From Bambi To Boundaries: What Objects Reveal About Mind, Body, And Meaning, with Richard Rollinson

Objects that teach therapeutic care

Objects can be trivial, or they can be portals. In therapeutic care, they often become the latter: anchors that hold a story, a lesson, and a person. Across this conversation with much-loved veteran leader Richard Rollinson, we track how a toy fawn, a battered picture book, a chocolate egg, a skull, a crystal ball, and even a baseball field opened new ways to think about children’s minds, their lived bodies, and the spaces we create around them. The thread is simple but deep: meaning is not handed down by theory alone; it is made in the living day, noticed in small details, and held long enough to think. The value for practitioners is clear—objects invite curiosity, challenge certainty, and offer a shared language that can reach where instruction cannot.

Consider Bambi. In a cinema full of tears, a small group of traumatised children ask why others are crying. Their confusion exposes a gap many adults miss: when experiences have been chaotic, the link between event, body, and feeling may be dulled, scrambled, or defended against. A similar lesson sits in Rosie’s Walk, a wordless classic read night after night. Skip counting the apples and a 14?month?old protests—not with words, but with an elbow. Continuity matters, not as fussiness but as scaffolding for sense-making. Here, modern neuroscience helps: Damasio’s critique of Descartes reminds us mind and body are not separate realms. In care, that unity becomes practical: we observe posture, breath, pacing, gaze, tone; we look for shifts over time; we match routines that touch both soma and psyche.

Then there’s “cream egged.” A child hears “cremated” and turns it into Cadbury’s “cream egged,” folding death into the nearest sense-making shape. The point is not to correct, but to respect developmental logic while offering manageable doses of the world. Children personalise experience; they reach for images that fit the mind they have. This nudges us away from lectures and toward guided noticing: ask what they think an object means, let their story lead, and only then add gentle edges. The crystal ball adds a further caution—don’t predict outcomes for children. Resilience can surprise. What we can assess is the reliability of the environment: is there a plan B, predictable care, and room for growth when services wobble?

Boundaries matter, but so does play. A family photo at Yankee Stadium becomes a working metaphor: the field of play sits inside clear lines; there’s foul territory, umpires, shared rules, and a warning track before the wall. Good care is like that—boundaries, not barriers; containment, not incarceration. Gates open; people move in and out safely. Winnicott’s triad of work, love, and play becomes design criteria for homes, classrooms, and programs. We must build shared purpose and allow exhilaration without reckless harm. Early indicators of progress? Presence, ordinary participation, communication beyond meltdown or retreat, and being able to “live to learn” in a classroom without being pressed to master algebra before trust exists.

How to use objects with children? Select with care. Offer an invitation, not a test. Lay out a few items, ask what draws them, and wonder aloud together. Keep the doses small. Ensure the room itself is safe, predictable, and held by adults who can think. When a child says “I don’t know,” try pretend-thinking: “Let’s imagine you did know—what might it be?” Often that opens the ballpark. Over time, children take ownership of insights; they are not handed truths but discover them in a space designed for noticing. The real takeaway is a stance: collect moments, treat everything as potential material, hold meaning lightly, and return to the same row not because we failed, but because some coins are unearthed only on the second pass.

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Transcript:

Hello and welcome to the Secure Start Podcast.

And when I’m talking about the object, I’m talking about the person for me that comes out of it. Now, some of them are a compilation, but many of them are of individuals. And the significance is the gift the individual gave me. It’s not about the individual, it’s about the gift they gave me that helps me to think about, has helped me to think about. Gosh, what could that mean? It’s important in itself, but it also highlights Descartes’ error. You wouldn’t think it, would you? A child’s book that has no words, and it upends René Descartes. Children’s life experiences are personal sized and personalized. We prepare them for death. And you know, again, I’m I’m I’m still I still got my L plates on in this in this town. And I I said, what? He said, well, look, when you think about it, what’s the best preparation for death? I said, I don’t really know. He said, living a good life, having a full life that you can really experience and engage with. I I felt quite encouraged that our work isn’t just to control and contain and maintain children, you know, within, you know, not putting a foot wrong, it really is to help them experience and develop their own capacity to have a good life, whatever that is. What I’m trying to offer is a different way of working that involves thinking and thinking about feelings.

