Many kids waiting for a home are a higher level of care than what many foster homes are
willing to take. It can be intimidating when you hear behaviors, the need for multiple
therapies, specialist appts, etc. There seems to be an apprehension among foster parents
to accept these kids their not fully sure they can meet the needs of. Certainly foster
children with higher needs is not for everyone, but we're hoping to eliminate some of
that apprehension by sharing with you testimonial videos from foster families who have
had larger sibling groups, teenagers, Primary Medical Need (PMN), and therapeutic
foster children so you can hear first hand what a day in the life is like. - That to come!.
Levels of care (LOC) are based on the needs of the foster child in your home. LOC ranges
from basic to intensive. Recently, the levels of care have been relabeled, and OCOK has
different labels than other regions. - More on this to come!
LOC is determined by a 3rd party contractor "Youth For Tomorrow" (YFT). Your agency or
caseworker will collect information from clinicians, the foster parent, and medical records
and submit them to YFT for review. Depending on the need, the LOC is determined, and a
corresponding foster care reimbursement rate is implemented. If the LOC is determined
within the first 45 days of placement, you can request "back pay" where the LOC is
backdated to the day the child was placed, and the higher subsidy rate is applied. If
it is after the 45th day, YFT will assign a date in which the new LOC will begin.
Texas has just started phasing in "Treatment Foster Care"(TFC), which is a form of foster
care in which the foster home is reimbursed even if there is not a placement in the home.
The rationale behind this is that in order to meet the high needs of the kids in therapeutic
foster care, a parent must have job flexibility or stay home in order to meet the needs of
this population. These are kids who are many times coming directly out of Residential
Treatment Centers (RTC). This is a new concept in DFW that is just being implemented and
is still not completely defined. More to come!
Every family's desire, dynamic, time and strengths vary. While this is not for everyone,
BFF hopes that we can bring awareness to what this looks like day-to-day in hopes that
it removes some of the stigmas and apprehension that goes with considering kids who have
a harder time getting placed.