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Adolescent Therapeutic
Residential Services:
Enabling Familial Experiences Through Continuum Of Care
Presenters
Vanessa Smith – Manager Foster Care
Melissa Muller- Acting Manager Residential Care
Adolescent Therapeutic Residential ServicesCatholicCare has delivered therapeutic Intensive
Residential Care services since 2005
CatholicCare Broken Bay currently has 6 residential houses across Northern Sydney and the Central Coast of NSW
All referrals received are from the Metro Intensive Support Services (ISS) or Family and Community Services (FaCS)
Therapeutic CareWhat is therapeutic care?
CatholicCare’s delivery of therapeutic care
Strengthening CYP’s positive relationships
Supporting CYP in transitioning to less intensive care
Working towards restoration
Delivery of Therapeutic CareCatholicCare bases its service delivery on
Attachment, Self-Regulation and Competency (ARC) principles
Anglin Framework principles
Continuum of care approach
ARC Framework
A flexible framework with three core domains: Attachment, Self Regulation and Competency
James Anglin’s Framework
Continuum of Care
CatholicCare defines the continuum of care approach as the process of planning and managing the care of a CYP, through the provision of the range of services they require to facilitate their movement through the care system. (Cheers and Mondy, 2009)
Continuum of CareThe ability to manage the care of CYP through
Pre-placement
Contact
Admission
Internal placement transitions
Discharge and provisions of aftercare
CatholicCare’s Implementation and Practice
Therapeutic care
Staff education
Staff supports
Structural support
Therapeutic Care
Responding appropriately to pain and pain based behaviours
Application of ARC principals
Developing a sense of normality
Creating an extra-familial living environment
Staff Education
Education and training
Professional development
Topic-targeted reflection sessions
Clinical advice
Staff Supports
Regular supervision
Clinical support
Vicarious Trauma testing
Funded self-care packages
Structural Support
Client matching
Enabling specific Shared Needs residential houses and programs
Clinical support
Routines and rituals
Program Outcome AchievementsPositive culture change within homes
Better trauma-educated and informed carer teams
Placement continuity for CYP
Increased number of CYP engaging in Life Story work
CYP restoration to family
Self-placed CYP restoration to family with outreach
Longevity of care
Program Challenges and Barriers
CYP with incomplete narratives of why they are in care
Funding changes impacting service delivery
Carers learning and becoming adept in the significance of safe attachment
Shared Needs Placement ExampleFirst under-12’s house opened in June 2012
Vision for under-12’s house:
Bridge or stepping stone to foster care or possible restoration to family
Target risk minimisation
Assist in stabilising CYP’s placement
Prepare CYP for less intensive model of care
Factors Considered when Establishing Under-12’s HouseEnvironment / location
Selection of carers
Culture and programming
Environment / LocationNear beaches and well resourced
Carers who live in the area and able to utilise their community networks
Large house that provides children with:
Safe, tranquil and personalised individual space
Spacious shared living areas to support relationship-building
Carers Selection CriteriaKeen to work with under-12s target group
Experienced with younger children and their developmental needs
Local knowledge and networks
Caring, nurturing and attuned
Committed to consistent and structured routines
Adept in protective behaviours
Supportive of family relationships
Culture and ProgrammingAge-appropriate signage and house agreement
Doors locked at dinner time for safety
Age-appropriate structured activities, limited TV
Education of residents at separate schools
Supported in individual hobbies
Therapy and Life Story work
Carer response to trauma-informed behaviour
House mother role
Contacts
Melissa Muller
CatholicCare Out of Home Care - Residential
Vanessa Smith
Catholic Care Out of Home Care – Foster Care
ReferencesTherapeutic residential care in Australia: Taking stock and looking
forward. NCPC Issues No. 35, 2011, http://www.aifs.gov.au/nch/pubs/issues/issues35/issues35d.html
Staffed Group Homes for Children and Youth; Constructing a Theoretical Framework for Understanding, James P. Anglin (2002)
Cheers, Deirdre and Mondy, Stephen (2009) ‘Enhancing placement stability via a continuum-of-care approach: Reflections from the Australian context’, Vulnerable Children and Youth Studies, 4;2, 148-153
