The SECURE STAIRS framework: preliminary evaluation of the impact on therapeutic climate in a secure children’s home (SCH)

Abstract

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. 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. 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. 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.

The SECURE STAIRS Framework: Preliminary Evaluation of Trauma Informed Training Developments Within the Children and Young People’s Secure Estate

“…Further use of the Essen Climate Evaluation Schema (EssenCES, Schalast et al, 2008 , 2016 ) may be helpful within such research. Implementation of the SECURE STAIRS framework and providing trauma informed care for vulnerable young people within an SCH has been found to coincide with improvements in the therapeutic climate (perception of safety, connectedness with others, and level of support within the environment) of staff and young people (McKeown et al, 2022 ).…”