Hello and welcome to the Secure Star Podcast. I’m Colby Pierce, and rejoining me for this episode is the much-loved former director of the Mulberry Bush Charity. Before I introduce my guest, I’d just like to acknowledge the traditional custodians of the land that I come to you from. The Ghana people of the Adelaide Plains. And acknowledge the continuing connection the living Ghana people feel to land, waters, culture, and community. I’d also like to pay my respects to their elders, past, present, and emerging. My guest this episode is Richard Rawlinson. Richard was, until the 31st of December 2019, the director of the Planned Environment Therapy Trust and remains an independent consultant in the fields of therapeutic childcare, education, and mental health across the voluntary, statutory, and private sectors. Richard has a long association with residential therapeutic communities, having worked at the Mulberry Bush for well over 20 years, and where from 1991 until 2001, he worked as its director. He was also director children and young people at the Pepper Harrow Foundation from 2001 to 2005. Amongst his activities in this field, Richard worked for many years with the Department of Social Welfare in Portugal to support the development of specialist therapeutic residential communities across the country. Richard continues to work in a consultant role with several organizations in Portugal and in Ireland. Unbeknownst to us, the video failed while we were recording this episode, leaving only audio. Thankfully, that was intact. If you take something positive from this interview, or from the podcast more generally, please like and subscribe. And share in your networks. This really makes a difference to the caliber of content I can continue to bring.

Well, welcome back, Richard, uh to the Secure Start podcast. Really looking forward to this one because um you got you’ve actually got something a little bit different and a little bit uh special for us this time.

Right. Well, I I I think what it is is I I guess to begin, I’ve always been curious about everything and anything, including about objects. And I’m talking about from very early in my life, but even more so when I was at university back in the States, I had a course. I I think I told you before, I studied Latin and Greek for many years, and there were associated programs, and there was a book called The Mute Stones Speak, and it was about Etruscan remains, pre-Roman remains, and I was quite gripped by how much the author, whose name I can’t remember over 45, 50 years, uh, was able to extract from just looking at these objects. And I always remembered it. And at my time at the Mowbray Bush, I, as you could imagine, I spent many years giving talks, lectures, writing articles, and for many times I enjoyed it. But sometime 30 or so years ago, I thought to myself, actually, probably about 85 to 90 percent of the people I’m talking to are on site already. There’s probably another five or so percent of people who might be able to think, oh, I’ll look into this. He said something interesting. And there was, you know, one, two, three percent of people where frankly I could stand on my head and whistle Dixie and they’d pay no heed to me. So I thought, well, what could I do? What would help me and what would help them do it? And I thought, okay, I’ve been collecting these objects, maybe I’ll just, and I’ve been keeping them for myself, these are objects all through my working career that were either given to me by children or reminded me powerfully of a child or a group of children I worked with. I thought, well, I can share it with them. Now I hastened to add, you may have heard about a worldwide excellence program called The History of the World in 100 Objects.

No, I haven’t heard of that actually.

Oh, it’s very interesting. I hastened to add, I was doing presentations five years before he put this together. So I taught him something well. And uh but I I had this growing collection, and it developed, and stop me if I’m going on too much about it. But when I first came to England, I realized there was a train from York to London, and it took about two and a half hours in those days. It’s about an hour and forty minutes now, but the great thing about it was they had a bar in the train with table to sit on. I thought, oh, I’m gonna go to do that. And I went down, and uh while I was wandering around to see the Garbo Film Festival, I I came across this play. It was called Brief Lives, and it was based on the stories by someone called John Aubrey, who wrote in the early 17th century about people, and he gave very brief life communications. I thought, well, that’s interesting. And this guy called Roy Dutrice was performing. And I went to the play, sat high up in the gods, and he came on looking very, very old and elderly, and the whole of the stage was covered with objects. And he’d pick up an object and he’d talk about it in relation to the brief life he’s writing about. I thought, this is amazing. It was so good. I stayed in London overnight, and I went and saw the play again. And what really, really struck me this time was he didn’t just talk about the same objects. He picked up different ones and spoke about it. So that was in 1970, the end of 1970. Good year then. In 2008, I was in Richmond in England, and I saw brief live was on with Roy DeTres. I thought he’d been dead for years. And I went to see him, and he was genuinely elderly, he didn’t have to use makeup anymore. And he did the same thing. And all that time he had been a one of my models about well, this is what you can do. You have this object, and you can you can talk about it. So, you know, I did that, and then Potter came along. Do you know what Potter I’m talking about? Harry. You’d think so, no. Dennis Potter. Dennis Potter. Hang on. This this is Dennis Potter. He is one of the best British playwrights. He died some years ago. He wrote wonderful TV plays, highly regarded, and he had things, and he was interviewed. Uh I now this is very interesting. He was interviewed by Melvin Bragg in 1994, two months before he died of cancer.

