To make a client referral, please complete the referral form linked below and email the completed form to the provider you are requesting services from. Please note that several factors influence FCT provider assignments, so the FCT provider assigned may differ from initial selection.
A Referral can be made to FCT if one or any combination of the criteria below are impacting the family:
Trauma
- Exposure to traumatic experience (acute, chronic, and/or complex) inclusive of crime, abuse, neglect, domestic violence, natural disaster, etc.
- Societal trauma exposure inclusive of immigration, human trafficking, systemic/institutional racism, poverty, etc.
Systemic Involvement
- Involvement with the child welfare system
- Juvenile Justice System, Department of Correction, and/or Court Supervision Program involvement for any family member
Mental Health/Substance Use/Crisis
- A behavioral/mental health diagnosis for any participating family member
- Exposure to and/or experience with substance abuse
- Crisis or the cumulative effect of caring for a family member with chronic physical, mental, and/or behavioral health illness
Family Functioning/Family Reunification
- Family Function deterioration (parenting/co-parenting problems, behavior concerns, poor patterns of attachment, adjustment to blended family, etc.)
- A family member, child or adult, is in an out-of-home placement with a plan to return home, is hospitalized or is incarcerated
Need for Alternative Services
- Less intensive treatment has proven unsuccessful
- Challenges adjusting to new life transitions inclusive of pregnancy, addition of foster/adopted child, grief, military member deployment or return, and/or severely impacting new medical/behavioral health diagnosis
To make a client referral, please contact the provider in your county area for assistance.
FCT Conditions for Services:
- Identification of at least one adult who is available* to participate in services inclusive of foster placement and pre/post adoption.
*FCT will work with voluntary and involuntary referrals. FCT practitioners are highly trained in techniques to engage with families who have been reluctant to engage in services. - At least one child between the ages of 4-17 with an identified Behavioral Health need for FCT service.
- The need to facilitate a successful reunification if the child(ren) are already placed out of the home, or to avoid out of home placement for the child(ren).
- PASSE Tier 2 or 3 to participate.
