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Sanctuary In Residential Childcare
 

 

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The Sanctuary Model is being adopted by a number of residential programs for children and adolescents including:

Staff members from all of these programs have attended the Sanctuary Institute and the programs are now part of the Sanctuary Network.

 

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

   

Articles About the Sanctuary Model in Residential Childcare

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

   
 

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

   

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.

   
  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.
   

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.

   
 

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.

   

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

   
 

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.

   
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
   
 

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.

   

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

   
  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.
   

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.

   
  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”.
   
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.
   
  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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