
Treatment Foster Care in North Dakota
Serving youth and families with complex needs in the foster care system.
Nexus Family Healing Treatment Foster Care (TFC) provides highly individualized, wrap around care for youth with complex needs and their families in the foster care system. The TFC program provides embedded mental health resources, case management, skills coaching, parent partnership, and aftercare support with the youth, their biological family, and their foster family.
Program snapshot
- Treatment foster homes across ND
- For youth ages 6 – 21
- We offer emergency, short-term, long-term, and whole-family foster services
- Foster parent support with ongoing training, 24/7 crisis assistance, and respite care


Treatment Foster Care FAQs
How is this different from regular foster care?
Treatment Foster Care (TFC) is designed to wrap supports and services around the child who has a diagnosed mental or behavioral health concern and meets the criteria to qualify for treatment level care. These services include intensive in-home therapy and skills for the child, the permanency home and foster home.
Where and how are youth placed?
Youth are placed in treatment level foster homes through a matching process coordinated by the referral manager in consultation with the treatment team.
Who determines the youth needs treatment level of care?
The youth will be assessed through Maximus Ascend, a 3rd party assessment agency. The initial application for treatment foster care starts with the custodial agent submitting the necessary documentation for assessment. Once approved, a child is given 180 days of treatment foster care, with the ability to receive ongoing TFC with a reassessment done to extend services.
How long can a youth receive services?
The initial approval for TFC is 180 days. Treatment teams will work together to make the determination if additional time is required to achieve the goals of treatment and reach either reunification or permanency. If additional time is advised, a reassessment will be conducted with additional days being authorized by Maximus Ascend.
Treatment Foster Care Aftercare program
Our Treatment Foster Care Aftercare program is designed to assist youth who have aged out of the foster care system or have recently transitioned from out-of-home care. The goal of the aftercare program is to stabilize families and strengthen mental health, ensuring that every child is cared for is a safe and secure home. The aftercare program teaches parents how to advocate for their child in a variety of settings.
Program snapshot
- Available across the state of ND
- Youth ages 6 – 17
- Services provided for 90 days after discharge
- Weekly check-ins.
The aftercare coordinator provides referral services with links to transportation, mental health, and community supports


Our locations
North Dakota foster care services are offered in the following locations:
Fargo Office
1202 28th St. S
Fargo, ND 58103
701-280-9545
Bismarck Office
600 South 2nd Street
Suite 220
Bismarck, ND 58504
701-224-9611
Grand Forks Office
4324 University Ave.
Suite C
Grand Forks, ND 58203
701-775-7725
Minot Office
2050 36th Ave. SW
Suite 205
Minot, ND 58701
701-839-8887
Turtle Mountain/Belcourt Office
152 John Norquay St.
Belcourt, ND 58316
701-477-0525
Mailing Address:
P.O. Box 1970
Belcourt, ND 58316

“It hasn’t always been the smoothest ride, but it’s been the most enjoyable ride I’ve ever had. I wouldn’t give it up for anything.” – Foster Parent
Learn, connect, and get involved
From the blog
Clear is Kind: Fostering Trust and Connection in Families
Clear, honest communication builds trust and emotional safety in families. By setting expectations, maintaining routines, and sharing age-appropriate truths, parents can create stability and connection, especially for children impacted by trauma.
Stories of Hope/Impact
Fostering Joy
When Tamara and Adam Peters began fostering in June of 2020, they were looking at starting a family and options available to them. With no family history of fostering, they contacted Nexus Family Healing in Fargo, ND and talked to a Recruitment & Licensing Social Worker.
Resource
Foster Care Shopping List
Welcoming a foster child into your home? Download our shopping list to help you prepare.



