Family Centered Treatment®

Family Centered Treatment® (FCT) is an evidence-based trauma treatment model of home-based family therapies. FCT specialists work with families to set and pursue holistic goals related to family functioning, preservation, permanency, or reunification.

FCT identifies practical solutions for those faced with disruption or dissolution of the family due to external and/or internal circumstances such as child welfare, mental health, substance abuse, developmental disabilities, or juvenile justice.

What Makes Family Centered Treatment® Different?

The Family Is The Client

FCT focuses on the entire family system, not just the identified client. Treatment addresses relationship patterns, communication, and family functioning as a whole.

24/7/365 Crisis Support

Families have access to around-the-clock crisis support, ensuring assistance is available when unexpected challenges arise.

Strength-Based Approach

FCT helps families identify existing strengths and resources, building on what is already working to create sustainable success.

Learning Through Action

Families build skills through real-life experiences and practical application, not just conversations during therapy sessions.

  • This model is based on multiple therapeutic models and practices and has been in existence for over 25 years. Family Centered Treatment® has a strong history of success as evidenced by its outcomes which include positive outcomes, completion outcomes, engagement outcomes and recognizing family voice. Although the model has 4 distinct phases with identified tasks it also provides and requires family individualization that leads to family growth and is not a “cookie cutter” model.

  • Referrals to the program must come from DHHS. They are currently being accepted in Douglas, Sarpy, Saunders and Lancaster counties. Once a referral is received the family is contacted within 48 hours. Staff members carry small caseloads to permit more interaction with each family. The hours are flexible to meet the family’s needs, and 24-hour crisis intervention is provided.

  • FCT is an evidence-based, in-home family therapy model designed to help families address challenges that place children and adolescents at risk of out-of-home placement. The focus is on improving family functioning, strengthening relationships, and creating lasting change.

  • Services typically last 6 months, although the length may vary based on the family’s needs and progress.  Practitioners generally meet with families a minimum of 2 sessions a week for 2 hours each time, although the intensity may vary based on the family’s needs and progress.

  • Practitioners generally meet with families 2 times per week for 2 hours each time.

  • FCT generally includes four phases:

    1. Joining and Assessment – Building trust and understanding family dynamics.
    2. Restructuring – Identifying and changing unhealthy family interaction patterns.
    3. Value Change – Helping family members develop healthier beliefs and relationships.
    4. Generalization – Maintaining gains and preparing for discharge.

  • Yes. FCT is recognized as an evidence-based treatment model and has demonstrated positive outcomes in improving family functioning and reducing out-of-home placements.

Ready to Learn More About Family Centered Treatment®?

Discover how Lutheran Family Services can help strengthen families, improve relationships, and create lasting change.