Triple-A Model of Therapeutic Care

  • Grow therapeutic care environments that support a child’s recovery from adverse childhood experiences
  • Grow a common understanding, a common language, and a common approach
  • Grow confident and competent carers and support professionals
  • Grow independent problem-solving 
  • Grow service-wide fidelity and accountability

The Triple-A Model of Therapeutic Care is a comprehensive approach to the therapeutic care of children recovering from adverse childhood experiences, the support of adults in a caregiving role who look after them, and professionals who support both.

Triple-A incorporates two conceptual frameworks:

  1. CARE* – a conceptual framework about parenting derived from evidence-based psychological theories; and
  2. AAA** – an evidence-based conceptual framework about the psychological functioning of children recovering from adverse childhood experiences.

The two conceptual frameworks are translated into a five-step implementation methodology:

  1. For carers who are caring for children recovering from abuse and neglect (therapeutic care);
  2. For carers’ own self-care (therapeutic self-care); and
  3. For support professionals (being a Triple-A Practitioner); the latter facilitating carer implementation and fidelity to the Model.

There is a strengths focus. Triple-A validates and empowers carers, and professionals who support them. Triple-A acknowledges that children see themselves as they experience others to see them.

There are three training modules for Triple-A:

  1. Parent/caregiver training module (2.5 days)
  2. Triple-A Practitioner training module (2.5 days)
  3. Triple-A Train-the-Trainer Module (5 days – including ‘Practitioner’ training).

There are a number of ways that you can become part of the Triple-A practitioner community:

Triple-A training can be delivered to foster and relative/kinship carers and social work/social care professionals jointly.

Triple-A is the preferred Model of Care for TUSLA (Child and Family Agency) foster carers in Co. Donegal, Ireland***, where it is entering its fourth year of implementation with the support of 12 local trainers trained by Colby Pearce.

For more information about the Triple-A Model of Therapeutic Care, contact author, Colby Pearce, at or on the form at the bottom of this page.

Click here for more information and to access our resource for carers of children who are recovering from a tough start to life.
Click here for more information and to access our new resource for teachers who are managing children who are recovering from a tough start to life.

To access a range of free resources suitable for parents/carers, teachers and health/social care professionals, click the image below:


*Pearce, C (2016), A Short Introduction to Attachment and Attachment Disorder (Second Edition). London: Jessica Kingsley Publishers

**Pearce, C.M. (2010). An Integration of Theory, Science and Reflective Clinical Practice in the Care and Management of Attachment-Disordered Children – A Triple A Approach. Educational and Child Psychology (Special Issue on Attachment), 27 (3): 73-86

***Pearce, C & Gibson, J (2016), A Preliminary Evaluation of the Triple-A Model of Therapeutic Care, Foster, 2, 95-104

Contact Colby: