The term “therapeutic” – at least in the way commissioning specifications set out – focuses on the direct work of a therapist in weekly sessions with a child. While this important technical component has its place, it is only one limited element. In order for residential care, fostering, education or supported housing to be “therapeutic” something more is needed.
A therapeutic community is an immersive approach. Picture: Tiko/Adobe Stock
A therapeutic community is an immersive approach. Picture: Tiko/Adobe Stock

Many children and young people arriving in residential children’s homes, therapeutic schools and foster care, were referred because of a complete breakdown in their capacity to sustain good relationships with family, carers, teachers and local health services. This breakdown is predicated upon the enormous and overwhelming pressures placed on them by what Bessel Van Der Kolk calls “developmental trauma” (2014). Those working in the sector come face to face with the damage caused by abuse in childhood. Such children can rarely sit and talk with an adult for more than a few minutes let alone engage in an hour of psychotherapy.

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