Multidimensional Family Therapy and Recovery (MDFTR) is a comprehensive, multigenerational, family-based intervention for parents and expectant parents involved with, or at risk of entering, the child welfare system. It addresses parental substance misuse, mental health challenges, and child maltreatment. 

MDFTR integrates two evidence-based interventions: Multidimensional Family Therapy (MDFT) and Multidimensional Family Recovery (MDFR), formerly known as the Engaging Moms program.  

Delivered by one therapist as a single course of treatment, MDFTR includes: 

  • Individual therapy for the parent or other primary caregiver 

  • Parent education and co-parenting work 

  • Couples therapy 

  • Family therapy with the parent or caregiver and their extended family 

These are components of one integrated treatment, not separate services. 

MDFTR is parent- and family-driven. Sessions are held in whatever settings work best for the family (their home, the provider clinic, or the community) reflecting the ecological focus of the approach. Families are typically seen one to three times per week, and a treatment episode spans five to nine months. An optional aftercare component extends support beyond the treatment episode. 

MDFTR is currently being evaluated in a randomized controlled trial funded by the U.S. Department of Health and Human Services, Administration for Children and Families, Children's Bureau. The trial is being conducted in Connecticut in collaboration with the Connecticut Department of Children and Families, Chestnut Health Systems, and UCFS Healthcare.

What People Are Saying

“MDFTR has helped my family in such amazing ways. Since being involved with the program it has provided me with many resources to get my personal matters in order and bring my partner and I closer in our relationship. We have both received amazing support. Thanks to MDFTR and their dedication and genuine care. It is the reason why we have been able to show such progress within this time.”

— MDFTR Mother

“There are many aspects of the MDFTR model that stand apart from other treatment options. First, the criteria for referral to the program are inclusive with very few "rule-out" conditions, which is especially important for families involved with child welfare. Second, the model allows for flexibility that other programs do not accommodate. The MDFTR team provides intensive clinical support and compassionate care.“

— Lori Blinderman
CT Department of Children & Families