Well, Melvin Bragg is a name I do know.

Indeed, yes. And he just Melvin Bragg just finished doing his program that he did for about 30 years on BBC Radio. But he was interviewed by Melvin, and I remember it clearly, except I elided something because I also saw an interview with Dennis Potter in 1987 by Alan Yentub. And somehow in my mind, which I think is I elided them together. And I think the thing is, and this is an anticipation of my stories, there might be something about the stories that perhaps go over the same ground. And that’s exactly what Alan Yentub said to Dennis Potter. He said, You know, Dennis, you’re a highly regarded, but some people say you really just hoe the same row. And so my first object, it’s not a hoe, because my grandchildren took the hoe from their toy things. So I have this. And what he did, and this is how I lied to it, because when he spoke to Melvin Bragg, he had he was sipping um morphine because he was within two months of dying. Goodness. Smoking a cigarette, as he always did. But what what he said was, well, you see, the thing is they’re probably right. I am hoeing the same row. But the thing about it is, and he did the hoeing with his hands, and he said, the thing about it is I always feel I never get it quite right. So I go back to it, and I think there might be a precious coin there that I haven’t unearthed. So in this process, I always thought about Dennis Potter, extraordinary guy. He’s uh I have hugely annotated. This book of mine, of his is massively annotated by my notes. It’s falling apart because it was from 1994. And uh it’s just something about the way people look at the world, the work, their focus, their discipline, and themselves. And it brings out so much. So that that was it. And one last thing. By by way of prelude. Another object. Can you recognize?

R2D2?

R2D2. And when did you first see him?

Oh, I think it was at the drive-ins in probably 1977 or thereabouts.

Yeah, it was yeah, it was around 75, 76, 77. And what is, amongst many things, what is highly significant about that first film?

Oh goodness. You’re taking you’re taking I don’t know how much my analytical brain has developed by the age of seven

years.

It’s the first time a holograph was ever used in a film. Oh, okay. And there was R2, and he had he had been sent over to get some help from Obi-Wan Kenobi, and he was there, and out from him came a holograph of Princess Leah Organa saying, Help me, Obi-Wan Kenobi, you’re only hope. And it was broken and damaged. Help me, Obi-Wan Kenobi, your only hope. And I thought, a hologram, and it was of a person. And I think for me, the significant thing about my objects is they’re like R2. And every single object contains a person. And when I’m talking about the object, I’m talking about the person for me that comes out of it. Now, some of them are a compilation, but many of them are of individuals. And the significance is the gift the individual gave me. It’s not about the individual, it’s about the gift they gave me that helps me to think about, has helped me to think about, gosh, what could that mean? And notice things that previously I might not have noticed in the ordinary hassle and unfolding of a day and holding on to things and seeing, you know, the work, the life, the living day. It’s the material that we can use. And some things are actual material, but they are also material. So this is why I constantly collected these objects, not obsessively, they sort of came to me. As I say, some given, some I thought, oh, this reminds me. And and I I think it’s it helped me develop a way of thinking that at least tried to focus on what might this mean. It could be insignificant and ignored in passing, but what might it mean? And in this context of what I’m saying to you and what I’m presenting, I’m not here to persuade anybody. I’m not here to tell people, this is what I learned and this is what you have to know. No, it it has nothing to do with that at all. It’s just saying, let’s notice what’s actually going on in the moment, in the living day, in the context of things, not discard it as irrelevant, because even if it isn’t central to the work, it’s something about the living day shared, the work that we try to do, and there can be some meaning in it we might miss. And we neither overlay it or or dismiss it. So that that’s really what brought me along to this point.

There’s so many thoughts going off for me, Richard. Sorry, I might have I might have spoken over you briefly for a moment there, but uh I I think about um how the objects anchor you to perhaps anchor you to a story or an experience. I I’m thinking about the objects as metaphors. Yeah. I’m also thinking about what was the response of the crowd that you were you were delivering uh workshops to or or or speaking to uh when rather than give them the traditional um workshop seminar, you uh you you started talking about objects.

