Therapeutic Care Blog

The CETC blog tells the stories behind 'what works' in Intensive Therapeutic Care

June 15, 2020 |

Making Sense of Complex and Challenging Behaviours

An inability to understand trauma-based behaviours often sees young people ‘labelled’ in ways that can create a ‘spiral of negativity’. A trauma-informed approach orients us to be curious about what is going on for the young person rather than seeing their behaviour as separate from what has happened to them. This is one of the …

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Isaac’s Story: Having a Voice in Out of Home Care

Isaac is 15 years old, about 6ft tall, and you know when he is in the room. Isaac lives in his house with one other young person. Isaac experiences the world differently than others. This is because Isaac has Autism and a Moderate Intellectual Disability. Due to this, Isaac asks his team to be patient …

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April 29, 2020 |

10 ways to enable young people’s participation in therapeutic residential care

In this blog, I’m keen to offer practitioners in therapeutic residential care some ideas about how to involve young people in decisions that affect their lives. Many young people in residential care have negative experiences of participation. From not being adequately informed about the reasons for entry into care, to not being prepared for care …

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April 8, 2020 |

Therapeutic residential workers? Who are we?

This blog is to introduce my recent research with therapeutic residential workers. Further blogs and practice guides relating to finding, keeping, acknowledging and celebrating the best person for the job of Therapeutic Residential Care Worker and Managers will be developed in coming months. Keep an eye out for them! Why did I do this research? …

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April 1, 2020 |

Cultivating Curiosity in Therapeutic Residential Care

Albert Einstein, (a pretty smart person!), wrote: “I have no special talents; I am only passionately curious” Curiosity is something that has excited me my whole life. I am sure a lot of you share my fascination and enthusiasm for curiosity. There seems to be wide support for the idea that we work with a …

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March 25, 2020 |

How do we create excellence in intensive therapeutic residential care practice?

What creates high quality therapeutic residential care? This is the question often asked of agencies, of staff, of policy makers and of the young people themselves. There is no simple answer! Intensive therapeutic residential care is a complex operating environment. It cares for and supports young people with the most complex needs and interacts with …

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March 23, 2020 |

8 Ways to Support Young People in Residential Care during COVID-19

How do we keep to the therapeutic care principles of safety, consistency, predictability, and routine in a world that feels like it has turned upside down overnight? It’s near impossible! If we are feeling this way, imagine how young people may be feeling. I know you are all working very hard to put plans in …

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March 15, 2020 |

Stability in Residential Care: Part II

Sarah is 14 and has been in placement for 18 months. She lives in a residential house with two boys and one girl. The boys display aggressive behaviours and are involved in substance and alcohol misuse. Sarah is often missing but when present she is moody and disconnected. The police are regularly called to the …

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March 4, 2020 |

Staying on Your Game as a Therapeutic Specialist

What follows is a mixture of tips, reminders, encouragement and hopefully a little bit of inspiration. Start with your “why” – Knowing your why is a key essential to success in your role as a therapeutic specialist. As Simon Sinek’s research into leadership has shown, the why comes first. The why is your origin of …

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February 18, 2020 |

Relationship-based care is key to recovery and change

For recovery and healing to occur in therapeutic residential care, there must be synergy or “congruence” between residential workers, the organisational culture and all other stakeholders in meeting the needs of the child or young person.  The work of James Anglin (2002), Sandra Bloom (2005) and Bruce Perry (2006) has been highly influential in space, …

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