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Lighthouse Foundation Therapeutic Family Model of Care: Stages of Recovery and their Application to Young People in Out-of-home Care

Published online by Cambridge University Press:  16 December 2014

Tymur Hussein
Affiliation:
Lighthouse Foundation, Victoria, Australia
Carly Cameron*
Affiliation:
Clinical Services Manager, Lighthouse Institute, Victotria, Australia
*
address for correspondence: Carly Cameron, Clinical services Manager, Lighthouse Institute, 13 Adolph Street, Richmond, VIC, Australia, 3121. E-mail: carlyc@lighthouseinstitute.org.au

Abstract

The Lighthouse Foundation provides long-term accommodation to young people aged 15–25 at risk of homelessness, through a therapeutic model of care. This paper will explore its application to young people with histories in the out-of-home care system and those who are leaving care, by focusing on a four-stage process of recovery and the unique experiences it raises for this population based on their history. Drawing on themes identified through our practice with vulnerable young people, it is proposed that key elements of the programme and process hold particular relevance to the long-term recovery of this population, including the provision of stable and consistent therapeutic residential workers, an integrated care team, and the capacity to work with the young person beyond his or her eighteenth birthday. (Please note, no specific examples of young people are provided, rather the article will present observed themes at the various stages of the Therapeutic Family Model of Care.)

Type
Articles
Copyright
Copyright © The Author(s) 2014 

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References

Australian Institute of Health and Welfare (AIHW). (2013). Child Protection Australia 2011–12. Child Welfare Series No. 55. Canberra: AIHW.Google Scholar
Barton, S., Gonzalez, R., & Tomlinson, P. (2012). Therapeutic residential care for children: An attachment and trauma-informed model for practice. London: Jessica Kingsley.Google Scholar
Becker-Weidman, A., & Shell, D. (2005). Creating capacity for attachment. Oklahoma City: Wood and Barnes.Google Scholar
Bowlby, J. (1969). Attachment. London: Hogarth Press.Google Scholar
Bowlby, J. (1979). The making and breaking of affectional bonds. London: Routledge.Google Scholar
Bretherton, I. (1997). Bowlby's legacy to developmental psychology. Child Psychiatry and Human Development, 28 (1), 3343.Google Scholar
Dockar-Drysdale, B. (1990). The provision of primary experience: Winnicottian work with children and adolescents. London: Free Association Books.Google Scholar
Dockar-Drysdale, B. (1993). Therapy and Consultation in Child Care. London: Free association books.Google Scholar
Gonzalez, R., & Tomlinson, P. (2011). Therapeutic Family Model of Care. Melbourne: Lighthouse Institute (internal document).Google Scholar
Hannon, C., Wood, C., & Bazelgate, L. (2010). In Loco Parentis: ‘To Deliver the Best For Looked After Children, the State Must Be a Confident Parent. . .’ London: Demos.Google Scholar
Hardy, L. T. (2007). Attachment theory and reactive attachment disorder: Theoretical perspectives and treatment implications. Journal of Child and Adolescent Psychiatric Nursing, 20 (1), 2739.Google Scholar
Mendes, P., Johnson, G., & Moslehuddin, B. (Eds.). (2011). Young people leaving state out-of-home care: Australian policy and practice. Melbourne: Australian Scholarly Publishing.Google Scholar
Paley, B., Cox, M., Burchinal, M. & Payne, C. (1999). Attachment and marital functioning: Comparison of spouses with continuous-secure, earned-secure, dismissing, and preoccupied attachment stances. Journal of Family Psychology, 13 (4), 580597.Google Scholar
Pearson, J., Cohn, D., Cowan, P., & Pape Cowan, C. (1994). Earned- and continuous-security in adult attachment: Relation to depressive symptomatology and parenting style. Development and Psychopathology, 6, 359373.Google Scholar
Perry, B. D., & Szalavitz, M. (2006). The boy who was raised as a dog: And other stories from a child psychiatrist's notebook. New York: Basic Books.Google Scholar
Perry, B. D., & Szalavitz, M. (2010). Born for love: Why empathy is essential and endangered. New York: HarperCollins.Google Scholar
Phelps, J. L., Belsky, J., & Crnic, K. (1998). Earned security, daily stress, and parenting: A comparison of five alternative models. Development and Psychopathology, 10 (1), 2138.Google Scholar
Prilleltensky, I., & Nelson, G. (2000). Promoting child and family wellness: Priorities for psychological and social interventions. Journal of Community Psychology, 10, 85105.Google Scholar
Roisman, G. I., Padrón, E., Sroufe, L. A., & Egeland, B. (2002). Earned-secure attachment status in retrospect and prospect. Child Development, 73 (4), 12041219.Google Scholar
Schneiderman, M., Connors, M.M., Fribourg, A., Gries, L., & Gonzales, M. (1998). Mental health services for children in and out of home care. Child Welfare League of America, 77 (January/February), 2940.Google Scholar
Sonkin, D. J. (2005). Attachment theory and psychotherapy. The therapist. Retrieved from http://www.danielsonkin.com/attachment_psychotherapy.htmGoogle Scholar
Sroufe, J., Carlson, E., Levy, A., & Egeland, B. (1999). Implications of attachment theory for developmental psychopathology. Development and Psychopathology, 1 (March), 113.Google Scholar
Tomlinson, P. (2004). Therapeutic approaches in work with traumatised children and young people: Theory and practice. London: Jessica Kingsley.Google Scholar
Whyte, I. (2011). Just beginnings: The report of Berry Street's leaving care scoping project. Retrieved from http://www.childhoodinstitute.org.au/Assets/193/1/JustBeginningsBerryStreetLeavingCareReport.pdf.Google Scholar
Winnicott, D. (1953). Transitional objects and transitional phenomena. International Journal of Psychoanalysis, 34, 8997.Google Scholar
Winnicott, D. W. (1990). The maturational process and the facilitating environment. London: Karnac Books.Google Scholar