Abstract
Treatment Foster Care Oregon (TFCO) is a comprehensive and evidence-based program focusing on youths with serious problem behaviors and their families. The program was developed in the US, and studies indicate that TFCO is an effective treatment program for youths with serious behavioral and emotional problems. The present study aimed to examine treatment changes in behavioral and emotional problems in a sample of 76 Norwegian youths (57.9% boys, mean age = 14.93) who were assigned to TFCO. Data were retrieved from the Routine Outcome Monitoring (ROM) system, used to ensure the program’s national quality, and included measures of risk factors (YLS/CMI), internalizing and externalizing behaviors (ASEBA), in addition to five nationally defined outcome goals. The study included data from intake and the end of treatment. The results showed significant reductions in risk factors and externalizing and internalizing problems. The number of youths who completed all five outcome goals increased over the course of therapy. The results suggest that TFCO might be an effective treatment program for Norwegian youths with severe problem behaviors.