Case studies


When TFCO-UK-P is delivered with model fidelity, it undoubtedly has a significant impact on the life opportunities of children and young people.


Case study - Alan - TFCO-UK-A

Fifteen year old Alan came to the TFCO-UK-A programme presenting with challenging antisocial behaviour which included robbery, burglary and possession of bladed articles. He was struggling with school attendance and had experienced school exclusions. Alan had a complex family history, his parents were separated and had multiple difficulties including violence, alcohol problems and drug use, although progress with the substance use had been made.

On entering the TFCO-UK-A programme, Alan was enrolled in a local specialist school and progressed from attending three days a week to a full timetable over a period of four weeks. With the support of his individual worker and the teachers he was able to pass the majority of his exams, the first he had ever achieved. With the support of his skills coach, Alan was also able to engage positively in a variety of activities, to interact with other young people from different backgrounds and ultimately change his perceptions of people from different cultures.

Alan’s mum engaged well with the family therapist and was able to use techniques learnt within the programme with Alan and his siblings, which led to clearer boundaries and fewer arguments at home. The family therapist also supported her to find volunteer work as a mentor, working with other people who were involved in substance use. Alan graduated from the programme, has not reoffended and has started college.

Case study - Becky - TFCO-UK-P

Four-year-old Becky came into the TFCO-UK-P programme following the breakdown of her adoptive placement. Becky displayed multiple challenging behaviours including severe tantrums, screaming, hitting, non-compliance and bed wetting.

The TFCO-UK-P Team Leader worked closely with the clinical team to design and co-ordinate a careful individual programme to help reduce Becky's anxieties and increase her self-confidence and co-operation. The programme focused on positive reinforcement, pre-teaching to help Becky manage situations as they arose and therefore reduce anxiety, and setting clear consistent limits, all within the context of a warm nurturing foster care home. 

Becky made excellent progress at home and in playgroups, and was succesfully adopted by a couple who were given information by the Team Leader and the Birth Family Coach, both before and once Becky moved to their home, about how to best help and support Becky. TFCO support continued for three months following her move. Becky's adoptive parents wrote a letter of support and thanks to the TFCO-UK-P team.