This study explores the views and experiences of young people, adopted and in the care of a local authority who had received a therapeutic intervention from an NHS Attachment and Trauma Specialist Agency. Three children were interviewed, aged between 10 and 14 years, using semi-structured interviews. The interviews were recorded, transcribed and analysed using Interpretative Phenomenological Analysis (IPA). The analysis of the results met with the findings in the literature that young people want to have access to non-judgmental therapy which both meets their needs and is creative. Recommendations for clinicians include giving adequate preparatory information and ensuring on-going collaboration with young people receiving therapeutic interventions through the use of on-going feedback about what works for them.
Practitioner points:• Practitioners should consider carefully how young people in public care are 'invited' to therapy, and give adequate pre-session information to help to reduce anxiety.• Children and young people in public care engaging in therapy prefer a practitioner style which is creative, playful and enjoyable.• A systemic framework can be integrated with attachment and trauma focused models of intervention. | 427 YOUNG PEOPLE'S EXPERIENCES OF THERAPY '... the benefits of researching our own therapy and our own organizations, can be profound...' (Dallos & Vetere, 2005, p. 174).Systemic research invites the researcher to be reflexive, considering the ethics of her work and way of being in relation to both research and practice (Simon and Chard, 2014). Whilst relational ethics in research is about exploring daily practice, in order to both understand and improve this, which for me includes having an ability to hear and respond to the voice of the child (Helps, 2017;Simon and Chard, 2014), this paper reflects on a post-therapy service evaluation.
Children in the care of the local authorityOn 31 March 2019, 78,150 children and young people in England were looked after by local authorities; 25% identified as Black or minority ethnic, with 73% placed with foster carers and 3% in adoption, neglect and abuse being the central reasons for them entering care (Department of Health 2004. Children and young people living in care are more likely to have poorer educational outcomes with a higher risk of receiving a mental health diagnosis -45% compared with 10% of the general population (NICE, 2019;NSPCC, 2015). Black and ethnic minority children report experiencing racism, feeling different and not belonging, especially where transracial placements do not support their cultural identity needs (Harris, 2016).According to Davies et al. (2009), children in care are the most vulnerable in society and often excluded from service-user involvement. Children believe they receive less information and control over their lives in terms of decision-making compared with their peers who live with birth families (Coram Voice, 2015). Policy guidelines advocate children's right to access specialist mental health services and hav...