Therapeutic care

Under our watch, children benefit from therapeutically-informed care underpinned by the Secure Base model.

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What is Therapeutic Care?

Many agencies supporting young people will say they offer therapeutic care. But what does therapeutic care actually mean?

To us, therapeutic care means following a consistent parenting approach within a theoretical framework, which helps carers identify and meet a child’s specific needs.

It means we use approaches that are supported by decades of research on child development, therapeutic interventions and children’s outcomes.  

Supporting children who have suffered trauma or adverse childhood experiences requires more than just ‘good enough’ parenting. 

Providers offering residential, fostering or education services to vulnerable children must consider therapeutic models and interventions, as we have, if they are to prioritise children’s outcomes.

The Secure Base Model - Professor Gillian Schofield

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Therapeutic caregiving

The Secure Base model provides a positive framework for therapeutic caregiving which helps  children and young people move towards greater security and build resilience.

The model focuses on the interactions that occur between caregivers and children on a day to day, minute by minute basis within the caregiving environment.

It also considers how those relationships can enable the child to develop competence in the outside world of school, peer group and community.

Secure Base is founded on key theories and research in child development, attachment, relationships and resilience.

The goal of the model is to support caregivers to provide sensitive caregiving that develops secure, trusting relationships.

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How does it work?

The Secure Base model is drawn from attachment theory and adapted to include an additional element, ‘family membership’, for children who are separated from their birth families.  

The model proposes five dimensions of caregiving Availability, Sensitivity, Acceptance, Co-operation and Family Membership, each of which is associated with a corresponding developmental benefit for the child.

The dimensions overlap and combine with each other to create a secure base, as represented above.  For example, a caregiver who is playing with a child in a focused, child-led way may be doing so with sensitivity and acceptance as well as demonstrating availability and promoting co-operation.

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Secure Base
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CHA
BAAF logo
Investors in People
Berri
IRCT
NASS
Secure Base
Team Teach
CHA
BAAF logo
Investors in People
Berri
IRCT
NASS
Secure Base
Team Teach

Real stories, real impact

Gemma came to Acorns aged 14. Her family history included neglect, physical and psychological abuse, with a suspicion of sexual abuse unconfirmed.
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