Therapeutic Fostering



We offer a tiered approach to the provision of support and intervention but where flexibility is maintained to ensure the individual needs of our families and the children and young people can be met. As such, within each tier is scope for an individually tailored approach to support and therapeutic intervention, but also where children and young people may move between tiers as need reduces or arises.



Therapeutic Fostering operates on a three tired system as illustrated below: The level of support and therapeutic intervention will vary at each tier and dependent upon need. Standard packages of support are described below. Please note, therapeutic interventions and additional training and support is available within Tier 1 as an additional extra:


Tier 1: Foundation

All our families receive training and support from the supervising social worker to undertake the fostering role. Children and young people at this level usually do not require focused therapeutic intervention. However, families are often supported with behaviour management techniques from our team, and may have enhanced support from the supervising social worker dependent on need. We don't believe that all children require therapy or engage in professional therapeutic interventions but do believe that what children require is consistency and clear boundaries. For us working therapeutically is about encapsulating these methods and working consistently. 


Tier 2: Therapeutic or Complex Needs

At this tier our families continue receive training and support from the supervising social worker to undertake the fostering role. We recognise the essence of complex needs as implying both: (1) breadth of need, with multiple needs that are interrelated or interconnected; and (2) depth of need, which refer to profound, severe, serious or intense needs that require additional support (Rankin & Regan, 2004).



Indeed, the majority of children and young people in foster care are likely to have a combination of medical, mental health and developmental needs which necessitates access to multiple services. Therefore, enhanced training and support is provided to foster carers to assist in the care of children and young people who present with these additional needs. This can include increased support from the supervising social worker, practical support from a support worker and also intensive support from the supervising social worker and psychological support from our therapists.

Tier 3: Significant, Therapeutic or Complex Needs

At this tier our families and specialist foster carers will be experienced in regards to having undertaken training and development in understanding harmful behaviour. Such behaviour is present among some young people in foster care, which may be as a result of abusive or neglectful early life experiences. 



This training includes the effective management and support of children and young people who present with such harmful behaviour. The training and support is provided by our expert team at who specialise in this field and work with the family and child/young person to better understand their behaviour and to progress positively. Psychological assessments and empirically based interventions are undertaken at this tier, and enhanced levels of support and guidance on understanding and managing risk whilst building protective factors are offered.





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