Family Centered Treatment Foundation

Family Centered Treatment Foundation

Welcome to our virtual exhibit!   We are a newly funded Category 2 site-Family Centered Treatment Foundation - Trauma Series Project. 

Goal 1: Enhance and expand FCT to better serve families of complex trauma.

Objective 1: Enhance the FCT comprehensive online, field- based, competency training and certification program to include trauma treatment modifications suggested by Richard Kagan of Real Life Heroes and NCTSN (obtained from a previous evaluation). Update the 18 units of training and update the certification process for over 300 staff with up to 300 additional staff certified in FCT in the updated trauma treatment components. Integration of the NCTSN Child and Adolescent Needs and Strengths (CANS-Trauma) assessment and additional relevant population-specific complex trauma assessments will be included in the enhancement. The FCT Implementation Assessment Device will also be used to carry out this objective.

Goal 2: Extend the access to FCT for families/victims of complex trauma in the identified states and additional states.

Objective 1: Increase availability of trauma treatment by expansion of providers FCT including an 5-year impact of 7,200 families, in over 9 states, in over 40 site locations, and 400-600 additional FCT personnel over the course of the project period) through targeted recruitment and outreach strategies. The FCT Readiness Assessment Matrix and Fidelity Adherence Compliance Tool will be used to carry out this objective.

Goal 3: Advance the awareness and access of FCT nationally for trauma centers.

Objective 1: Engage in national participation in leadership development for agencies providing trauma treatment and increase the advancement of trauma treatment for the family system through evidenced-based and home-based treatment, including leadership development and support for the 25 NCTSN Category II awardee sites.

Goal 4: Fully implement researched trauma-based assessment into the FCT model practice.

Objective 1: Collaborate with other NCTSN sites to determine the best Assessment available for utilization within FCT and which would produce results able to be evaluated around trauma population and affects of the FCT model on trauma symptoms and family functioning.

FCT Provider Collaboration in Indiana

File(s) to download


344.6KB | Wednesday, 17 April 2019 | Details

FCT Traum...aper.pdf

389.4KB | Wednesday, 17 April 2019 | Details


156.8KB | Wednesday, 17 April 2019 | Details

Contact information

Components of FCT Trauma Treatment

  • Systemic assessments
    • Determination of primary area of Family Functioning that led to trauma or impedes healing
  • Family Life Cycle
    • Connection of caregiver’s past to their present parenting
  • Treatment of the functions or needs rather than behaviors alone
  • Parenting techniques to step out of the trauma bond and/or triangle
    • Incidents as functions of behaviors and an area of family functioning need
  • Apology from caregiver or relevant person frame work – 4-part process
    • Permission for all feelings
    • Expression of feelings that work
  • Sensory based and creative outlet activites 
    • Re-authored narrative

Additional Elements of the FCT Approach

The team functions to serve as a response to empathy fatigue and secondary trauma. The FCT team process, in part, serves to provide the emotional support for staff that become secondary trauma recipients and experience trauma ‘burn-out’ as result of the intense work. One of the primary functions of the team meeting, the pairing of staff on cases, and the on-call support by supervisors is to provide that emotional support.

Use of self’ training is a large part of Trauma Treatment as it relates secondary trauma and trauma burn-out.  Additionally, use of self training looks to identify preconceived bias’s in staff working with trauma in families.

The “Wounded Healer Paradigm” is an intricate approach to addressing and allowing trauma practicing FCT clinicians to understand how trauma impacts their service delivery and lives.

FCT Video Overview

 FCT is a model of treatment designed for use in the provision of intensive home-based services. FCT origins derive from practitioners’ efforts to find simple, practical, and common-sense solutions for families faced with forced removal of their children from the home or dissolution of the family due to external and internal stressors and circumstances. 

Out of a desire and mission to create opportunity for change for families that were seemingly stuck in a downward spiral, grew a practice approach that was both distinct yet grounded, in the use of treatment components that were sound and research based.

 Family Centered Treatment  is based upon what  clinicians in the field/on the street did that worked,  a.k.a. practitioner based.

 Practitioner based model refers to the practice of clinicians using trial and error techniques in the field to determine what works with families. Later after the model developed,  the  staff practices known to work were vetted for theoretical validity and adherence to family preservation best practices. This model is now known as Family Centered Treatment®.