Family Centered Treatment® (FCT) is an evidence‑based, trauma‑informed model of intensive, home‑based family therapy designed to keep families safely together and support reunification.
What FCT Is:
FCT focuses on changing emotional tone and interaction patterns in the family system, drawing from Eco‑Structural Family Therapy and Emotionally Focused Therapy. Treatment progresses through four phases—Joining & Assessment, Restructuring, Valuing Change, and Generalization - guided by practitioners and transitional indicators (rather than fixed timelines). Learn more > The FCT Model or Four Phases of FCT
Who FCT Helps in Nebraska:
We serve families experiencing safety threats, high-risk factors, or children at risk of out-of-home placement; youth who are transitioning home from higher levels of care; and families pursuing reunification.
FCT in Nebraska is always voluntary and cannot be court-ordered, according to Nebraska DHHS guidance (Sept 2024). While we support families who may be court- or probation-involved, service delivery is based on the family’s consent. Referrals come from DHHS Children & Family Services; but families can also contact us directly, and we’ll explain how to get started.
How FCT Works:
- Session frequency: At least two multi‑hour sessions per week.
- Availability: 24/7 on‑call crisis support by your assigned clinician.
- Average length: ~6 months, driven by family need and progress, not rigid timelines.
- Setting: In‑home and community, scheduled during your most troublesome times
Paradigm’s FCT Guarantees:
- We will respect your family and provide direct, honest feedback—and invite yours in return.
- You are the expert on your family; we’ll ask permission before any activity with your child.
- We will include you in contacts with other involved agencies.
- We take responsibility for our mistakes.
Nebraska Counties We Serve:
We serve families across Eastern and Southeastern Nebraska, including the Omaha metro, the Lincoln area, and communities throughout Southeast Nebraska.
Counties served in Nebraska: Douglas, Sarpy, Sauders, Dodge, Washington, Cass, Otoe, Lancaster, Seward, Saline, Jefferson, Gage, Johnson, Pawnee, Richardson, and Nemaha
Frequently Asked Questions
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Why would I choose Paradigm for FCT services?
Choosing Paradigm for FCT means partnering with a team dedicated to helping families achieve stability and long-term success. Paradigm’s C.A.R.E.S. model emphasizes empathy, cultural awareness, and personalized services tailored to each family’s unique needs.
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Who will work with my family?
Your family will work with a licensed Therapist or practitioner trained in Family Centered Treatment. This professional will provide individualized guidance, coaching, and support to help your family strengthen bonds and overcome challenges; and is supervised by a licensed clinical practitioner.
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How long does the program last?
FCT typically lasts six (6) months, depending on your family’s needs. Sessions are intensive and occur multiple times per week (usually two-hour long sessions, twice per week), both in the home and in community settings, to ensure consistent progress.
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How does FCT help with reunification or stability?
FCT is designed to support families in crisis, prevent unnecessary out-of-home placements, and assist with reunification when children return home. By focusing on family strengths and teaching new skills, FCT helps create a nurturing, stable environment where children can thrive.
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Is crisis support available outside of regular hours?
Yes. Paradigm provides 24/7 support, including evenings, weekends, and holidays, so families never feel alone during difficult times.
If you have other questions, please contact us for answers today.
Paradigm + FCT News and Resources
Our Family Centered Treatment services are made possible through Nebraska DHHS Children & Family Services and strengthened by our partnership with Family Center Treatment®
