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Harmony Youth Services

TREATMENT FOSTER CARE:
MIXED MODALITY SERVICE MODEL

Program Description


RATIONALE

A mixed modality model of treatment foster care is very unique, efficient and effective. This service model differs from both basic foster care and treatment foster care. It is important to know that the Treatment Foster Care: Mixed Modality Service Model is not simply treatment foster care nor a mixed modality model. Rather, when designed correctly, it possesses the best of both worlds plus much more. Rather than a child simply being placed in a bed, the child’s and parent’s support is a program.

Key aspects of the Treatment Foster Care: Mixed Modality Service Model include the specialized training of foster (house) parents, intensive support by the agency, inclusion of the child’s family in treatment (when appropriate), and compensation rates higher than traditional foster care but less than those in residential treatment. In general, this Model services children whose primary needs are emotional and behavioral, typically uses a behavioral, social learning, and/or systems/ecological treatment orientation. Nevertheless, the child remains in a community-based program with house (foster) parents rather than within a residential group setting.

SKELETAL MODEL

Harmony Youth Services is dedicated to providing quality, long term, specialized residential treatment for youth who have been labelled “hard to serve” ranging in age from 10-18 years. Each parent-model treatment home will accommodate up to four co-ed youths. In order to provide the best treatment, Harmony Youth Services will access all necessary services for each youth to achieve their full potential.
The Treatment Foster Care: Mixed Modality Service Model consists of an inner team comprised of the house parents (live-in) and a full-time youth worker (40 hours per week) within the home. Furthermore, this team is supported within the macro-management team of the agency, including clinical support and a supervisor. The team functions as a whole with treatment planning and processing being done together. Weekly (bi-weekly develops at some point within the process) clinical meetings ensure consistency, strong clinical treatment planning and ensuring the child’s best interests are being maintained. The CAS support worker will also be included at various levels (to be discussed) in this Model.

Within the Treatment Foster Care: Mixed Modality Service Model, clear role definitions are maintained while at the same time a crossover of roles within the team model exists. In essence, the house parent will maintain the day-to-day responsibilities within the home, including ensuring the physical presentation, food purchase and preparation, and monitoring the youth within the home; including homework and chores. Likewise, the house parents continue to implement the treatment plans of the youth that has been initiated by the youth worker. The youth worker is primarily responsible for networking with agencies, individual and group counselling and report writing. As noted above, each member of this inner team can, and will, assist the others with job expectations.

The budget for this Program will be maintained by the agency administration and funds will flow-through to the house parents. The house parents will receive a set per diem for items within the budget such as food, household goods, allowances, and other funds, which are variable according to the number of youth in the home at any particular time. Other funding items will be requisitioned to the administration by the house parents.

The Model will maintain a hierarchy of staff, with the house inner team being accountable to a House Supervisor. The Supervisor must oversee the consistency of the program, staff supervision and ensure the budget is maintained. Likewise, this Model would have a clinical consultant meeting with the team on alternate team meetings or when necessary.

Harmony Youth Services is committed to bringing a much needed service to London and its extended regions by providing quality specialized treatment foster care/mixed modality care.

OARTY Member: Harmony Youth Services
Program/Facility Description: Treatment Foster Care
City: Amherstburg
Ministry Region: West
For Ages: 10-18
Home Type: Foster Home
Client Group: ED/BD
Accredited By:
  • BED AVAILABILITY
  • 0 Immediate
  • 0 30 Days
  • 0 60 Days
  • 0 90 Days

Accepted Conditions

1. Client Groups

AboriginalAges 12 and up
Ages 6-12Cultural Accommodations
Developmentally ChallengedDual Diagnosis Clientele
Emotionally DisturbedFemales Only
Lesbian, Gay, BisexualPhysical Abuse Victims
Religious AccommodationsSexual Abuse Victims
Technologically DependantTotal Care
TransgenderedTransitional Age Youth (16-18)
Two-SpiritedYoung Offenders

2. Diagnostic Features

ADD/ADHD/Severe Learning DisorderAIDS/HIV
Attachment DisorderAutism Spectrum Disorder
BipolarBorderline Personality Disorder
Conduct DisorderDyslexia
Failure to ThriveFASD
Obsessive Compulsive DisorderOppositional Defiant Disorder
Personality DisorderPhobias
Sexually Transmitted InfectionsSleep Disorder

3. Problematic Behaviours

Bed WettingChronic Lying
Defiance (Excessive)Demanding (Excessive)
Eating DisordersFearful/Anxious
Manipulative/Causes ConflictNo Problematic Behaviours
Over-activePhysical Aggression Towards Property
Physical Aggression Towards SelfRunning
Short Attention SpanSocially Delayed
Soiling/Smearing/VomitingStealing
Substance AbuseSuicide Threats/Ideation
TantrumsVerbally Abusive

4. Sexual Acting Out Behaviours (all ages)

Excessive MasturbationIndiscriminate Affection/Promiscuous
Provocative/Seductive

5. Teen Issues

AbortionBirth Control
PregnancySevere Addiction
Sexually Active TeenSubstance Abuse

6.1 Health Care Requirements

Apnea MonitorDietary Considerations

6.2 Procedures from Regulated Health Professions Act, 1996

No services offered in this category

7. School and Community


* Select the following criteria that are addressed through external education/community services, for internal supports, please denote in the appropriate categories.
Disruptive Behaviour in ClassroomSpecial Education Needs
SuspensionsTruancy

8. Program Model

Assisted/Independent LivingFoster Care
Treatment Foster Care

9. Program Treatment Services

Anger ManagementAssertiveness Training
AssessmentBehaviour Management
Community Skills TrainingCrisis Admission/Emergency
Life Skills ProgramLong Term Residental (2+ years)
Medium Term Residental (1-2 years)Milieu Therapy
Preparation for IndependenceRecreational Program
Short Term Residential Care (<1 year)Social Skills Training
Specialized Program for Transitional Age YouthSummer Program

10. Professional Services Included in Set Rate (Professionals on staff and/or contracted at no additonal cost)

Behaviour Management ConsultationClinical Consultation

11. Additional Community Provided Professional Services

Art TherapyFamily Therapy
Group TherapyNutrition and Feeding Consultation
Orthodontic SpecialistPlay Therapy