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The Sanctuary
Model is being adopted by a number of residential programs for
children and adolescents including:
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Annsville
Residential Center, Taberg, NY
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Carevisions,
Lochabie, Scotland
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Glove
House, Elmira, NY
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Hawthorne
– Cedar Knolls Treatment Program for Children, JBFCS,
NY
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•MercyFirst,
Syosset, NY•
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Sarah
Reed Children’s Center, Erie, PA
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White
Fields, Oklahoma City, OK
Staff members from all of these programs have attended the
Sanctuary Institute and the
programs are now part of the Sanctuary
Network.
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Article on the Sanctuary Model(2007) from Challenging Solutions:
Strategies for Promoting Child Safety, Permanency, and Well-Being in New
York State - official publication of New York State Office of
Children and Family Services |
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Articles About the Sanctuary Model in Residential Childcare
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Bloom, S. L. (2005) The Sanctuary Model of
Organizational Change for Children’s Residential Treatment.
Therapeutic Community: The International Journal for Therapeutic and
Supportive Organizations 26(1): 65-81 |
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The first article, by the founder of
the Sanctuary Model, Sandra Bloom, describes the parallel processes that
occur between traumatized children and the staff that treat them and
describes a whole-system approach to creating a system that can truly
meet the needs of traumatized youngsters. Her paper describes an
implementation process at the Andrus Children’s Center (and now
beginning at Parsons’ Child and Family Center) that was facilitated by
intensive training of a multidisciplinary Sanctuary Facilitation Team
(core team) representing every level of the organization, which then
take on the responsibility of training the entire staff in the Sanctuary
Model |
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Thomas, M. E. (2005. Creative thinking and
talking in residential care. Therapeutic Community: The International
Journal for Therapeutic and Supportive Organizations 26(1): 115-125. |
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This article by Andrus social
worker Michael Thomas describes an interdisciplinary discussion of a
difficult child in residential care, as a case study for practicing the
kind of creative thinking that is characteristic of the Sanctuary Model.
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Rivard, J.C.,
McCorkle, D., Duncan, M.E., Pasquale, L.E., Bloom, S. L., Abramovitz, R.
(2004). Implementing a Trauma Recovery Framework for Youths in
Residential Treatment. Child and Adolescent Social Work Journal,
21(5): 529-550. |
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This paper describes an
intervention designed to address the special needs of youths with
histories of maltreatment and exposure to family and community violence.
The primary components of the model include an enhanced therapeutic
community environment and a psychoeducation program that is aimed at
changing non-adaptive cognitive and behavioral patterns which developed
as means of coping with traumatic experiences. The implementation of the
model and proximal effects on the therapeutic communities and youths are
being examined in comparison to standard residential services. Initial
perceptions of staff illustrate the challenges in applying an
intervention that calls for changing the organizational culture. |
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Rivard, J.C., Bloom, S. L., McCorkle, D. and
Abramovitz, R. (2005) Preliminary results of a study examining the
implementation and effects of trauma recovery framework for youths in
residential treatment. Therapeutic Community: The International
Journal for Therapeutic and Supportive Organizations 26(1): 83-96 |
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The second article by researcher,
Jeanne Rivard and colleagues describes a research project at a large
campus encompassing three residential settings operated by the Jewish
Board of Family and Children’s Services (JBFCS) in New York. The
research was in part supported by an NIMH grant investigating the
implementation of the Sanctuary Model in that setting under the auspices
of Columbia University, the Center for Trauma Program Innovation at
JBFCS and the Saul Z. Cohen Chair of JBFCS . The implementation of
Sanctuary in these three settings – Hawthorne–Cedar Knolls, Linden Hill
School, and the Goldsmith Center – continues today and has expanded
beyond the “experimental group” to include the “control group”, thus
expanding Sanctuary to the entire campus as well as the on-site schools.
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Farragher, B. and Yanosy- Sreedhar, S.
(2005). Creating a trauma-sensitive culture in residential treatment.
Therapeutic Community: The International Journal for Therapeutic and
Supportive Organizations 26(1): 97-113 |
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This article by Brian Farragher, the
Chief Operating Officer at Andrus Children’s Center and Sarah Yanosy
Sreedhar, the Clinical Coordinator of the Diagnostic Unit at Andrus
Children’s Center provides a first-hand account of how their
organization is adapting the Sanctuary Model to the treatment of very
disturbed children. |
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Abramovitz, R. and Bloom, S. L. (2003). Creating sanctuary in a residential
treatment center for troubled children and adolescents.
Psychiatric Quarterly 74(2): 119-135
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This paper addresses the need for a coherent conceptual therapeutic
approach to guide work with disturbed children and adolescents in
residential treatment centers. The paper identifies changes in the
population currently in care; examines the two dominant approaches that
historically have shaped the standard treatment models used by most
residential centers; and discusses four longstanding debates that have
complicated the development of a consistent therapeutic approach for
residential programs. It concludes with a description of The SanctuaryÒ
Model. Integrating a variety of treatment approaches, this trauma-based
systems approach to care was first used with adult inpatients
traumatized as children. It is now being introduced by a major social
agency into three of its residential centers to provide a systematic
treatment model for use in their schools, living units, and treatment
sessions. |
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McCorkle, D. and Peacock, C. (2005). Trauma
and the isms – a herd of elephants in the room: A training vignette.
Therapeutic Community: The International Journal for Therapeutic and
Supportive Organizations 26(1): 127-133. |
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Drawing on their experience at the
Jewish Board of Family and Children’s Services facility in Hawthorne,
New York, this article by David McCorkle, M.S.W. and Caroline Peacock,
M.S.W. describes some of the challenges and rewards of training
childcare staff in a setting with difficult issues like racism and
classism must be addressed but tend to be denied and avoided so that
they become - as they colorfully describe them – the “elephants in the
room”. |
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Rivard,J.C., Bloom, S. L., Abramovitz, R., Pasquale, L.E.,
Duncan, M., McCorkle, D., Gelman, A. (2003). Assessing the
Implementation and Effects of a Trauma-focused Intervention for
Youths in Residential Treatment
Psychiatric Quarterly 74(2): 137-154. |
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This paper describes methods being used to implement and assess the
effects of a trauma-focused intervention in residential treatment
programs for youths with emotional and behavioral problems, and
histories of maltreatment and exposure to family or community violence.
Preliminary baseline profiles of the therapeutic environments and youths
are also presented. The intervention, referred to as the Sanctuary ModelÒ
(Bloom, 1997), is based in social psychiatry, trauma theories,
therapeutic community philosophy, and cognitive-behavioral approaches.
Within the context of safe, supportive, stable, and socially responsible
therapeutic communities, a trauma recovery treatment framework is used
to teach youths effective adaptation and coping skills to replace
nonadaptive cognitive, social, and behavioral strategies that may have
emerged earlier as means of coping with traumatic life experiences. |
Sanctuary
Model of Organizational Change
Sanctuary
at Andrus Children's Center
Sanctuary in Domestic Violence Shelters
Sanctuary
in Homeless Shelters
Sanctuary in Residential Childcare
Sanctuary in Substance Abuse Programs
Sanctuary in
Schools
Sanctuary in Adult Inpatient Treatment
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