Well, uh very well received, and I’ve also done it with children and young people. And to be perfectly honest, they will often get it sooner than adults. Not always, but often. The only other thing is, like my grandchildren, they want the objects. So I sometimes have to negotiate after a presentation with young people, children especially, to say, you know, all right, this is it. If you give it back to me, I’ll make sure you get an object just like it for yourself. Because they want the object. And uh I was looking today for a couple of things, and there’s a few things missing from my collection because of my grandchildren. So the helicopter, I think I know where it is. But to be perfectly fair, I’ve nicked a few things from them. So don’t tell anybody, but my granddaughter’s uh queen’s it’s not a crown, it’s a bit smaller than that. I still have it, and I broke it. It’s in two pieces now, so please don’t tell her. And so the you know, this thing, I have a care bear there that belongs to uh I think it’s my daughter from many years ago. And uh but I’m putting it to good use. I’m taking good care of it as well, and we’ll get to the care bearer, I’m sure, sometime. But it it really is a a positive response. And I spoke to in Portugal to the Association of Child and Adolescent Psychiatrists, and I spoke about a few other things, but talked about the objects, and at the end of it, several of them came up to me and said, This is the first ever lecture we have received from anybody that doesn’t make reference to theory and you know, uh articles and things, but it was really interesting. So, you know, so far it’s been well received. And uh because I think it’s just it captures people where they think, oh, I’ve been there. Yeah, oh yeah, I can think of something, and uh just encourages them to notice even more what they’re already noticing, or might not be noticing so much. I’ve never had anybody say that’s a lot of rubbish. They may have been thinking it, but hey, you know.

As I’m understanding it, it’s a it’s kind of an aid or a way of getting people to think more deeply.

Yes. And that’s our that’s our challenge. Yeah, to think and notice things. So shall I go into the first object they’re gonna talk about? I’d I’d love you to. So yeah, go ahead. All right. I’m just gonna turn around and pick up. This is the object. I

I also have a picture because uh I’ve only just reclaimed this from one of the younger grandchildren. And uh tell me what you see.

Uh well, I see a fawn. It could be Bambi.

You got it in one. So a long time ago, although perhaps not in a galaxy too far away, we didn’t have online films, we didn’t have DVDs, we didn’t even have VHF VHS tapes, and on an annual cycle, the Disney films came out. And every half term in Britain, a Disney film would come out, and as you can imagine, the cinemas were jam-packed, two daytime programs a day over the whole time. Absolutely crowded, and this is nineteen it was probably early nineteen seventy one. No, hang on. Went to the mulberry bush. So it was early nineteen seventy five. And we always at at holiday times we always had some of the newer children stay back with us at the Mulberry Bush to really get f more fully engaged in the work without the pressure of the the old hands, so to speak, of the children. And we went to see the Disney film. And on this occasion, it was Bambi. So here you can imagine a flea pit cinema in the small town of Whitney, absolutely jam-packed with children and young people, and then myself and Leslie and Marion, the grown-ups, with six Mulriebus children back for the half term. The film starts, it goes on and on and on, and it gets to, as you can imagine, the part in the program where Bambi’s mother is shot. And the whole cinema, bar a certain few, is in tears. Absolutely devastating. Absolutely devastating. And then one of the children, I’ll call her Jay, turns to me and says, Richard, Richard, why are the children crying? And I’m like, you see, Jay, Bambi’s mother’s just been shot. She says, Oh, oh. I said, but don’t worry. Bambi will be looked after. He’ll be safe. He’ll be looked after by his dad. He says, okay, and she turns over to the other children. She says, Hey, Charlie, Major, okay. The children are crying because Bambi’s mother’s been killed, but Richard says not to worry because he’ll be looked after. The whole rest of the cinema is complete wreck. And these six Mowbray Bush children are wondering what’s going on. This disconnection between psyche and soma, between life experiences and things, and more puzzled, not about what’s going on in the film, but the children that were crying. What’s that about? And it taught me a very, very powerful, powerful lesson about I I was gonna call it the disconnection. It’s not a it’s about a confused connection between life and what’s going on and what they can experience and how they can do it. And I always kept that in mind and was always mindful about how things you and I can take for granted as, oh, that’s a feeling thing, and this is how they connect it. It isn’t always that way with children who have suffered themselves from very, very severe experiences of hurt and pain and abuse and distress, and how they deal with it by a disconnect or the lack of a greater connection at the time between that, having feelings, showing emotions, noticing that, being able to talk and think about them. There’s work to be done in the work that we do to a different degree, but it was very powerfully brought to me by that uh going to the Disney program, Bambi, and you’d go in a very different cycle. You could not get a Disney film in those days, in the 70s, early 80s, except by going to the cinema and watching it. So it was a huge event. And uh so that that was about the fawn and Bambi. And and and then we go. So uh again, perhaps nothing hugely profound comes out of this, but I’ve never forgotten it. I’ve never forgotten it.

