Therapeutic Foster Boarding Home Program (TFBH)

Hudson Valley

What is Therapeutic Foster Care?

A Proven Treatment Model

TFBH provides many of the same services available at a residential setting without the same amount of restrictions.

Specialized Support Services

All staff members are trained and/or licensed professionals.

Staff includes: Caseworker; Social Worker; Psychiatrist/Psychiatric Nurse; Professionally-Trained Resource Parents

Comprehensive Clinical Services

All services are coordinated through the TFBH Treatment Team in collaboration with the children, Department of Social Services (DSS) caseworkers and resource parents.

Strength-Based Approach

In addition, we are part of a larger agency that can provide a greater number of services to assist in transition back home when the child and their family are ready.

Who Are The Children in Therapeutic Foster Care Programs?

  • We serve children between 4 and 21 years of age. 
  • The child must be in the custody of a county DSS agency.
  • The child needs to be considered emotionally disturbed.
  • The child must be able to function in public school; this may include BOCES, Adolescent Day Treatment, etc.
  • The child must not need 24-hour supervision.
  • We accept referrals from any Department of Social Services.
  • An ideal step-down program for a child in residential care.

A Leader In Applying Evidence-Based Practices

Our program model is a progressive therapeutic foster care program.

  • Research indicates therapeutic foster care can reduce youth violence by 70%.
  • The financial savings to the community can be as much as $14 in court and corrections systems costs for each $1 spent in therapeutic foster care.*
  • In addition, the number of crimes committed by youth and incarceration rates dropped by 57% when compared to youth in standard residential care.*

*CDC Media Relations, July 2004

Program Services Include:

  • Individual Case Management
  • Individual & Family Therapy
  • 24-hour Crisis Intervention
  • Psychiatric Evaluation & Treatment
  • Behavior Modification
  • Recreation
  • Regular Home Visits

Strengths of the TFBH Program

  • The youth in TFBH are placed in our homes to avoid placement in a more restrictive environment.
  • The TFBH Program staff works to identify, create and build on strengths to allow for success for both family and youth.
  • We strive to provide the most effective therapeutic environment possible for the youth, and emphasize the importance of including any family in our treatment model.
  • It is essential in our experience to create a nurturing and safe home setting that encourages the child’s growth and development.
  • We attempt to meet the needs of each individual child, and adapt our treatment accordingly.
  • We recognize the resiliency within children and work very hard to build on these inherent strengths as well as to help the youth learn and mature.
  • Treatment works to create permanency for the youth, i.e. adoption or independent living resources.

Foster Parent Application


Contact Us:

For more information or to make a referral to this program, contact:

TFBH Program Director
390 Crystal Run Road
Middletown, NY 10941
Tel: (845) 344-3166
Fax: (845) 692-0062

More Information:

Program brochure (PDF file)

Learn about Astor's other Hudson Valley Community-based programs: