KC 11: Therapeutic Services
Children with significant medical, developmental, emotional, or behavioral needs, who require additional resources to remain in a family setting and achieve optimal development, receive intensive clinical
and supportive services.
NA The organization does not provide specialized therapeutic services.
Specialized therapeutic services are delivered by a treatment team, and the team includes, as appropriate to the needs of the child:
- family members;
- kinship caregivers;
- caseworkers and parole or probation officers;
- behavior support specialists;
- registered nurses and physicians;
- psychiatric nurses, psychologists, and psychiatrists; and
- rehabilitation therapists.
The treatment team includes at least one agency or contract employee
, in addition to the supervisor, who has an advanced degree
in social services
or a related field and at least three years of professional experience working with children who have severe emotional and behavioral or medical needs. Professionals should have demonstrated child welfare experience or specialized training
. When the case
involves an Indian child
, a representative from the tribe or the local Indian organization
should be included on the treatment team.
The treatment team develops an individualized, strengths-based treatment plan that:
- specifies the diagnosis;
- identifies current and anticipated needs, and specifies short- and long- term therapeutic interventions;
- is used weekly by the team to respond effectively to targeted issues and behaviors; and
- is reviewed within 30 days of placement, and every 90 days to evaluate continued need for therapeutic kinship care.
Weekly communication between the treatment team can occur over the phone, when necessary.
The organization arranges for needed therapeutic and rehabilitative services for the child, and the kinship caregiver assumes primary responsibility for providing therapeutic interventions in the home and acting as a liaison with clinical personnel
Therapeutic and rehabilitative services may include, and are not limited to, individual counseling, family counseling, group counseling, and medical treatment. The organization should recognize the value of incorporating culturally-grounded interventions into the treatment plan, and include traditional practices
or customs of the child’s culture, faith-based community
, or tribe to the greatest extent possible and appropriate. Whenever possible, Indian children should receive therapeutic and rehabilitative services from qualified professionals
who have experience working with the tribe and knowledge of tribal customs and practices.
Formal agreements are established with:
- mental health facilities, medical institutions including neonatal and pediatric facilities, and other rehabilitation service providers to ensure the availability of necessary medical and mental health services; and
- a board-certified physician, with appropriate experience, who assumes responsibility for medical elements of a program that serves children with significant medical needs.
The board-certified physician can provide services as an employee, contractor, or through another formal arrangement. Experience should be appropriate to the level and intensity of service as well as the needs of the population served.