Community Services Board
Fairfax-Falls Church Community Services Board is a vital resource in supporting the mental health and well-being of children and youth placed in foster care. As the public provider of mental health, substance use and developmental disability services, the CSB is committed to providing accessible and individualized care. Foster parents can utilize the CSB’s wide range of services, including mental health assessments, counseling, youth-specific behavioral interventions, and crisis support. These services are designed to address the unique emotional and psychological challenges that children in foster care often face due to trauma, loss or instability. The CSB's experienced clinicians work collaboratively with foster families, specialists and other professionals to develop tailored treatment plans that nurture healing and resilience in children. Additionally, the CSB offers 24-hour emergency services and mobile crisis units to provide immediate support when urgent behavioral health needs arise.
Private Providers
At times, the child’s foster care specialist may identify private therapeutic providers to meet a child’s specific need.
Assessments and Evaluations
A variety of assessments and evaluations may be available to gather information to understand what the challenges are for the child in your home. These assessments are coordinated and scheduled in partnership with the child’s foster care specialist.
Evidence-based Interventions
Evidence-based interventions for children and youth are therapies and interventions that have been scientifically tested and proven to be effective in addressing specific emotional, behavioral, or mental health challenges. These practices are based on research and clinical evidence, ensuring they are both safe and reliable. Examples include Cognitive Behavioral Therapy (CBT), which helps children identify and manage negative thoughts and behaviors, and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), designed specifically for youth who have experienced trauma. By using evidence-based practices, professionals can provide children and youth with strategies and tools that are shown to work, helping them build resilience, improve emotional well-being and achieve positive outcomes in their lives.
Fetal Alcohol Spectrum Disorders (FASD)
The term, fetal alcohol spectrum disorders, refers to the wide range of physical, behavioral and cognitive impairments that occur due to alcohol exposure before birth (also known as prenatal alcohol exposure). These impairments may appear at any time during childhood and last a lifetime.
Alcohol exposure during pregnancy can result in FASD by interfering with development of the baby’s brain and other critical organs and physiological functions. This can lead to deficits after birth and beyond. Alcohol can disrupt development at any stage, even before a woman knows that she is pregnant.
What Are the Types of Fetal Alcohol Spectrum Disorders?
The term, fetal alcohol spectrum disorders, refers to a range of physical, cognitive and behavioral abnormalities caused by prenatal alcohol exposure. Depending on the features identified, the disorders categorized as FASD include:
- Fetal alcohol syndrome.
- Partial fetal alcohol syndrome.
- Alcohol-related neurodevelopmental disorder.
- Alcohol-related birth defects.
- Neurobehavioral disorder associated with prenatal alcohol exposure.
Prenatal alcohol exposure and central nervous system (CNS) involvement are factors common to the disorders encompassing FASD. Evidence of CNS involvement can be structural (e.g., small brain size, alterations in specific brain regions) or functional (e.g., cognitive and behavioral deficits, motor and coordination problems). For fetal alcohol syndrome, which is also characterized by growth deficiencies, distinct facial features, and other physical factors in addition to CNS involvement, confirmation of prenatal alcohol exposure is not required.
What Are the Symptoms of Fetal Alcohol Spectrum Disorders?
Individuals with FASD experience day-to-day challenges, which may include cognitive and behavioral impairments as well as secondary disabilities including medical, educational, mental health and social challenges throughout their life. They are also subject to stigmatization for their disorder. People with FASD may have difficulty in the following areas.
- Learning and memory.
• Understanding and following directions.
• Switching attention between tasks.
• Controlling emotions and impulsivity.
• Communicating and developing social skills.
• Experiencing depression and anxiety.
• Performing daily life skills, including feeding, bathing, counting money, telling time and minding personal safety.
What Are the Interventions or Treatments for Fetal Alcohol Spectrum Disorders?
There are various approaches that may help reduce the symptoms of FASD and lessen the impact on affected individuals and their families. These include education and behavioral interventions for individuals with FASD and their caretakers as well as medications, social support, case management and other services for children and adults with FASD. New interventions are currently being developed and evaluated. These treatments include:
- Prenatal nutritional supplements for pregnant women and postnatal supplements for their children.
- Learning and behavioral interventions aimed at improving cognition, daily life skills and impulsive behavior.
- School-based approaches focused on specialized teaching strategies and computer-based games.
- Mobile health apps and other interventions that support families and caregivers to assist them in caring for children with FASD.
