Our implementation team is made up of the researchers and clinicians who developed and tested the effectiveness of the KEEP® model. The team strives to ensure that all training and consultation provided to communities is consistent with the procedures used in our community-based studies so communities can expect outcomes comparable to those found in the research.

Patricia Chamberlain, PhD, is the Science Director at the Oregon Social Learning Center (OSLC). OSLC is a nonprofit organization dedicated to conducting research to benefit families. Dr. Chamberlain developed the KEEP model and was the principal investigator on the National Institutes of Health randomized controlled trials that demonstrated its effectiveness. She is also founder of the Treatment Foster Care Oregon (TFCO) model (formerly Multidimensional Treatment Foster Care; MTFC).

Joseph Price, PhD, is a Professor of Psychology at San Diego State University and a research scientist at the Child and Adolescent Services Research Center (CASRC) in San Diego. Dr. Price was a co-investigator the National Institutes of Health randomized controlled trials that demonstrated KEEP’s effectiveness.

JP Davis was the lead clinician on the KEEP and TFCO clinical trials. She has more than 20 years of experience working with foster and kinship parents and with children and adolescents with behavioral and mental health problems.About

For more information about KEEP, listen to this inSocialWork podcast episode or look through these Frequently Asked Questions:

Q: Does KEEP replace the pre-service training foster parents complete before a child enters their home?

No. Parents who participate in KEEP have completed their state’s pre-service training requirements. KEEP is an additional support for the foster parents. In all of our implementations so far, KEEP training has met the requirements for the foster parents’ mandated ongoing yearly training.

Q: How do you get foster parents to attend the groups?

Sessions are interactive and fun. In addition, foster/kin parent participation is incentivized. For example, in NYC the parents received $25 per session and a $100 bonus for attending at least 80% of group sessions. In Tennessee, parents who successfully complete the KEEP group will receive an increase in the daily rate. Successful completion means the parent attended 80% of the groups. We also offer make-up sessions that are done in the parents’ homes. The make-up sessions count towards that 80% attendance, but parents do not receive a weekly incentive for these home sessions.

Q: Do you offer childcare?

Yes. Sites that implement KEEP need to provide free childcare at the group location and snacks during the groups.

Q: Have you seen different outcomes for kinship and non-kinship families?

The baseline rates for disruption in kin and non-kin placements vary significantly. For example, in San Diego, the base rate for disruption in kin placements is about 9% and 45-48% from non-relative placements. Therefore, we see changes in disruption rates only for non-relative homes. However, we found reductions in the level of child problem behaviors for both foster and kinship homes.

Q: Are kin and non-kin parents in same groups?

Yes. We’ve found that it works well and, logistically, it’s difficult to separate the kin and non-kin parents into different groups.

Q: Is there a supervision component?

Yes. Each KEEP session is recorded and uploaded to our web-based fidelity system. Facilitators fill out simple forms about attendance, engagement, and areas they want feedback on. The Parent Daily Report (PDR) is also uploaded to this system. Facilitators receive weekly telephone coaching and written feedback from an expert model consultant and participate in weekly consultation calls. We use the data from the fidelity system to create monthly reports that are sent to sites and to system leaders (if applicable).

Q: Do you provide supervision of families who are using the model?

There is no direct supervision of the parents using the KEEP model skills. However, there are many opportunities during the group to practice the skills with the other foster parents and facilitators. The groups also incorporate several role-play opportunities that enable parents to try out the new skills and receive feedback.

Q: Can you expand the model for older kids?

Yes. We have a program called KEEP SAFE that is designed for adolescents (12-16 years old).

Q: What would other implementation partners list as critiques of your program?

NYC: We started too fast and did not have enough preparation time. To address this, we now offer initial 2-day foundation trainings for all staff before training group facilitators and recruiting and starting groups. We’ve found that this helps ensure that all staff on the same page and sets the stage well for the more intensive and targeted facilitator training.

Tennessee: The fidelity software. This is a brand new system that we created in response to struggles with the previous system. Tennessee is pioneering the system, which comes with extra challenges. Overall, we are really happy with where it is headed. [2015]

Q: What about timeline and costs?

We answer that question with a question: How many foster families to do you want to serve? This tells us how many groups you need to run and how many facilitators it will takes to lead those groups in order to set up a sustainable program.

Q: Have you done a cost-benefit analysis?

Not yet. NYC calculated that if they reduced disruptions by 17%, the program would be cost-neutral.