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Multidimensional treatment foster care for preschoolers: early findings of an implementation in the Netherlands

Caroline S Jonkman12*, Eva A Bolle12, Robert Lindeboom3, Carlo Schuengel4, Mirjam Oosterman4, Frits Boer1 and Ramon JL Lindauer12

Author Affiliations

1 Department of Child and Adolescents Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

2 De Bascule, Academic Center for Child and Adolescents Psychiatry, Amsterdam, The Netherlands

3 Division of Clinical Methods and Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

4 Department of Clinical Child and Family Studies and the EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands

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Child and Adolescent Psychiatry and Mental Health 2012, 6:38  doi:10.1186/1753-2000-6-38

Published: 5 December 2012


Multidimensional Treatment Foster Care (MTFC) has been shown to be an evidence based alternative to residential rearing and an effective method to improve behavior and attachment of foster children in the US. This preliminary study investigated an application of MTFC for preschoolers (MTFC-P) in the Netherlands focusing on behavioral outcomes in course of the intervention. To examine the following hypothesis: “the time in the MTFC-P intervention predicts a decline in problem behavior”, as this is the desired outcome for children assigned to MTFC-P, we assessed the daily occurrence of 38 problem behaviors via telephone interviews. Repeated measures revealed significant reduced problem behavior in course of the program. MTFC-P promises to be a treatment model suitable for high-risk foster children, that is transferable across centres and countries.

Netherlands Trial Register: 1747.

Foster care; Preschool aged children; Behavioral problems; Attachment disturbances; Intervention