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This is necessary to address the complexities of trauma, adversity, attachment and developmental needs; and improve outcomes for children and young people in care. The TCF is not prescriptive, but rather outlines a consistent framework for delivering evidence-informed Therapeutic Care programs and practice in NSW that can lead to change, growth and healing.

Supporting activities such as training and education across the OOHC sector i. Training, support and supervision are integral to good outcomes and are being considered in the development of an overall sector change strategy. Activities to support practice and culture change in Family and Community Services FACS and the sector are being developed as part of work on the new Intensive Therapeutic Care service system. In taking a holistic approach to Therapeutic Care, consideration of the cultural context of children and young people is extremely important.

A culturally informed perspective affects how we understand underlying issues such as attachment, and recognises that cultural connection is critical to identity and wellbeing. The TCF highlights the importance of promoting safe, healing relationships between children and young people and their family, kin and community, noting that these relationships are important for family, social, community and cultural connections.

Module description

Children and young people will be active participants where appropriate in the development of their care and case plans, and this includes cultural plans. The capacity to measure outcomes will support efforts to ensure relevant agencies and individuals are held accountable for improving outcomes for children and young people in OOHC in NSW.

By collecting more consistent data and information for each child, caseworkers will be able to use a more targeted approach to casework, including the provision of services and supports. TCs differ in the details of their approach, depending on the client group. Central to all TCs is the belief that people can change, and that in order to realise their potential as individuals and active citizens, they require an environment that fosters personal growth.

They need to form relationships with others in an atmosphere of trust and security, they need to be valued, accepted and supported by those around them and they need to take real responsibility for themselves, others and their environment. These rules uphold the values and norms of the community, which are a reflection of those held by society. A TC is an informal environment. Members and staff are not necessarily immediately distinguishable from each other and there is a distinct communal atmosphere.

The TC offers a safe environment with a clear structure of boundaries and expectations. TCs have a daily structure that incorporates all practical arrangements for maintaining and developing the community, as well as a varied programme of formal and informal therapeutic activity.

NSW Therapeutic Care Framework

These may include group therapies, creative therapies, social or cultural activities, and educational or work placements. Everyone is expected to contribute to the life of the TC according to his or her ability. Members take responsibility for themselves for example in terms of appropriateness of behaviour and participate in the running of the TC.

This may include duties such as cooking, gardening and administrative tasks, which are assigned by the whole community. Members take on increasing responsibilities as their confidence and abilities develop during their time in the community. Members tend to learn much through the routine interactions of daily life, and the experience of being there for each other.

Feedback from peers enables members to reflect on the way their conduct affects others, and practice new behaviours and ways of relating and begin to gain self-esteem and increasing knowledge of themselves.

Questions and answers - NSW Therapeutic care framework | Family & Community Services

TC principles can be applied to the therapeutic care of a wide range of people in different settings. TCs can be residential or day facilities. Problems TCs can help include mental disorder, learning difficulties, substance misuse, severe emotional and behavioural difficulties and offending behaviour.

Haigh, R. Five Universal Qualities, Therapeutic Communities. Past, Present and Future p. P Campling and R. Haigh, London and Philadelphia: Jessica Kingsley.

Therapeutic Communities for Children and Young People (Community, Culture and Change) (Volume 10)

Hinshelwood, R. Hinshelwood and N. Manning, p. Rapoport, R. Chiesa, M. Davies, S.

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Suppl44, p.