Child Placement Agency – Treatment Foster Care Oregon

The Treatment Foster Care Oregon (TFCO) is an evidence based model established in 1983 in Oregon and is now implemented worldwide. TFCO is a program designed to provide an alternative placement to residential treatment or juvenile detention for youth with complex and disruptive behaviors ages 12 to 18. The youth placed in TFCO homes typically have serious behavior problems including a history of law violations, school failure, maladaptive family interactions, drug and alcohol use, poor peer relations, inadequate coping and poor social skills. Youth are typically in placement for a period of 6 to 9 months.

Interventions are multidimensional and are implemented in the TFCO home, at school, in the community, and with peers. In order to ensure adherence to this evidence based model, no co-occurring treatment can occur outside the TFCO program.

Program objectives focus on successful reunification with aftercare resources and cessation of delinquent behavior.

TFCO Treatment Components

  • Behavioral Emphasis on skill building, problem solving and increasing prosocial interactions
  • Strength Based focus on treating serious and chronic delinquent behaviors of juveniles
  • Point and Level System translates positive and negative behavior into points. The youth progresses through three levels, each with fewer restrictions. Consequences occur on the following day to decrease emotional reaction
  • Foster Homes have extensive and specialized training, and they support only one foster youth per home
  • Matching the youth with foster family in terms of culture, background, family demographics, interests and personalities
  • Family Services occur weekly during youth’s placement. Services after discharge are also available through aftercare services. Home passes occur after 3 to 4 weeks and increase in length and frequency as parental skills improve
  • Youth Services provided weekly through individual therapy and skills training sessions
  • 24-Hour Support available to foster parents and identified caregivers

TFCO Program Staff

  • Program Supervisor – Leads the treatment team, advocates for foster parents, acts as a liaison with other systems, and provides limits and all consequences to youth in the program
  • Foster Parent – Provides 24/7 supervision of youth, implements point and level system, and maintains open communication with program supervisor
  • Individual Therapist – Works with youth individually on a weekly basis. Treatment and technique is directed toward specific behavior modification
  • Family Therapist – Works with identified caregivers on a weekly basis. Treatment is designed to support identified caregivers in improving communication and developing more effective disciplinary skills.
  • Skills Trainer – Works with the youth on a weekly basis. Sessions focus on social skills, problem-solving and coping skills
  • Parent Daily Report Caller – Calls foster parents daily (M-F) to record youth’s behavior from the prior day

Identified Caregiver Role in TFCO Program

  • Commit to goal of reunification
  • Participate in weekly family therapy meetings
  • Adhere to point and level system while youth is on home passes
  • Communicate with supervisor

Youth’s Role in TFCO Program

  • Build on existing strengths.
  • Create more positive relationships with family, school staff and peers.
  • Learn more effective problem solving, conflict resolution and coping skills.
  • Increase responsibility and accountability for time.
  • Participate in the point and level system.
  • Attend school and be responsible for school card.
  • Attend weekly sessions with individual therapist and skills trainer.
  • Follow program rules and limits set by Program Supervisor.

For more information contact: Lauren Chitwood, 303-225-4073

To learn more about TFCO, please visit