← Hudson Valley
Therapeutic Foster Boarding Home (TFBH) Program combines traditional foster care with a clinical strength-based 
approach.
- The youth in TFBH are placed in homes to avoid placement in a more restrictive environment
- The TFBH Program staff recruit, screen, train, and provide ongoing support for foster parents throughout the duration of the placement
- TFBH provides 7 weeks of intensive foster parent training
Services:
- Individual Case Management
- Individual & Family Therapy
- 24-hour Crisis Intervention & Support
- Psychiatric Evaluation & Treatment
- Regular Home Visits
- On-staff nurse for managing medication & medical emergencies
- Treatment that works to create permanency for the youth, i.e. adoption or independent living resources
- A strength-based approach that is individualized to each child
Referral Criteria:
- Children under 21 years of age
- The child must be in the custody of a County Department of Social Services (DSS) agency
- Homes are primarily located in Orange, Dutchess, and Ulster Counties, but referrals are accepted from any DSS agency
- An ideal step-down program for a child in residential care
Positive Outcomes:
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.*
- Also, 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
Become a Foster Parent:
Foster Parent Application (MS Word)
Foster Parent Application (pdf)
Contact Us:
TFBH Program Director
390 Crystal Run Road
Middletown, NY 10941
Tel: (845) 344-3166
Fax: (845) 692-0062
Email: Please use our Program Contact Form »
Additional Notes:
Contact the TFBH Program Director by email (contact form)
More Information:
Program brochure (PDF file)
Folleto del programa (archivo PDF)
Learn about Astor's other Hudson Valley Community-based programs:
- Adolescent Partial Hospitalization Program
An alternative to school, short-term intensive therapy program - Astor Learning Center
Therapeutic school for grades K-8 - Care Management (Health Homes)
Medicaid benefit that refers, organizes, and coordinates provider(s) involvement for families - Counseling Centers
Providing therapy, psychiatric services and case management to children and adolescents and their families - Day Treatment
In partnership with BOCES, a school-based intensive mental health and special education service for grades 2-12
Intensive Day Treatment
Therapeutic Transitions Program - Enhanced Coordinated Children’s Services Initiative
A multi-agency process that seeks to prevent out-of-home placement and coordinate services to meet the family’s complex needs in Dutchess County - Family Therapy and Support Services
Services to youth with behavioral issues, including Juvenile Delinquent (JD) and Persons in Need of Supervision (PINS) in Orange County - Head Start
Federally funded preschool programs. Read more… - High Fidelity Wraparound
Evidence-based care coordination that uses a highly structured, team-based, family-centered approach - Home Based Crisis Intervention (HBCI)
Short-term in home family therapy program for families who live in Dutchess and Ulster Counties - Prevention / Intensive Home Based Services
In-home program that serves parents with children at risk of foster care placement in Dutchess County - Probation Based Services (J-RISC)
Family therapy program for children involved with Dutchess County’s Department of Community Corrections and Probation - Residential Programs
The Residential Treatment Program is a therapeutic out-of-home placement serving children aged 5–13 who have emotional challenges that exceed community-based interventions. The program is located in Rhinebeck, NY, and accepts children from all counties of New York State.
Residential Treatment Center
Residential Treatment Facility - School-Based Behavioral Health and Training
Array of services, including consultation and training, provided to school districts in the Hudson Valley area - Serving Youth iN Their Communities (SYNC)
Home and community based services for children with Medicaid - Therapeutic Foster Boarding Home Program
Enhanced therapeutic foster care program with case management, advocacy, medical services, and 24/7 support