37.87.1407 THERAPEUTIC FOSTER CARE (TFC), PROVISIONS OF SERVICE
(1) The main focus of the service is to address the mental health needs and strengthen the structure and support for youth and the caregivers. TFC serves the youth and the caregivers in their home and community environment through understanding the needs of the youth and the dynamics of the caregivers. TFC requires a structured, consistent, strength based therapeutic relationship between the provider and the youth and the caregiver for the purpose of treating the behavioral health needs of the youth, including improving the caregiver's ability to provide effective support for the youth and to promote healthy functioning.
(2) The following must be available and provided as clinically indicated by a mental health professional:
(a) conduct a treatment team meeting with the caregiver to develop an individualized treatment plan in accordance with ARM 37.106.1916(5);
(b) write treatment summaries at a minimum of every month describing progress and changes in the strengths and needs of the youth and the caregiver to inform service provisions; and
(c) develop a crisis plan with the caregiver that identifies a range of potential crisis situations with a range of corresponding responses including direct (face-to-face) and telephonic responses 24/7.
(3) The following services, identified in the individualized treatment plan, must be available and provided as clinically indicated:
(a) individualized therapeutic support to the youth and the caregiver based on strengths and needs;
(b) identification, coordination, and strengthening of formal and informal supports; and
(c) post-crisis consultation and crisis plan revision with the team and the caregiver, as needed.
(4) The following services must be available and provided as clinically indicated. The services must be identified in the ITP and include two of the following:
(a) skill building;
(b) assistance for the youth and the caregiver to identify resources to meet their needs;
(c) instruction for the caregiver on behavior management strategies; and
(d) psycho-educational programs.
History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, MCA; NEW, 2013 MAR p. 166, Eff. 2/1/13; AMD, 2013 MAR p. 2153, Eff. 11/15/13; AMD, 2020 MAR p. 2435, Eff. 1/1/21.