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MTFC Overview
- 1. Multidimensional Treatment Foster Care Venango County Human Services Multidimensional Treatment Foster Care and MTFC are registered service marks of OSLC Community Programs, Inc.
- 2. Background Information OSLC started in the 1970¡¯s by Gerald Patterson and John Reid in Eugene, Oregon Focus is on understanding the development and treatment of child and adolescent conduct and emotional problems Over 200 staff currently working on research and treatment projects
- 3. The MTFC Model Treatment is provided in a family setting New skills are practiced & reinforced in-vivo Treatment is facilitated by core program components for: Youth Families MTFC Parents
- 4. Multidimensional Treatment Foster Care Objective Change the trajectory of negative behavior by improving social adjustment across settings How is this achieved? Simultaneous & well-coordinated treatments in multiple settings Home School Community Peer group
- 5. MTFC is evidenced based Eight randomized trials and numerous other studies have provided evidence of the feasibility and effectiveness of MTFC. Areas studied: ? Youth criminal behavior and incarceration rates ??? ? Youth violent offending ??? ? Youth behavioral and mental health problems ??? ? Disruption of placements and running away ??? ? Placement recidivism ??? ? Attachment to caregivers ??? ? Gender differences ??? ? Foster parent retention and satisfaction
- 6. MTFC is evidenced based Results of the Study MTFC was substantially lower resulting in savings for both systems and taxpayers
- 7. MTFC is evidenced based Both boys and girls referred from juvenile justice show greater benefits from participation in MTFC than in group care ? of the number of arrests Significant and meaningful differences in violent criminal activity Fewer run-aways Significantly fewer days in locked settings
- 8. MTFC is evidenced based
- 9. Days in Locked Settings Days in Psychiatric Hospitals or Incarcerated (locked settings) 2 year follow-up Chamberlain, Leve, & DeGarmo Journal of Consulting and Clinical Psychology, 07
- 10. Days/week spent 30 min on homework Homework Completion at 12-Months
- 11. Logic Model for the Intervention Improvement in foster parent skills (increase reinforcement relative to discipline) Decrease child problems Increase reunification & decrease disruption More stable and skilled foster parents Intervention
- 12. What does the MTFC model look like?
- 13. Core Components for Youth Daily structure and support via a point and level system Daily school card Weekly individual therapy Weekly skill building and advocacy Close supervision of whereabouts and associations Recreational skill building Psychiatric consultation Daily mentoring by MTFC parents Weekly contact with parents and frequent home visits
- 14. Level System for Adolescents Three levels Opportunities to earn points for compliance, prosocial behavior Points are lost for rule violations, misbehavior Provides a framework within which interaction can occur without engagement in conflict
- 15. School Days Level II Card Name Date Points Things to Do to Earn Points Earned Bonus Taken Total 10 UP ON TIME 10 READY IN MORNING 10 MORNING CLEANUP 2 GO TO SCHOOL 1/CLASS CARRY SCHOOL CARD 2/CLASS BEHAVIOR IN CLASS 10 SCHOOL CARD BONUS 20 READ AND STUDY 10 CHORE 15 A.M. ATTITUDE/MATURITY 15 P.M. ATTITUDE/MATURITY 2-10 VOLUNTEERING 10 BED ON TIME DAILY TOTAL COMMENTS
- 16. Level II Privileges PRIVILEGE DESCRIPTION POINT COST BASICS Use of telephone for 15 minutes daily, radio in your room. 9:30 P.M. Bedtime 350 TV Can watch TV after homework and/or chore(s) are completed 100 LATER BEDTIME 10:00 P.M. Bedtime Daily, 11:00 P.M. Bedtime on non-school days and holidays with permission. 100 ACTIVITY TIME With prior planning, permission and approval , you may plan to go skating, swimming, to a movie, school activity, etc. If you are late or not where you said you would be, you will lose 1 point per minute. ? point per minute BONDS 1 Bond costs 100 points. You need 12 bond to buy Level III. 100 each EXTRA PHONE TIME One 20 minute call (not long distance) 25 OTHER Foster Parents will choose if applicable 50 ALLOWANCE $5.00 per week. All purchases must have receipts and you must show your money to your foster parents. Money spent at school in pop/candy machines must have Case Manager approval. 200
- 17. Parent Daily Report (PDR)
- 18. Role of the Foster Parent From recruitment through placement and for the duration of treatment, the program maintains a high level of contact with foster parents Foster parents are ¡°the eyes and ears of the program¡± They are encouraged to call program staff at any hour to deal with problems They help to identify target behaviors and formulate treatment plans
- 19. Role of the Program Supervisor Coordinates all aspects of youth¡¯s treatment (e.g., individual and family therapy, school, community involvement) Close (daily) attention to youth¡¯s progress and problems in the foster home and at school ¨C facilitated by Parent Daily Report (PDR) data Conducts weekly foster parent support and training meetings Maintains a small case load (10-12 cases) ¨C typically one youth placed in each foster home (there is evidence this is cost effective for high risk youth)
- 20. The Treatment Foster Care Model CYS School Foster Parents Juvenile Parole/ Probation Child Child Therapist Natural Family Natural Family Therapists Program Supervisor
- 21. Ongoing Consultation, Support and Supervision Weekly foster parent support meetings In-home behavior consultation and 24 hour on-call crisis support Coordination with schools regarding behavior and academic skills Facilitation of access to additional services, service coordination and advocacy Respite care as needed
- 22. Role Stratification Clearly defined roles of each treatment team member are specified and careful planning is taken to maintain the distinction of these roles Minimal overlap in roles is allowed in order to: 1) increase the predictability of the treatment environment, 2) decrease emotionality Clear expectations and roles help to create opportunities for teaching and reinforcing adaptive responses
- 23. Staff Role Descriptions Treatment Foster Parents Program Supervisor (1.0 FTE) Family Therapist (.50 FTE) Youth Therapist (.50 FTE) Skills Trainers (hourly) PDR Caller/Foster Parent Recruiter (1.0 FTE) Consulting Psychiatrist (hourly) Clinical Supervisor/Program Director
Editor's Notes
- #7: ? the number of arrests