Logic Model

A home is in the heart of every child.

T3C Mental and Behavioral Health Support Services

Mental & Behavioral Health Support Services Package

This Logic Model is specifically for children requiring therapeutic and recovery services for emotional, conduct, or behavioral disorders.
Incorporates T3C Basic Foster Family Home Support Services as foundational Tier 1 with enhanced therapeutic components.

Mission

To serve children with mental and behavioral health needs by providing comprehensive therapeutic support within stable family environments, utilizing evidence-based interventions to guide them toward healing and successful permanency.

Vision

To see children overcome trauma and behavioral challenges through intensive therapeutic interventions, achieving stability and well-being that enables successful transitions to less restrictive settings and permanent homes.

Mental & Behavioral Health Service Objective

To provide trauma-informed therapeutic foster care for children with DSM-5 diagnoses or pending diagnoses for emotional, conduct, or behavioral disorders, delivering regular clinical interventions (therapy, education, and/or medication) through TBRI®-enhanced programming to support and manage day-to-day activities while working toward permanency goals.

Evidence-Informed Treatment Model: Trust-Based Relational Intervention® (TBRI®)

Enhanced with specific programming for mental & behavioral health needs (T3C Blueprint p.77)

Connecting Principles

• Building felt safety through attunement

• Providing nurturing care

• Supporting healthy attachment

• Therapeutic alliance development

MH Enhancement

• Trust-building in therapy context

MH Enhancement

Empowering Principles

• Meeting physical needs

• Supporting self-regulation

• Establishing predictable routines

• Sensory strategies for regulation

MH Enhancement

• Psychotropic medication support

MH Enhancement

Correcting Principles

• Proactive teaching strategies

• IDEAL Response® framework

• Life value terms

• Behavioral intervention plans

MH Enhancement

• Crisis de-escalation protocols

MH Enhancement

Logic Model Framework

Inputs

Tier 1 (Basic) + MH Enhancements

• Licensed CPA Administrator

BASIC

• Program Director

BASIC

• Treatment Director (Master's level)

• Case Managers - Enhanced ratio 1:15

• Licensed Therapists (1:14 ratio)

• Behavioral Support Specialists (1:15)

• Crisis Management Staff (1:25)

• Aftercare Case Managers (1:25)

• Verified foster homes (35-hour training)

BASIC

• MH-specialized foster parent training

• TBRI® trained staff

BASIC

• 24/7 crisis response capability

• IT systems (Radius)

BASIC

• Enhanced data tracking for MH metrics

• STAR Health coordination

BASIC

• HHSC Behavioral Health coordination

Activities

Tier 1 (Basic) + MH Interventions

• TBRI® implementation with therapeutic integration

BASIC+

• Regular & frequent individual therapy (per T3C p.77)

• Family therapy sessions (as appropriate)

• Group therapy programs (as indicated)

• Psychiatric consultations & evaluations

• Medication management & monitoring

• Behavioral intervention plan implementation

• Crisis intervention (24/7)

• CANS 3.0 - Every 90 days

• Service Planning - 90-day reviews

• Family engagement

BASIC

• Therapeutic family participation

• STAR Health coordination

BASIC

• HHSC BH service coordination

• ECI coordination (if applicable)

• Educational advocacy

BASIC

• Special education coordination

• Normalcy activities

BASIC

• Aftercare planning & provision

Outputs

MH-Specific Measurables

• Number of MH children served

• Service Plans completed within 90 days (100%)

• CANS 3.0 completed every 90 days (100%)

• Weekly therapy sessions delivered

• Therapy attendance rate (target ≥90%)

• Crisis interventions provided

• Crisis response time (<1 hour)

• Behavioral plans implemented

• Psychiatric consultations completed

• Medication compliance rate (≥85%)

• Family therapy sessions conducted

• Foster parent MH training hours (enhanced)

• Service denials notified (3-day compliance)

• Program Director confirmations (15-day)

• Treatment Director reviews documented

• Aftercare services initiated

• Step-down assessments completed

• HHSC BH services accessed

Outcomes

MH-Specific Results

SHORT-TERM (90 days)

Behavioral stabilization • Crisis reduction • Medication stability • Therapeutic engagement

INTERMEDIATE (6 months)

CANS improvement ≥20% • Treatment goals achieved • Family functioning improved • School performance gains

LONG-TERM (12+ months)

Step-down to Basic package • Permanency achievement • Sustained stability • Community integration

• Reduced psychiatric hospitalizations (≥50%)

• Decreased behavioral incidents (≥40%)

• Improved CANS behavioral domain scores

• Successful medication adherence

• Treatment completion rate (≥70%)

• Step-down success rate (≥60%)

• Placement stability (MH-adjusted targets)

• RCC permanency targets (MH cohort)

Mental & Behavioral Health CQI Process (TAC §749.665)

MH-Specific Data Collection

• Weekly therapy attendance tracking
• Monthly behavioral incident analysis
• 90-day CANS trend monitoring
• Medication compliance rates
• Crisis intervention frequencies
• Psychiatric consultation outcomes
• Family therapy participation
• TBRI® fidelity assessments
• Step-down readiness indicators

MH Program Review

• 90-day Service Plan reviews
• Treatment Director quarterly analysis
• Continued stay criteria evaluation
• TBRI® fidelity in therapeutic context
• Cross-system coordination effectiveness
• Therapist caseload management
• Crisis response effectiveness
• Aftercare engagement rates

MH Implementation Adjustments

• Therapeutic approach modifications
• Crisis protocol refinements
• Behavioral intervention updates
• Medication protocol reviews
• Step-down criteria adjustments
• Family engagement strategies
• Training enhancements for MH
• Annual Logic Model updates

TBRI® is a registered trademark of the Karyn Purvis Institute of Child Development at Texas Christian University

"A home is in the heart of every child."

Last Revised: September 2025