Functional Family Therapy – Therapeutic Case Management

Mental Health In-home Parent Skill-Based Does Not Currently Meet Criteria

Functional Family Therapy – Therapeutic Case Management (FFT-TCM) is an adaptation of Functional Family Therapy (FFT) designed to serve at-risk families with children age 18 or younger involved in the child welfare, behavioral and physical health, academic, or juvenile justice systems. FFT-TCM uses a therapeutic case management approach with the aim of helping families engage in treatment, develop skills and access resources needed to stabilize and work through family issues, and manage future challenges.  


The program can be delivered either as a high-risk intervention only or as a two-track intervention, with families assigned to a low- or high-risk intervention track based on an initial assessment. The high-risk intervention integrates therapeutic case management services into a developmentally adapted FFT intervention. The high-risk intervention has five phases and is delivered by a clinical therapist and a case manager (with therapists having the ability to serve as the case manager as well). The first three phases focus on increasing engagement, building motivation for change, and understanding relational patterns. The next phase focuses on behavior change and identifying and addressing specific family needs. The final phase helps families generalize these behavior changes to their everyday life and to contexts outside the immediate family. For families with younger children, program content focuses on safety, child development needs, and parenting education; for those with adolescents, program content focuses on building family alliance and skills to address problem behaviors. Case management services are integrated into each phase of treatment to reinforce therapeutic activities and help families access needed resources.  


In the two-track intervention, families assessed as high-risk receive the services described above, while families assessed as low-risk receive a comprehensive three-phase case management intervention from trained “interventionists” (i.e., case managers). In the first phase, interventionists focus on increasing family engagement with the program and increasing families’ motivation for change. In the next “support and connect” phase, interventionists provide support to families, connect them with community programs and resources, and monitor progress. In the final phase, interventionists help families generalize changes to their everyday life and to contexts outside the immediate family.

FFT-TCM does not currently meet criteria to receive a rating because no studies met eligibility criteria for review.

Date Research Evidence Last Reviewed: Sep 2022


The program or service description, target population, and program or service delivery and implementation information were informed by the following sources: the program or service manual and the program or service developer’s website. 

This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, visit the Review Process page or download the Handbook.

Target Population

FFT-TCM is designed to serve families with children age 18 or younger who are involved in the early childhood, child welfare, behavioral and physical health, academic, and juvenile justice systems. 


FFT-TCM service intensity can vary in duration and frequency based on family risk level and progress. In both tracks, the initial engagement and motivation phase typically involves the completion of three sessions in the first 10 days. Next, the behavior change (high-risk track) or support and connect (low-risk track) phases typically involve six to eight sessions. In the high-risk track, these sessions are initially held twice per week and then transition to once per week. In the low-risk track, these sessions occur weekly. In the final generalization phase, joint family sessions are initially held multiple times per week and then transition to once or twice per week until discharge.

Location/Delivery Setting
Recommended Locations/Delivery Settings

FFT-TCM is typically delivered in clinical or home settings. It can also be delivered in community settings. 

Education, Certifications and Training

Trained master’s level (or equivalent) therapists deliver the FFT-TCM high-risk intervention. Trained interventionists who have at least a bachelor’s degree (or equivalent) deliver the FFT-TCM low-risk intervention. In the high-risk intervention, case management services can be delivered either by the therapist or a separately trained case manager. 

Training in FFT-TCM is available from FFT Partners and includes two parts. The knowledge part of the training is provided through an online learning management system. The clinical part of the training is conducted through workshops and weekly case consultations (initially with a program consultant and then by a clinical supervisor). 

Program or Service Documentation
Book/Manual/Available documentation used for review

The TCM (HR) Training Course can be implemented on its own or in conjunction with the Case Management (LR) Training Course. 

Sexton, T. (2021). Functional Family Therapy – TCM (HR) training course. [Online software]. FFT Partners.  

Sexton, T. (2021). Functional Family Therapy – Case Management (LR) training course. [Online software]. FFT Partners. 

Available languages

FFT-TCM materials are available in English.

For More Information


Phone: (206) 369-5894 


Note: The details on Dosage; Location; Education, Certifications, and Training; Other Supporting Materials; and For More Information sections above are provided to website users for informational purposes only. This information is not exhaustive and may be subject to change.

Results of Search and Review Number of Studies Identified and Reviewed for Functional Family Therapy – Therapeutic Case Management
Identified in Search 0
Eligible for Review 0
Rated High 0
Rated Moderate 0
Rated Low 0
Reviewed Only for Risk of Harm 0