Therapeutic foster care - Berry Street Childhood Institute
Therapeutic foster care - Berry Street Childhood Institute
Therapeutic foster care - Berry Street Childhood Institute
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Table of Contents<br />
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />
Key findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />
A trauma-attachment framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6<br />
Mental health problems of children in <strong>care</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6<br />
The interplay of trauma and attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6<br />
Attachment and culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6<br />
Aboriginal child-rearing practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7<br />
Cultural variance of exploration and closeness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7<br />
Access to services for children in <strong>care</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7<br />
Evidence-based and recommended treatment interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8<br />
Referral and assessment process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8<br />
Assessments for children entering <strong>care</strong> – Stargate model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9<br />
Training the child welfare system in mental health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9<br />
Children in <strong>care</strong> – an Australian context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9<br />
<strong>Therapeutic</strong> <strong>foster</strong> <strong>care</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />
Origins of TFC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />
Definitions of therapeutic <strong>foster</strong> <strong>care</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />
Difference between TFC and general <strong>foster</strong> <strong>care</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11<br />
Characteristics of TFC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11<br />
Enhanced services and <strong>care</strong>giver reimbursements in TFC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11<br />
Characteristics of children in TFC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11<br />
Assessment and matching process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12<br />
The therapeutic <strong>foster</strong> <strong>care</strong>r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13<br />
Motivation for <strong>foster</strong>ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13<br />
Foster <strong>care</strong>r selection and assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13<br />
Training therapeutic <strong>care</strong>rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14<br />
A rationale for training <strong>care</strong>rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14<br />
Engaging <strong>care</strong>rs in training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />
Effect of <strong>foster</strong> <strong>care</strong> training on children's functioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />
Theoretical approaches to training <strong>care</strong>rs in TFC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />
Training models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16<br />
International training models: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16<br />
Fostering attachments with children who are looked after and adopted: . . . . . . . . . . . . 16<br />
A group for <strong>foster</strong> <strong>care</strong>rs and adoptive parents (Golding, 2006) . . . . . . . . . . . . . . . . . . . . 16<br />
Training program for <strong>foster</strong> <strong>care</strong>rs and their supervising social workers<br />
(Allen & Vostanis, 2005) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16<br />
Attachment and Biobehavioral catch-up: An intervention targeting the relationship<br />
between parent and child (Infant <strong>care</strong>giver project, University of Delaware, 2005) . . . . 17<br />
Attachment for <strong>foster</strong> <strong>care</strong> and adoption: A training programme<br />
(Beek & Schofield, BAAF, London, 2006) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17<br />
Specialised training programs in Victoria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17<br />
Advanced training program for TrACK <strong>care</strong>rs (TrACK evaluation report, 2005) . . . . . . 17<br />
Working with Children in Care – manual for <strong>care</strong>rs (Connections, Child, Youth<br />
and Family Services – Challenging Behaviours Consultancy program, 2005) . . . . . . . . . 17<br />
Creative training and support for <strong>care</strong>rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17<br />
<strong>Therapeutic</strong> Foster Care 3