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Therapeutic Foster Boarding Home (TFBH) is an enhanced foster care program that offers specialized training and ongoing support to foster families and the children placed in their care. Youth selected for TFBH’s therapeutic homes may be at risk of out of home placement in settings such as residential facilities or detention centers or need support returning to the community from these settings. The program recruits, screens, trains foster parents and provides ongoing support while the child is in their care. Foster parents receive several weeks of intensive foster parent training to ensure they have the skills and tools to support children in the home.
Services
• 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, including return to biological family, adoption, or independent living resources
To Participate
All youth must be:
• Under 21 years of age
• In the custody of a County Department of Social Services (DSS) agency
Please note that while homes are primarily located in Orange, Dutchess, and Ulster Counties, referrals are accepted from any DSS agency.
Positive Outcomes
• 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
Interested in becoming a Foster Parent?
Foster Parent Application (MS Word)
Foster Parent Application (pdf)
Contact Us
Gene Cavanaugh, Program Director
390 Crystal Run Road
Middletown, NY 10941
Tel: (845) 344-3166
Fax: (845) 692-0062
Email: Please use our Program 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. - School-Based Behavioral Health and Training
School-based clinics and other mental health/casework supports embedded in community schools. - 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