Multidimensional Family Therapy
Adolescents 11 to 18 with the following symptoms or problems: substance use or at risk, delinquent/conduct disorder, school and other behavioral problems, and both internalizing and externalizing symptoms
Alternatives to Long-Term Residential Care Programs
Definition
Alternatives to Long-Term Residential Care Programs are defined by the CEBC as family-home-based or short-term residential programs that meet the clinical or therapeutic needs of children and youth in out-of-home care who were traditionally served in congregate care settings. Congregate care settings, in this context, could include group, residential, and community treatment facilities. This topic area was created in response to California's Continuum of Care Reform efforts and an understanding that children who must live apart from their biological parents do best when they are cared for in committed and nurturing family homes. California's statutory and policy framework ensures that services and supports provided to the child, youth, and family are tailored toward the ultimate goal of maintaining a stable permanent family. Reliance on congregate or residential care should be limited to short-term, therapeutic interventions that are just one part of a continuum of care available for children, youth, and young adults.
- Target population: Children and youth with need for a higher level of care who would typically have been placed in residential or congregate care settings; could also include the caregivers of these youth
- Services/types that fit: Home- or community-based clinical interventions, school-based services, short-term/time-limited residential interventions, parent training programs
- Delivered by: Resource parents, licensed clinical professionals, paraprofessionals, social workers, educators, and other child welfare related staff
- In order to be included: Program must deliver either short-term higher level of placement services or services designed to be an alternative to placement in higher levels of care, or must train staff and/or caregivers to deliver these services
- In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines child welfare outcomes such as reductions in the use of higher levels of placement or occurrence of placement disruptions, and/or behavior-related outcomes for youth/children such as changes in behavior, symptom levels, and/or functioning.
Downloadable Topic Area Summary
Definition
Alternatives to Long-Term Residential Care Programs are defined by the CEBC as family-home-based or short-term residential programs that meet the clinical or therapeutic needs of children and youth in out-of-home care who were traditionally served in congregate care settings. Congregate care settings, in this context, could include group, residential, and community treatment facilities. This topic area was created in response to California's Continuum of Care Reform efforts and an understanding that children who must live apart from their biological parents do best when they are cared for in committed and nurturing family homes. California's statutory and policy framework ensures that services and supports provided to the child, youth, and family are tailored toward the ultimate goal of maintaining a stable permanent family. Reliance on congregate or residential care should be limited to short-term, therapeutic interventions that are just one part of a continuum of care available for children, youth, and young adults.
- Target population: Children and youth with need for a higher level of care who would typically have been placed in residential or congregate care settings; could also include the caregivers of these youth
- Services/types that fit: Home- or community-based clinical interventions, school-based services, short-term/time-limited residential interventions, parent training programs
- Delivered by: Resource parents, licensed clinical professionals, paraprofessionals, social workers, educators, and other child welfare related staff
- In order to be included: Program must deliver either short-term higher level of placement services or services designed to be an alternative to placement in higher levels of care, or must train staff and/or caregivers to deliver these services
- In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines child welfare outcomes such as reductions in the use of higher levels of placement or occurrence of placement disruptions, and/or behavior-related outcomes for youth/children such as changes in behavior, symptom levels, and/or functioning.
Downloadable Topic Area Summary
Programs
Multisystemic Therapy
Youth, 12 to 17 years old, with possible substance abuse issues who are at risk of out-of-home placement due to antisocial or delinquent behaviors and/or youth involved with the juvenile justice system and their parents/caregivers (some other restrictions for youth exist, see the Essential Components section for more details)
Treatment Foster Care Oregon – Adolescents
Boys and girls, 12-17 years old, with severe delinquency and/or severe emotional and behavioral disorders who were in need of out-of-home placement and could not be adequately served in lower levels of care, and their caregivers
Functional Family Therapy
11-18 year olds with very serious problems such as conduct disorder, violent acting-out, and substance abuse
Risk Reduction through Family Therapy
Trauma-exposed adolescents aged 13-18 years who experience co-occurring trauma-related mental health problems (e.g., posttraumatic stress disorder [PTSD], depression), substance use problems, and other risk behaviors (e.g., risky sexual behavior, non-suicidal self-injury)
Treatment Foster Care Oregon for Preschoolers
Preschool foster children aged 3-6 years old who exhibit a high level of disruptive and antisocial behavior which cannot be maintained in regular foster care, or who may be considered for residential treatment, and their caregivers
CARE: Creating Conditions for Change
Child care staff, clinical staff, and agency administrators working with 6- to 20-year-old children and youth living in foster, group, or residential care or attending specialized day treatment or day schools
Dialectical Behavior Therapy
Chronically suicidal youth with behaviors found in borderline personality disorder (BPD)
Sanctuary Model
This program is not a client-specific intervention, but a full-system approach that targets the entire organization with the intention of improving client care and outcomes. The focus is to create a trauma-informed and trauma-sensitive environment in which specific trauma-focused interventions can be effectively implemented.
