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Supporting Foster Youth at Risk of Commercial Sexual Exploitation

Health
A view of the Bay Bridge from downtown San Francisco shows trees on the right side, a building on the left side, and a man crossing the street with a dog. Text reads: Family and Me 2.0: A New Model of Foster Care for Youth Impacted by Commercial Sexual Exploitation in San Francisco

February 25, 2026

Family and Me (FAM) 2.0 A New Model of Foster Care for Youth Impacted by Commercial Sexual Exploitation in San Francisco

Research has shown that youth who have experienced trafficking or commercial sexual exploitation (CSE) often have histories of homelessness, contact with the juvenile justice system, and/or involvement in the foster care system. When it comes to supporting youth at risk of CSE, there is a lack of safe and supportive housing options designed to meet their unique needs. Many of these young people are placed in group care facilities — often moved out of familiar areas or out of state — and experience frequent changes in foster care placements, disrupting protective factors such as school continuity, service access, and connections to trusted adults.

Stable housing is essential for recovery and preventing revictimization, yet safe and supportive options are extremely limited. Reasons for this include a lack of available shelter and residential care beds, restrictive policies that prohibit youth from returning to foster care placements after leaving, and a lack of foster caregivers with the knowledge, training, and skills required to support youth who have experienced complex trauma. Despite the urgency, evidence on effective interventions for youth impacted by CSE is scarce. To address these gaps, HRC’s former Health and Human Rights Program partnered with the San Francisco Safety, Opportunity, and Lifelong Relationships (SF SOL) Collaborative to evaluate the Family and Me (FAM) pilot, an innovative new model of foster care for youth impacted by CSE.

Partners

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Freedom Forward logo
Seneca Family of Agencies: Unconditional Care
San Francisco Department on the Status of Women logo
A red spiral sits on the left of the following text: West Coast Children's Clinic

Team

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Julie Freccero

Senior Director, Health and Human Rights

Human Rights Center

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Michaela Anastasia Austin

Research Fellow

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Ana Linares Montoya

Researcher, Health and Human Rights

Human Rights Center

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Audrey Taylor

Senior Researcher, Health and Human Rights

Human Rights Center

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Cassie Walter

Graduate Student Researcher, Health and Human Rights

Human Rights Center

Family and Me Foster Care Program

In partnership with Freedom Forward, Seneca Family of Agencies, WestCoast Children’s Clinic, and the San Francisco Department on the Status of Womenthe FAM pilot was designed to increase the safety, housing stability, and overall well-being of youth who are experiencing or at risk of commercial sexual exploitation. FAM provided youth in family-based foster care placements with three unique support components:

1) Alternative caregivers, selected by youth, who offer support and a safe place for overnight stays to promote a shared model of caregiving;

2) Specialized training for caregivers in CSE, harm reduction, trauma-informed care, and peer support groups; and

3) Fast and flexible funding to meet a variety of youth needs and interests

Through this six-year collaboration, we partnered on a transformative, relationship-centered approach to care for a population long underserved by traditional child welfare systems. By investing in youth’s natural support networks, centering youth voice and choice, and embedding trauma-informed and harm reduction approaches, FAM offers a scalable model to promote safety, stability, and healing for youth impacted by CSE.

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“I think the FAM program is a really good program, especially for people that are goin’ through more stuff and people that need family or some more support.”

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—FAM 2.0 Youth Participant

Findings

Relational Permanency

Alternative caregivers offered rare, consistent, and emotionally safe relationships. Many youth described their alternative caregivers as “like family,” supporting them through crises, transitions, and early adulthood.

Placement Stability

Youth with trained, youth-selected alternative caregivers were less likely to run away, experience placement breakdowns, or be exposed to unsafe environments.

Flexible Funding

More than 175 youth requests totaling nearly $29,000 were approved to fund basic needs, transportation, enrichment, and connection with loved ones — revealing both the value of flexible dollars and gaps in existing public benefits.

Well-Being

Strengthened relationships, access to therapy, and wellness activities funded through flexible resources contributed to improved emotional regulation, resilience, and overall quality of life.

Caregiver Support

Caregivers reported reduced burnout, improved confidence, and greater capacity to meet youth needs when supported through training, financial support, respite, and shared caregiving.

News

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February 25, 2026

Youth choice and voice: A Q&A with Michaela Anastasia Austin exploring a new model of foster care

HRC in the News — #Verified by the Human Rights Center: Youth choice and voice: A Q&A with Michaela Anastasia Austin exploring a new model of foster care, interviewing Research Fellow

A view of the Bay Bridge from downtown San Francisco shows trees on the right side, a building on the left side, and a man crossing the street with a dog. Text reads: Family and Me 2.0: A New Model of Foster Care for Youth Impacted by Commercial Sexual Exploitation in San Francisco

February 25, 2026

Berkeley Human Rights Center releases three-year evaluation of novel foster care model centering Bay Area youth impacted by commercial sexual exploitation

Berkeley, CA — The Human Rights Center (HRC) at the University of California, Berkeley School of Law has published the final evaluation of the Family and Me (FAM) 2.0 foster care model, designed to support youth impacted

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April 11, 2023

Five lessons on housing for youth impacted by commercial sexual exploitation

Commentary — #Verified from the Human Rights Center: Five lessons on housing for youth impacted by commercial sexual exploitation, authored by Julie Freccero and Audrey