Overview
The T3C Mental and Behavioral Health Support Services package provides enhanced therapeutic interventions for children and youth with significant mental health needs. This model integrates evidence-based TBRI® principles with specialized clinical services to address complex trauma, behavioral challenges, and mental health diagnoses.
Enhanced TBRI® Framework
This package builds upon the foundational TBRI® model with additional clinical components:
- Individual therapy sessions
- Attachment-focused interventions
- Trauma narrative work
- Relationship repair strategies
- Psychiatric consultation
- Medication management
- Crisis intervention planning
- Sensory integration therapy
- Behavioral intervention plans
- DBT skills training
- Cognitive behavioral therapy
- Safety planning protocols
Clinical Services Integration
Weekly individual therapy sessions provided by licensed therapists trained in trauma-informed modalities including EMDR, TF-CBT, and attachment-based interventions.
Access to psychiatric evaluation, medication management, and consultation for children with diagnosed mental health conditions or complex behavioral presentations.
24/7 crisis consultation available to foster parents and case managers, with mobile crisis response when needed to prevent placement disruption.
Enhanced training beyond basic TBRI® certification, including therapeutic parenting techniques, mental health first aid, and behavior management strategies for complex needs.
Evidence-Based Practice Foundation
Additional Evidence-Based Modalities:
- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - Well-supported practice for trauma treatment
- Eye Movement Desensitization and Reprocessing (EMDR) - Effective for PTSD and trauma symptoms
- Dialectical Behavior Therapy (DBT) - Skills-based approach for emotion regulation
- Parent-Child Interaction Therapy (PCIT) - Evidence-based for behavioral challenges
Target Population
Children and youth in DFPS conservatorship who require the Mental and Behavioral Health Support Services package due to:
- Diagnosed mental health conditions (depression, anxiety, PTSD, etc.)
- Complex trauma histories requiring therapeutic intervention
- Behavioral challenges that exceed basic foster care capacity
- Need for psychiatric services or medication management
- Risk of placement disruption without enhanced support
- History of multiple placement disruptions
Enhanced Staffing Structure
- Licensed Clinical Director
- Licensed therapists (LCSW, LPC, LMFT)
- Psychiatric consultant (MD or APRN)
- Crisis intervention specialists
- Reduced caseload ratios (1:12)
- Enhanced training requirements
- Weekly clinical consultation
- 24/7 on-call availability
Expected Outcomes
Short-Term (3-6 months):
- Reduction in crisis episodes
- Improved emotional regulation
- Engagement in therapeutic services
- Placement stability maintained
Intermediate (6-12 months):
- Decreased mental health symptoms
- Improved behavioral functioning
- Enhanced coping skills
- Strengthened caregiver-child relationships
Long-Term (12+ months):
- Trauma symptom reduction
- Achievement of permanency goals
- Successful step-down to lower level of care when appropriate
- Improved overall well-being and functioning
Quality Assurance and Fidelity
- Monthly clinical supervision for all therapists
- Quarterly treatment model fidelity assessments
- Regular outcome measurement using standardized tools
- Case review by Clinical Director every 30 days
- Continuous quality improvement process aligned with CQI Model
Related Resources
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