Stop-Gap
Children and/or adolescents with disruptive behavior disorders (Conduct disorder [CD], Oppositional Defiant Disorder [ODD], attention-deficit hyperactivity disorder [ADHD]) living in residential treatment centers
Teaching-Family Model
Youth who are at-risk, juvenile delinquents, in foster care, mentally retarded/developmentally disabled, or severely emotionally disturbed; families at risk of having children removed
CORE Teen
Prospective and current parents who are, or will be, raising older children from foster care (ages 10 or older) who have moderate to severe emotional and behavioral challenges that require intensive coordinated services to prevent restrictive or congregate placements
Functional Family Therapy Child Welfare®
Children and adolescents up to 17 years of age and their parent/caregivers and other family members who were referred to child welfare services for indicated or suspected child abuse or neglect.
Pressley Ridge Treatment Foster Care Program
Youth who are 12-18 years old with severe emotional and behavioral disorders. These youth are in need of out-of-home placement and could not be adequately served in lower levels of care.
WisdomPath Way Reparative Parenting Approach
Parents (biological, foster, or adoptive) who are raising children who have experienced significant trauma
Programs
Multidimensional Family Therapy
Adolescents 11 to 18 with the following symptoms or problems: substance use or at risk, delinquent/conduct disorder, school and other behavioral problems, and both internalizing and externalizing symptoms
Multisystemic Therapy
Youth, 12 to 17 years old, with possible substance abuse issues who are at risk of out-of-home placement due to antisocial or delinquent behaviors and/or youth involved with the juvenile justice system and their parents/caregivers (some other restrictions for youth exist, see the Essential Components section for more details)
Treatment Foster Care Oregon – Adolescents
Boys and girls, 12-17 years old, with severe delinquency and/or severe emotional and behavioral disorders who were in need of out-of-home placement and could not be adequately served in lower levels of care, and their caregivers
Functional Family Therapy
11-18 year olds with very serious problems such as conduct disorder, violent acting-out, and substance abuse
Risk Reduction through Family Therapy
Trauma-exposed adolescents aged 13-18 years who experience co-occurring trauma-related mental health problems (e.g., posttraumatic stress disorder [PTSD], depression), substance use problems, and other risk behaviors (e.g., risky sexual behavior, non-suicidal self-injury)
Treatment Foster Care Oregon for Preschoolers
Preschool foster children aged 3-6 years old who exhibit a high level of disruptive and antisocial behavior which cannot be maintained in regular foster care, or who may be considered for residential treatment, and their caregivers
CARE: Creating Conditions for Change
Child care staff, clinical staff, and agency administrators working with 6- to 20-year-old children and youth living in foster, group, or residential care or attending specialized day treatment or day schools
Dialectical Behavior Therapy
Chronically suicidal youth with behaviors found in borderline personality disorder (BPD)
Sanctuary Model
This program is not a client-specific intervention, but a full-system approach that targets the entire organization with the intention of improving client care and outcomes. The focus is to create a trauma-informed and trauma-sensitive environment in which specific trauma-focused interventions can be effectively implemented.
Stop-Gap
Children and/or adolescents with disruptive behavior disorders (Conduct disorder [CD], Oppositional Defiant Disorder [ODD], attention-deficit hyperactivity disorder [ADHD]) living in residential treatment centers
Teaching-Family Model
Youth who are at-risk, juvenile delinquents, in foster care, mentally retarded/developmentally disabled, or severely emotionally disturbed; families at risk of having children removed
CORE Teen
Prospective and current parents who are, or will be, raising older children from foster care (ages 10 or older) who have moderate to severe emotional and behavioral challenges that require intensive coordinated services to prevent restrictive or congregate placements
Functional Family Therapy Child Welfare®
Children and adolescents up to 17 years of age and their parent/caregivers and other family members who were referred to child welfare services for indicated or suspected child abuse or neglect.
Pressley Ridge Treatment Foster Care Program
Youth who are 12-18 years old with severe emotional and behavioral disorders. These youth are in need of out-of-home placement and could not be adequately served in lower levels of care.
WisdomPath Way Reparative Parenting Approach
Parents (biological, foster, or adoptive) who are raising children who have experienced significant trauma
Topic Expert
The Alternatives to Long-Term Residential Care Programs topic area was added in 2018. Sigrid James, PhD, LCSW was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2018 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2018 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. James was not involved in identifying or rating them.
Topic Expert
The Alternatives to Long-Term Residential Care Programs topic area was added in 2018. Sigrid James, PhD, LCSW was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2018 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2018 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. James was not involved in identifying or rating them.