Three Therapeutic Residential Care Models, the Sanctuary Model, Positive Peer Culture and Dyadic Developmental Psychotherapy and Their Application to the Theory of Congruence

Clarke, Annaley

doi:10.1375/jcas.36.2.81

Cited by 3 publications

(7 citation statements)

References 8 publications

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“…Analysis of RPRI data combined with accounts from TPs, point to the therapeutic parent-child relationship as a powerful mechanism of change, supporting the argument that relational trauma requires 'relational repair' (Treisman, 2017, p. 194). This is not surprising, given that many therapeutic models of residential care are underpinned by attachment theory, sharing a focus on building secure and positive relationships (Clarke, 2011;Macdonald, Millen, McCann, Roscoe, & Ewart-Boyle, 2102). The importance of relationships within the RPRP is also in line with a growing body of research (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic models and approaches applied to the residential childcare setting usually aim to create a nurturing culture through positive secure relationships and building resilience (Hummer, Dollard, Robst, & Armstrong, 2010). A number of intervention approaches have been reviewed over recent years (Clarke, 2011;Macdonald, Millen, McCann, Roscoe, & Ewart-Boyle, 2102), although it is recognised that further practiceoriented research is required (Roberts et al, 2016). Several models of care have been evaluated, including the Model of Attachment Practice, Sanctuary Model, Positive Peer Culture, Dyadic Developmental Psychotherapy, and CARE (Children and Residential Experiences), with many sharing similar attachment based underpinnings (Clarke, 2011;Macdonald et al, 2102;Ribbens McCarthy et al, 2013;Whittaker et al, 2015).…”

Section: Trauma-informed Care For Looked After Childrenmentioning

confidence: 99%

“…A number of intervention approaches have been reviewed over recent years (Clarke, 2011;Macdonald, Millen, McCann, Roscoe, & Ewart-Boyle, 2102), although it is recognised that further practiceoriented research is required (Roberts et al, 2016). Several models of care have been evaluated, including the Model of Attachment Practice, Sanctuary Model, Positive Peer Culture, Dyadic Developmental Psychotherapy, and CARE (Children and Residential Experiences), with many sharing similar attachment based underpinnings (Clarke, 2011;Macdonald et al, 2102;Ribbens McCarthy et al, 2013;Whittaker et al, 2015). The only realist systematic review of inpatient and residential TIC for young people identified 13 studies for inclusion, which had participant numbers of 53-6361 young people (Bryson et al, 2017).…”

Section: Trauma-informed Care For Looked After Childrenmentioning

confidence: 99%

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Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care

Parry

Williams

Burbidge

2021

Child Youth Care Forum

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Background There are 78,150 children in care in England and 12% live in group residential settings. Little empirical research informs our understanding of how these vulnerable children heal from multi-type trauma in residential homes. Evidence-based multisystemic trauma-informed models of care are needed for good quality consistent care. Objective Using a novel multisystemic trauma-informed model of care with an embedded developmental monitoring index, the Restorative Parenting Recovery Programme, pilot data was collected from young people and care staff from four residential homes over a two-year period. Five key developmental areas of children’s recovery were investigated through monthly monitoring data. Staff were also interviewed to explore their experiences of delivering the intervention to contextualise the findings. Methods Data was gathered from 26 children, aged 6–14 years, over a two-year period. Their developmental wellbeing was measured using the Restorative Parenting Recovery Index and analysed through a comparison of means. To add further context to this preliminary analysis, qualitative interviews were undertaken with 12 Therapeutic Parents to explore their perceptions of how the Restorative Parenting Recovery Programme influenced the children’s development. Results Young people showed significant improvements on indices relating to relationships (p = 0.002, d=0.844). Significant changes are observed during the first half of the programme in self-perception (p = 0.006, d = 0.871) and self-care (p = 0.018, d = 0.484), although limited progress around self-awareness and management of impulses and emotions. Conclusions This novel integrative approach to re-parenting and embedded measurement system to track the children’s progress is the first of its kind and has originated from extensive multisystemic clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Trauma-informed Care For Looked After Childrenmentioning

confidence: 99%

Section: Trauma-informed Care For Looked After Childrenmentioning

confidence: 99%

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Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care

Parry

Williams

Burbidge

2021

Child Youth Care Forum

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“…Parallel to demands for improved outcomes for children has been a related and growing interest in 'therapeutic' models of care [16,[18][19][20], which call for workers to be 'caring' 'knowledgeable' and 'emotionally engaged' with children.…”

Section: Policy and Practice Contextmentioning

confidence: 99%

Everyday Care: What Helps Adults Help Children in Residential Childcare?

Burns,

Emond

2023

Youth

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Over the last decade, there has been an increasing trend towards the use of ‘therapeutic models’ in residential childcare settings in the U.K. and elsewhere. While some have argued that these developments have been driven, at least in part, by free market funding environments and organisational survival needs, others have suggested that many of these models, despite some of their theoretical and conceptual differences, offer a useful approach. Drawing on findings from an ethnographic research project in a residential setting in Scotland, we argue that the underlying processes of implementing and embedding a therapeutic model can create conditions that are conducive to the provision of high-quality, effective, relationship-based practice, which has real benefits for children in their everyday worlds. Moreover, we argue that the model itself is somewhat beside the point. If residential organisations can facilitate safe, ongoing opportunities for staff to (a) think deeply about themselves and others (children and staff), (b) practice ways of being and doing, and (c) be seen and valued, then this can contribute to a practice culture and context in which they feel able to create genuine, caring relationships with children. We argue that it is within these everyday, genuine, caring relationships that children can recover from difficult experiences such as neglect and abuse. In this way, the ‘therapeutic’ focus should be primarily directed at the adults to enable children to get on with being children.

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“…Gold and Osgood (1992) (Ellis, 2009). Children Australia lists Positive Peer Culture as a research-supported therapeutic residential care model (Clark, 2011). Finally, the California Evidence-based Clearing House lists PPC as highly rated on the Scientific Rating Scale (James, 2011).…”

Section: The Evidence Base Of Positive Peer Culturementioning

confidence: 99%

The Effectiveness of Positive Peer Culture with Youth at Risk

Brendtro¹,

Caslor²

2019

GJHSS

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Youth in conflict with adults often gravitate to friends who support high-risk behavior. Various group treatment programs have sought to reverse this negative peer influence with two different strategies. In peer pressure programs, youth discipline one another to reinforce behavior norms. In peer helping programs such as Positive Peer Culture (PPC), youth support one another by solving problems and building strengths. While both approaches have been shown to improve short-term behavior, peer-helping creates long-term change in prosocial values, thinking, and behavior. This article reviews relevant research on the effectiveness of Positive Peer Culture and reports a study comparing recidivism of a residential PPC program in corrections with matched controls. Differences were apparent after 12 months as PPC groups had significantly lower recidivism at each quarterly interval of the 24-month follow-up period.

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Three Therapeutic Residential Care Models, the Sanctuary Model, Positive Peer Culture and Dyadic Developmental Psychotherapy and Their Application to the Theory of Congruence

Abstract: Clarke, A. (2011). Three therapeutic residential care models, the sanctuary model, positive peer culture and dyadic developmental psychotherapy and their application to the theory of congruence. Children Australia, 36, 2, 81-87.

Cited by 3 publications

References 8 publications

Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care

Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care

Everyday Care: What Helps Adults Help Children in Residential Childcare?

The Effectiveness of Positive Peer Culture with Youth at Risk

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