TY  - JOUR
PY  - 2023//
TI  - The SECURE STAIRS framework: preliminary evaluation of the impact on therapeutic climate in a secure children's home (SCH)
JO  - Safer communities
A1  - Mckeown, Annette
A1  - Ramshaw, Gemma
A1  - Smith, Anna
A1  - Atkinson, Sarah
A1  - Kennedy, Patrick John
SP  - 1
EP  - 14
VL  - 22
IS  - 1
N2  - PURPOSE The SECURE STAIRS framework for integrated care is a trauma-informed approach to supporting staff and young people within the Children and Young People's Secure Estate (CYPSE) in the UK. Within secure settings, therapeutic climate is a concept that encapsulates an individual's perception of safety, connectedness with others and level of support within the environment. To support evaluation of the SECURE STAIRS framework, a Secure Children's Home (SCH) within the North East of England examined therapeutic climate for staff and young people annually using the Essen Climate Evaluation Schema (EssenCES) over a three-year period. This paper aims to present the findings. <br><br>DESIGN/METHODOLOGY/APPROACH Over the three years, a total of 71 young people and 214 staff EssenCES questionnaires were administered. Between 2020 and 2021, the setting also experienced significant changes resulting from the COVID-19 pandemic. Numbers of young people also decreased within the setting over the three-year period. <br><br>FINDINGS Results indicated a positive trend for therapeutic climate sub-scores. For example, Experienced Safety for young people significantly increased from 2020 to 2021. Additionally, therapeutic hold for staff was significantly higher in 2020 and 2021 in comparison to 2018. <br><br>ORIGINALITY/VALUE Findings are discussed in relation to implementation of the SECURE STAIRS framework and providing trauma-informed care for vulnerable young people within secure settings. Implications for practice are explored.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-8043
UR  - http://dx.doi.org/10.1108/SC-11-2021-0044
ID  - ref1
ER  -