundation will support FCT provisionally licensed agencies in developing the infrastructure during the implementation phase in accomplishing the requirements listed.

Implementation Guides or Manuals

There are implementation guides or manuals for Family Centered Treatment (FCT) as listed below:

Upon request to become an FCT-licensed organization, the Family Centered Treatment Foundation provides exploring and/or applicant agencies with a Program Design and Implementation Guide. This guide highlights implementation considerations, a programs development process, readiness, and adherence criteria including training, supervision, fidelity documentation, and data collection. Additionally, the guide highlights the highly specific FCT-implementation tools and process expected of all FCT licensed organizations.

Research on How to Implement the Program

Research has not been conducted on how to implement Family Centered Treatment (FCT).