Refuge House Logo

Logic Model

A home is in the heart of every child.

T3C Substance Use Support Services
Substance Use Support Services Package

This Logic Model is specifically for youth with DSM-5 substance-related and addictive disorder diagnoses or documented problematic substance use requiring specialized monitoring and recovery support.
Uses T3C Basic Foster Family Home TBRI® foundation with recovery-oriented enhancements. Non-punitive, recovery-supportive approach treating addiction as disease.

Mission

To serve youth with substance use disorders by providing trauma-informed, recovery-supportive foster care that addresses both addiction and underlying trauma while building healthy relationships as protective factors against continued use.

Vision

To see youth achieve sustained recovery through healing relationships and comprehensive support, enabling successful transitions to less intensive services and permanent homes while maintaining community recovery connections.

Substance Use Support Services Objective

To provide trauma-informed, recovery-oriented foster care for youth with substance use disorders. Services focus on non-punitive recovery support, comprehensive substance use assessment and treatment coordination, trigger management, coping skill development, and community recovery connections—all within a TBRI® framework that recognizes addiction as disease and maintains connection through the recovery journey.

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

Enhanced with recovery-oriented interventions for substance use (T3C Blueprint)

Connecting Principles

• Building felt safety through attunement
• Providing nurturing care
• Supporting healthy attachment
• Therapeutic communication avoiding shame
SU
• Connection maintained during relapse
SU

Empowering Principles

• Meeting physical needs
• Supporting self-regulation
• Establishing predictable routines
• Substance-free environment maintenance
SU
• MAT coordination when appropriate
SU

Correcting Principles

• Proactive teaching strategies
• IDEAL Response® framework
• Life value terms
• Non-punitive relapse response
SU
• Drug screening as clinical tool
SU

Logic Model Framework

Inputs

Basic Foundation + SU Enhancements

• Licensed CPA Administrator
BASIC
• Program Director
BASIC
• Treatment Director
SU
• Licensed Therapists (1:14 ratio) w/ SU experience
SU
• Behavior Support Specialists (1:15)
SU
• Case Managers (1:15) w/ SU awareness
SU
• Crisis Management Staff (1:25)
SU
• Aftercare Case Manager (1:25)
SU
• SU foster homes (35-hr + 4-hr SU training)
SU
• TBRI® trained staff
BASIC
• 24/7 crisis availability
SU
• IT systems (Radius)
BASIC
• Drug screening protocols (clinical)
SU
• SU therapist network
SU
• Community recovery resources
SU
Activities

Basic TBRI® + Recovery Support

• TBRI® implementation for stabilization
BASIC
• Comprehensive SU assessment within 30 days
SU
• Weekly individual therapy (SU-qualified)
SU
• Substance use treatment per recommendation
SU
• Family therapy addressing SU impacts
SU
• MAT coordination when appropriate
SU
• Trigger management skill building
SU
• Drug screening as clinical tool
SU
• Non-punitive relapse response
SU
• CANS 3.0 - Every 90 days
SU
• Recovery community connections
SU
• Family engagement & outreach
BASIC
• Human trafficking screening (elevated risk)
SU
• Normalcy activities
BASIC
• Aftercare planning & provision
SU
Outputs

SU-Specific Measurables

• Number of SU children served
• SU assessments within 30 days (100%)
SU
• CANS 3.0 every 90 days (100%)
SU
• Weekly therapy sessions delivered (95%+)
SU
• 90-day continued stay reviews (100%)
SU
• Drug screenings completed per protocol
SU
• Recovery progress documented
SU
• Relapse responses per protocol (100%)
SU
• Crisis interventions documented
SU
• SU treatment engagement tracked
SU
• Community recovery connections made
SU
• Foster parent SU training hours (4+)
• Aftercare engagement rates
SU
Outcomes

SU-Specific Results

SHORT-TERM (3-6 months)

Treatment engagement • Reduced substance use • Crisis reduction • CANS improvement • School stabilization

INTERMEDIATE (6-12 months)

Sustained recovery periods • Placement stability (85%+) • Faster relapse recovery • Expanding coping skills

LONG-TERM (12-18+ months)

Sustained recovery • Permanency achievement • Transition to Basic • Community connections • Family improvement

• Reduced substance use frequency (25%+ baseline)
• Placement stability 85%+
• CANS score improvement (measurable)
• Crisis incidents decreasing trend
• Recovery community connections maintained
• 30/60/90-day post-discharge stability
• TBRI® fidelity maintained
Human Trafficking Risk Monitoring

Elevated risk population - required screening and monitoring

Screening PointTimelinePurpose
Universal trafficking screening
At admission
Identify existing trafficking involvement
Regular reassessmentOngoingMonitor for new risk indicators
Staff training verificationAnnualEnsure recognition capacity
Response protocol reviewAs neededMaintain current procedures
Post-Discharge Recovery Stability Milestones

Tracked through aftercare services

30-Day
90%+
recovery stability
60-Day
85%+
recovery stability
90-Day
80%+
recovery stability
No Re-entry
90%+
target
Substance Use Support Services CQI Process (TAC §749.665)
SU-Specific Data Collection
  • • SU assessment completion rates & timelines
  • • CANS 3.0 completion every 90 days
  • • Weekly therapy attendance tracking
  • • Recovery progress documentation
  • • Drug screening patterns (clinical indicator)
  • • Relapse frequency and response quality
  • • Crisis intervention documentation
  • • Treatment engagement metrics
  • • TBRI® fidelity in recovery context
  • • Post-discharge stability tracking
SU Program Review
  • • 90-day Service Plan review quality
  • • SU treatment coordination effectiveness
  • • Relapse response protocol adherence
  • • Non-punitive approach verification
  • • Foster parent SU support adequacy
  • • Recovery community connections
  • • Human trafficking screening compliance
  • • MAT coordination (when applicable)
  • • Aftercare engagement rates
  • • Treatment model fidelity assessment
SU Implementation Adjustments
  • • Therapy frequency/modality modifications
  • • Relapse response protocol refinements
  • • Recovery support strategy enhancements
  • • Foster parent training updates
  • • Drug screening protocol adjustments
  • • Community resource connections expansion
  • • Crisis intervention improvements
  • • Family engagement strategies
  • • Aftercare process refinements
  • • 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: December 10, 2025