SJRC Texas Belong Community-Based Care (CBC)
- Need: To develop a child welfare system that provides rural Texas communities with flexibility, authority, and adaptability to improve services for children and families.
- Intervention: SJRC Texas's division Belong is the lead provider for Community-Based Care, which oversees foster and kinship care, case management, reunification services, and prevention services in the South Central and Hill Country regions of Texas.
- Results: Since October 2021, SJRC Texas Belong CBC has served over 1,100 children and young adults and provided over 700 home and virtual visits.
In 2017, Texas began a process to redesign the child
welfare system in an effort to improve the lives and
outcomes of children in state custody. The model is
called Community-Based Care (CBC).
SJRC Texas serves
over 1,100 children and families in a 27-county region
surrounding San Antonio. All but two of the counties are
rural. SJRC Texas coordinates child welfare services for
the region and provides prevention services, therapy,
residential care, community-based foster care, emergency
care services, services for pregnant and parenting
teenagers, and a child placing agency to license foster
homes and complete adoptions.
SJRC Texas's new division, Belong, is the lead
provider for CBC, in which foster care services in a
region are centralized through one contractor instead of
being managed by a state entity. Belong provides foster
and adoption services along with support services for
children and families.
SJRC Texas was awarded a contract from the Texas
Department of Family and Protective Services for CBC.
The organization is one of currently 7 regional
contractors across the state.
SJRC Texas Belong CBC services include:
- Foster and kinship care
- Case management
- Reunification services
- Parents as Teachers home or virtual visits (for
families with children under age 5) to help prevent
removal from the home
- C.A.R.E. program, which provides a support system,
teaches problem-solving skills, and connects participants
to resources (for families with children older than age
- Support groups and group parenting classes
- Fatherhood Initiative, with education and engagement
- Health clinics
- "Resource fiestas" providing health screenings, blood
pressure reading, blood sugar testing, vaccines, COVID-19
testing, and nutrition information
- Funds for children and families to access medical
equipment such as blood pressure cuffs and cranial
- Family Resource Centers
A critical component of SJRC Texas Belong CBC's
programming is establishing virtual health clinics to
increase access to care in rural communities. There have
been two clinics through UT Health already serving
rural communities in the South Central and Hill Country
region with additional collaborative efforts underway for
future expansion throughout the multi-county region.
Since October 2021, SJRC Texas Belong CBC has seen the
- Over 1,100 children and young adults served
- Over 1,000 volunteers engaged
- 254 staff employed across 27 counties
- Over 765 home and virtual visits conducted by Parent
- 86 families and 103 children served by Parent
- 233 kinship families served
The implementation of CBC in the South Central and Hill
Country region was a significant challenge. The region
spans from the border of Mexico to the Gulf Coast, so
strategic efforts were put into place to support each
region and community to ensure the success of CBC.
Gather information from community experts to best
understand the needs and strengths of each community. The
organizational structure of CBC was designed to have an
on-the-ground community team in each subregion (North,
South, East, West) that focused on community-building
initiatives, including bridging the gap between residents
and services, bringing essential services to the rural
communities, and offering a platform for collaborative
conversations to occur.
Build genuine and authentic relationships with community
stakeholders, youth, and adults who are involved in the
child welfare system and who have an interest in child
SJRC Texas works closely with other CBC contractors as
well as community providers considering applying for the
CBC contract in their regions. SJRC Texas engages in a
national coalition and is available to others interested
in the CBC model and other innovative practices.
Children and youth
June 15, 2023
Suggested citation: Rural Health Information Hub,
SJRC Texas Belong Community-Based Care (CBC) [online]. Rural Health Information Hub. Available at:
[Accessed 22 February 2024]
Please contact the models and innovations contact directly for the most complete and current information
about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The
programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural
community should consider whether a particular project or approach is a good match for their community’s
needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep
in mind that changes to the program design may impact results.