Presentation on theme: "SHERWOOD HOUSE A summary of initial outcomes achieved in the first 12 months of implementation of an innovative program to provide therapeutic support."— Presentation transcript:
1 SHERWOOD HOUSEA summary of initial outcomes achieved in the first 12 months of implementation of an innovative program to provide therapeutic support in an environment that offers the option for containment
2 IntroductionSherwood House is a new innovative therapeutic residential program established by the Department of Human Services, Community Services within South West Sydney in February 2009.This presentation seeks to provide an overview of the context within which the model has been established, key elements of the model and its function, and broadly describe the outcomes achieved in its first 12 months of service.
3 Service GapSherwood House has been specifically founded to meet the needs of a target client group for whom which there is currently limited or no service options.Client characteristics:Young people in Out-of-Home CareUnable to be successfully supported in community settingsChronic behavioural challenges that pose significant risk to themselves and othersComplex trauma symptomsRequirements for specialist case managementPlacement approved by the Deputy Chief ExecutivePlacement by Supreme Court orderManaged under Supreme Court case management
4 The needs of this group of young people require Assess to a suitable (safe) accommodation settingSetting with capacity for containmentTrained staff with a high level of supervision and access to directionStaff contingencies that support physical management of high risk behaviours in a safe mannerIntense targeted therapeutic support that is multi-element and consistently delivered over time and across all settingsComplex and intensive case management servicesActive engagement of specialist services (inter-departmental as required)Support that is not time limited but structured around client needs and the outcomes achieved
5 CURRENT SERVICES Restoration Impatient Health Facility Foster Care Residential careIntensive Residential CareTherapeutic Intensive Residential careTherapeutic Intensive Residential care with Security safetyCURRENT SERVICESRestorationFunded Program OptionsFunded High Needs Program OptionNo Current OptionsSherwood HouseImpatient Health Facility
6 Psychiatric Annals 35:5 May 2005. Full version www.tramacenter.org
7 Psychiatric Annals 35:5 May 2005. Full version www.tramacenter.org
8 The Attachment, Self-Regulation and Competency (ARC) model provides a component-based framework that broadly guides the work within Sherwood House.Psychiatric Annals 35:5 May K.J Kinnibutgh LICSW, M. Blaustein PhD, J. Spinazzola PhD.
9 Sherwood HouseOur commitment is to provide a safe, nurturing and therapeutic residential service that enables children and young people to develop to their full potential.
10 Sherwood Entry and Exit The identification of individual case planning and therapeutic goals is undertaken for each young person entering the program. It is through the revision of these goals that determination of a suitable exit plan and timeline can be shaped.Generally these include:Specific health management issues including medication review and appropriate engagement of required specialist and servicesHealthy lifestyle habits and routinesFunctional and meaningful family contact that is safe and sustainable for the young personReduction of anti-social and damaging high risk behavioursIncrease in emotional resilience and capacity to modulate behavioursIncrease in engagement with education and personal development opportunitiesIncrease in capacity for positive peer engagement (recreational / social)Permanency planning for future living situation that meets needsThe young person’s beliefs in relation to their readiness to move on
11 Staff Model Parramatta Metro ISS Director ISS Janice Carroll Manager Client Services Kerri Cronan-DixonAdminCaseworkerManagers5Caseworkers24Sherwood HouseBradburyBarbara HardmanManagerResidential Care StaffPartner AgencySecurity StaffPsychological ConsultingQuovus
12 Staff TrainingSherwood House provides a structured in house staff training program that includes :Policy and procedural reviewInduction and buddy shiftsShift leaders meetingsTeam meetingsFormal topic trainingAccess to manual resourcesTeam debriefing
13 Therapeutic Support Program Summary of Sherwood Program StructurePROACTIVE STRATEGYINTERACTION GUIDELINESROUTINEREINFORCEMENT PROGRAMSSUPPORTING FAMILY CONTACT & NETWORKSENVIRONMENTAL STRATEGYRESTRICTIVE ACCESS/ PRACTICESCARER/ SECURITYSTAFF MODELTRAVEL PLANCOMMUNITY ACCESSDIRECT TREATMENTDAILY PLANNING WITH MANAGERWEEKLY REF PERSON MEETINGSHERWOOD HOUSE THERAPEUTIC SESSIONSWEEKLY COUNSELLINGREACTIVE STRATEGYMANAGING AGRESSIONMANAGING SIBMANAGING PROPERTY DAMAGEMANAGING ABSCONDING
14 Therapeutic Support Program Common behavioural support challenges for target young people include; High levels of anxiety and withdrawalDifficulties with emotional regulationAggressive and defiant behaviourComplex family issuesLearning difficultiesTrauma related symptomsDifficulties with peer relationshipsInability to monitor pitch, inflection and tone of voiceMisreading facial expressionsMisjudging personal spaceMistaking other non-verbal cues
15 Sherwood House: In-house Program SOCIAL SKILL THERAPEUTIC INTERVENTION PROGRAM (2X WEEKLY)MUSIC THERAPY (WEEKLY)MOVEMENT AND DRAMA THERAPY (WEEKLY)
16 The Sherwood Education Program Classroom to support the young people re-establish their routine participation in formal education programs in the grounds of Sherwood HouseA dedicated part-time teacher who provides face to face teaching two days each weekDistance education with the support of staff complete their curriculum requirements.One of the young people has been able to return to a full time placement in a local school
17 Program ReportingThe reporting requirements of the program are significant and matched to regular scheduled Supreme Court review. Data is tracked and analysed on a monthly basis.Critical elements of data include:Case management milestonesHealth management goalsMedication management and impactsIncident profilesBehavioural scalesMental health scalesClient wellbeing self reportsProgram participation and community accessReference Person ProgramTherapeutic goals and progress
18 Client evidence Based Outcomes (Sample Data Summary)
19 The Step-Down ModelsThe transition from the Sherwood House model has required the development of a linked program to allow gradual progress and the continuity of program elementsThe program has achieved the transition of one young person and is currently preparing for the exit of a second
20 ChallengesBuilding management and design to ensure a robust safe settingStaff matching and retentionFamily engagementEstablishment of the step-down model
21 Future Planning Ongoing refinement of the therapeutic program Enhanced projects for community participation for the young peopleCreative options to support family engagementOngoing investment in service partnerships and collaborative work