1. The importance of containment in a complex trauma-soaked system: the team as secure base. Belinda Thomson Tanya Jackson

2. Structure of EVOLVE Objective: To increase mental health, behaviour support and participation in education for children and young people in the care of the Department of Child Safety.

3. Evolve Sunshine Caost/Cooloola/Burnett/Fraser Coast. Spoke Hub

4. EVOLVE TEAM MEMBERS: Mooloolaba –Team Leader (Stephen Bell) –Senior Administration Officer (Meridith Rubins –Service Research & Evaluation Co-ord (Narelle Raeburn locum; Lucy Coyne on leave) –Professional Development Co-ord (Belinda Thomson) –3 Therapists (Fiona Meredith, Tanya Jackson, Vicky Richardson-Bell) –Consultant Child Psychiartist (Rebecca Wild) –Psychiatry registrar (vacant)

5. Evolve Team members Spoke sites: Gympie –1 therapist (Sabrina Sandy) –Co-located with local CYMHS team South Burnett (Kingaroy) –1 therapist (temp vacant) –Co-located with local CYMHS team Fraser Coast (Hervey Bay) –2 therapists (Kaye Byrnes on leave) (Nicole Allen locum) –Co-located with local CYMHS

6. Quote “Human beings of all ages are found to be at their happiest and to be able to deploy their talents to best advantage when they are confident that, standing behind them, there are one or more trusted persons who will come to their aid should difficulties arise.” John Bowlby (1973)

7. Therapeutic Needs of Children in Care Pyramid of Need A hierarchy of needs. Assess where child is to guide choice of interventions. Children move up and down in response to current circumstances. Kim Golding 2007

8. EVOLVE Collaborative Practice Model Holding the Child in Mind – Creating Therapeutic Networks Social Care Health Child Families Communities Professionals School Legal VoluntaryLeisure Kim Golding 2007

9. Stakeholder team Qld Health Evolve Therapuetic Services Child’s carer Carers’ Support agency Education Dept. Child Safety DSQ Evolve Behaviour Support Non-Govt Agency Child or Young person

12. Containment Being with emotionally, psychologically, physically. Resonance with (willingness to feel something), and Attunement to (behaviours you do to communicate your resonance) The emotional experience of another (COS)

13. Quote “The containment of one team member may enable others to achieve and provide containment for children in our care.” Joan Hutten

17. Quote “…adopting a …(curious) stance through which …(others) can discover a way to work with particular clients which is responsive to their needs rather than to professional differences.” Joan Hutten (in Psychotherapy with Severely Deprived children)

18. Quote “This collaborative team work, including being the carrier of the child’s cumulative experience, demands exacting commitment from workers if they are to provide the containment which enables children to learn from and integrate experience.” Joan Hutten

19. Quote “We each seek to know that we are held in the mind and heart of another.” Fosha