Evidence-Based Practice in Foster Parent Training and Support ...

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EBP in Foster Parent Training and SupportMultidimensional Treatment Foster Care for Preschoolers (MTFC-P)MTFC-P is a treatment foster care model tailored specifically to the needs of 3 to 6-yearoldfoster children (Fisher & Chamberlain, 2000; Fisher, Ellis, & Chamberlain, 1999). MTFC-Pis delivered through a treatment team approach in which foster parents receive training andongoing consultation and support; children receive individual skills training and participate in atherapeutic playgroup; and birth parents (or other permanent placement caregivers) receivefamily therapy. MTFC-P trains parents to use of concrete encouragement for pro-social behavior;consistent, non-abusive limit-setting to address disruptive behavior; and to closely supervise thechild in care. MTFC-P is oriented toward creating optimal environmental conditions to facilitatedevelopmental progress. These conditions include a responsive and consistent caregiver and apredictable daily routine with preparation for transitions between activities.Foster parents typically receive a minimum of seven contacts per week, which consist offive 10-minute contacts, one two-hour group session, and additional contacts based on theamount of support or consultation required (CEBC, 2008d). Children in treatment are typicallycontacted twice a week; these contacts consist of a two-hour therapeutic playgroup and a twohourskills training session. For the biological family or other long-term placement resource, onecontact per week in the form of a one-hour skill-building session occurs.Two of the main components of MTFC-P are conducted in a group environment: FosterParent Support Meetings and Therapeutic Playgroups. The Foster Parent Support Meetings arecomprised of 10 caregivers from foster homes. The Therapeutic Playgroup is conducted withapproximately 10 children. All sessions occur in a six to nine month timeframe.Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 21
EBP in Foster Parent Training and SupportMTFC-P is rated as an efficacious practice and is associated with reduced foster parentstress, improved parenting skills and child behavior, and placement permanency (Fisher,Burraston, & Pears, 2005; Fisher, Gunnar, Chamberlain, & Reid, 2000; Fisher & Kim, 2007).Children in MTFC-P are treated for disruptive, maladaptive behaviors. These include a widerange of diagnoses and developmental delays. MTFC-P is appropriate for dealing with behaviorsof aggression, anxiety, depression, hyperactivity, autism spectrum, attachment, enuresis,encopresis, defiance, tantrums and general anti-social behavior (CEBC, 2008). Because of this,TFC foster families may benefit greatly from participation in the MTFC-P program.NTUNTU is a treatment foster care program implemented via an African-centered approach(Gregory & Phillips, 1996). The NTU psychotherapy approach is based on the principles ofmental health and healing: harmony, balance, interconnectedness, and authenticity. The modelprovides a comprehensive cultural/spiritual, biopsychosocial approach to intervention for TFC.Interventions are based on the needs of the foster child and can include 1) weekly in-homefamily and/or individual therapy; 2) group therapy or play therapy; 3) small client to therapistrations (5:1); 4) multifamily therapy retreats (for child, foster and biological families); 5) casemanagement; 6) monthly psychological-psychiatric services; and 7) HELP (How EmpowermentLiberates Parents) training program for foster parents. Cultural services, including a therapeuticrites of passage program and a cultural hour group, are included. Other individualized supportiveservices are also provided (e.g., respite, tutorial services, academic incentives, etc.).Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 22
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