Social Work, Medically Fragile, Medically Complex, Training Resource Center, TRC, UKY, UK TRC, UKCOSW, College of Social Work, University of Kentucky College of Social Work

The mission of the Medically Complex Training Program is to provide training to resource parents in Kentucky caring for children in out-of-home care with complex medical needs. Since 2003, the program has developed, coordinated, and conducted this type of training for resource families and social service workers statewide. The guidelines for training content are established by the Cabinet for Health and Family Services Department for Community Based Services (DCBS) Standards of Practice, as well as Kentucky law.

The program provides an online orientation and the initial training, Join Hands Together, for those resource homes desiring certification to care for children who are medically complex. This training curriculum was originally developed by DCBS and addresses nutrition, growth, development, and medical disabilities.

Ongoing training curriculum has been developed by the Medically Complex Training Program to meet the annual training and re-certification requirements of medically complex resource homes. Since July 2010, two statewide annual training events have been held each fiscal year in accordance with the re-certification needs of the state’s medically complex resource homes. At these events, 12 hours of ongoing training is provided. Resource parents have the opportunity to select from a variety of training topics. This allows them to choose the information most relevant to the needs of the child in their care.

Course Descriptions

Join Hands Together

This training is for foster parents working with either the Department for Community Based Services (DCBS) or private child care (PCC) agencies who want to provide care for medically complex children. PCC and DCBS workers, as well as those wanting to be approved Medically Complex respite providers, also participate in this training. Topics include growth and development, nutrition and feeding, medications, emergencies, documentation requirements, respite/resources and DCBS Standards of Practice (SOP).

Prerequisite : Medically Complex Online Orientation (Web Based Training); Standards of Practice (SOP)(Web Based Training); Growth & Development (Web Based Training); Nutrition (Web Based Training)

Medically Complex Annual Training Event

This training event is offered twice each year for DCBS & PCC medically complex fragile foster parents. It provides 12 hours of the ongoing training needed annually to meet the re-certification requirements of medically complex resource homes. Attendees choose from trainings that provide information most relevant to the needs of the children in their care.

Topics relevant to most medically complex children are offered through group sessions, followed by breakout sessions selected by each resource/foster parent. Topics are presented by a variety of community partners, including physicians, nurses, therapists, and social workers.

Prerequisite Information : Must be a current approved medically complex home


Join Hands Together 

PLEASE NOTE: The web-based prerequisite trainings, which are Medically Complex Orientation, Standards of Practice (SOP), Growth & Development, and Nutrition, must be completed no later than one week prior to the group or in-class portion of Join Hands Together that a participant is registered for. Registration will be canceled if all of these prerequisites are not completed one week prior.

2019-2020 Join Hands Together Training Schedule -

Click here to download a PDF of the 2019-2020 Training Schedule

Medically Complex Annual Trainings

This 12 hour, two-day training is for DCBS and PCC foster parents needing ongoing training credit to meet the annual requirement for re-certification.

         March 28th & 29th, 2019 - The Clarion Hotel, Lexington, Ky

     August 23rd & 24th, 2019 - The Clarion Hotel, Lexington, Ky

Registration Information

Registration for Medically Complex Training

Foster parents need to contact their R&C worker or Case Manager for registration. Case managers with private child care (PCC) agencies contact Marie Johnson, RWCP Project Manager, at (859) 622-6212 or to register training participants. A confirmation email will be sent from TRIS.


R&C workers with the Department for Community Based Services (DCBS) need to check the lodging box on the registration form. Lodging is provided for DCBS foster parents living more than 40 miles from the training site. PCC foster parents are responsible for paying for their lodging and meals when signing in at training. Lodging for PCC parents should be requested from TRIS to ensure the best possible lodging rate is received. Lodging and meal reimbursement may vary by PCC.


DCBS resource parents must notify their R&C worker to cancel. PCC foster parents must notify their case manager to cancel.

Medically Complex Resources

These resources are in reference to Kentucky Foster Families

Click here to download a PDF of Medical Conditions: Questions to Ask – sample questions to be asked when receiving a placement call and/or to medical providers.

Click here to link to FAST Website for link to documents used in Medical Passport by Medically Complex Foster Parents

  • Medically Complex Foster Child Specific Training (
  • DPP-104B – Individual Health Plan
  • DPP-104C – Medically Complex Monthly Report
  • DPP-106A – Authorization for Health Care
  • DPP-106D – Medical Appointment Form
  • DPP-106H – Medication Administration Form
  • DPP-106J – Medication Transfer Form