Prenatal Substance Exposure
Prenatal substance exposure can have physical, cognitive and socio-emotional consequences across the continuum of child development from infancy through adolescence to young adulthood. Effects vary depending on a variety of factors, including exposure to multiple substances, the timing of exposure and the type of substance to which the fetus was exposed.
Child protection agencies report that parental substance use was a factor for out-of-home placement for more than a one-third (35%) of children entering foster care. Further, studies find that up to 90% of child welfare cases involve families affected by substance use disorders.
Infancy and early childhood
Infants with prenatal substance exposure must be screened for developmental delays and engaged in services to mitigate the potential effects of exposure. Services include early intervention and therapeutic support to promote parent-child bonding and attachment. Screening at well-baby and well-child check-ups, or at other points of engagement, such as early childhood programs, helps ensure identification of infants and young children who would benefit from these early intervention services.
Primary school-aged children
Children with prenatal substance exposure require screening and interventions for a wide array of developmental delays, and socio-emotional and educational challenges. Screening must be conducted with validated, age-appropriate assessment tools and be followed with engagement in appropriate services.
Adolescents and young adults
Adolescents affected by prenatal substance exposure are at an increased risk for mental health concerns and other challenges, including involvement with the justice system. They also are at an increased risk for developing their own substance use disorder. Adolescents who age out of foster care without a permanent home are at even greater risk for a variety of harms. These harms are magnified for youth affected by prenatal substance exposure or parental substance use.
Substance Use Disorders
Substance use disorders are medical conditions that happen when someone has trouble controlling or stopping the use of alcohol, drugs or other substances, even when it causes problems in their life. These problems can include issues with their health, relationships, school or work.
Substance use disorders in teens and young adults can have significant effects on their mental health, often creating a cycle where substance use and mental health challenges intensify each other. Substances like alcohol, drugs or prescription medications can interfere with brain development, leading to issues like anxiety, depression, mood swings or difficulty managing stress. SUDs can also worsen existing mental health conditions, making symptoms harder to treat. Additionally, substance use can impact sleep, relationships, school performance and self-esteem. All of which are critical for healthy emotional growth during adolescence and early adulthood. Early intervention and treatment are essential to help teens and young adults break free from substance use, address underlying mental health concerns, and develop healthier coping strategies for the future.
LGBTQIA+
LGBTQIA+ is an acronym that represents an inclusive community of individuals with diverse sexual orientations, gender identities and experiences. It stands for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, Intersex, Asexual, and the "+" acknowledges the wide spectrum of identities that go beyond these terms. This community celebrates diversity and the right to live authentically, while also advocating for equality, acceptance and legal protections. Understanding and supporting LGBTQIA+ individuals is essential to fostering respect, inclusion and a sense of belonging for people of all identities.
An affirming family creates a safe and inclusive environment where children feel valued for who they are, which is crucial for their emotional well-being and healthy development. Affirming families play a vital role in foster care by providing love, acceptance and support to children and youth, particularly those who may identify as LGBTQIA+. For LGBTQIA+ youth, having affirming caregivers can significantly reduce the risks of depression, anxiety, self-harm, and other challenges often linked to rejection or discrimination. Affirming families actively listen, educate themselves about LGBTQIA+ experiences, respect each child’s gender identity or expression, and advocate for their rights and needs. By being affirming, foster families help children build self-esteem, resilience and a sense of belonging, all of which are essential for their long-term success and happiness.
Impact of Trauma
Trauma is a deeply distressing or overwhelming experience that can affect a person's ability to cope and feel safe. It can result from events like abuse, neglect, violence, loss, or natural disasters and may cause emotional, physical, or psychological harm.
Trauma can significantly impact a child’s development across all age groups, affecting their emotional, physical and cognitive growth. In infants and toddlers, trauma can disrupt attachment and lead to issues with emotional regulation, sleep and developmental milestones like walking or talking. For preschool and early school-age children, trauma may impair social and emotional skills, causing increased anxiety, aggression, or difficulty focusing and following instructions.
In older children and preteens, trauma can hinder academic achievement, peer relationships and self-esteem, often manifesting as withdrawal, anger or risky behaviors. For teenagers, trauma can affect identity formation, decision-making and relationships, potentially leading to depression, substance use or other harmful coping strategies.
Across all age groups, early intervention, safety and consistent support from caring adults, such as foster parents, can significantly reduce the long-term effects of trauma and promote healing and resilience.