While you’re while you’re locating the next one, a recent guest on the podcast was Peter Blake, and he was talking about the mind of children and uh how um and I reflected in that conversation that that he was saying about how difficult it can be to for to get people to consider that children have a mind. And I reflected that yes, they they probably see children, adults typically see children as um needs, behaviors and emotions, but maybe not consider considering their mind as well. And I think that that’s a beautiful illustration for the fact that children have minds and and their minds are different based on uh life experience and we need to take in consideration not just their needs, emotions and behaviors, but also their minds.

Right. And and maybe I’ll jump to it now, because I have a book. I’ll tell you. It’s it’s a book. It’s it’s called Ro Rosie’s Walk. Rosie’s Walk. It’s not even the original. Our original Rosie’s Walk that I read to my daughter two thousand times is so fragile now. We got we got another one for the others and the grandchildren, and now this is fragile as well. But it’s important in itself, but it also highlights Descartes’ error. You wouldn’t think it, would you? A child’s book that has no words, and it upends Rede Descartes. Um, Antonio Damasio, who you may have read and heard of, he he he wrote a book called Descartes’ Error, and the thing about it is books

never lend people books, they never return them. And I lent this one. I mean, my shelf is full of books people lent me, and I’ve never returned, but I don’t have Descartes’ error, but I do have the Malazius book, The Feeling of What Happens, and it’s fascinating. But let me tell you this. So, my daughter, who is now 46, she started off as a baby, and for many years we would read a book to her, and as is often the case, it’s the same book, night after night after night. And there and this this is about Rosie’s walk, and it’s about a walk a hen takes out of her house, uh in a little you know, hen house, and around, and there is a fox that tries to get her, and they’re constantly up-ended, and there are a few words in it, but of course, as most parents do, we elaborate the story and we point out the things and say things like, Oh, look, there’s a bird on the top of that tree. Watch out, Rosie! Oh, look, isn’t that oh, what’s gonna happen there? Oh, look at the frog, he’s jumping. You do all that, and you do it one day and two days, and a century and three quarters later, it feels like, you’re there, and it’s been a very long day for Richard. And I go up and I’m reading Jesser’s story, and I try to be quick. I try to be quick, and I don’t count the apples on the apple tree, and I carry on to the next page, and suddenly I have this little creature giving me the elbow, still still drinking her milk bottle, so I guess she was about 14 months old, because she was breastfed, but and I knew the message was I had to go back, I had to go back and count the apples, because there’s something about the continuity of making sense about it. And I thought about that and I thought about it, and of course, we’ve read lots of books to children we’ve looked after, not from our own family, and it’s the same important thing about keeping going, getting it, getting it right in the way that they can experience it. So there is some kind of continuity that adds meaning to it. So, you know, I did all that with Rosie’s Walk and you know, survived to tell the tale, and in my own way, really enjoyed it and didn’t mind being told you didn’t count the apples. But I thought about that and I read Descartes’ error afterwards, and it touches on, I say this because you you mentioned the mind, because what Damasio points out is Descartes’ error is he separated psyche and soma, mind and body, made them quite separate things. And the point my daughter at the age of 14 months was telling me, and that Antonio Damasio is telling us, is that is an error. There is a connection between mind and body, between what’s going on here, what’s going on there. There’s something that makes sense, and it has to be both mind and body and continuity. I I know the analogy isn’t exactly right, but I I think you get what I mean. How important it is to keep a connection between these things, and how important it is in our work to keep a connection between mind and body and the care, the actual care of a child and young person, and what else is going on. And uh I could talk more, but I think just at this stage, it it’s something about being reminded powerfully about the connection of the wholeness and wholesomeness that you were talking about earlier, the mind of a child. It might not be available to do, you know, uh quadratic equations, but there’s a mind there. There’s a mind there. And we have to connect that to it. So that’s it.

That connection is often represented in how the children present. And and I pay a lot of attention and and in my psychotherapeutic work, the first quarter of my notes is really what I observe about the child’s presentation.

Yes.

And that’s that’s that connection that you’re talking about with between what’s going on inside and what is manifestly representative of that in the their their actual physical presentation. And what I hope for is a change in that presentation over time.

Well, in indeed, as and when they need it. And you know, I get I guess what I learned was that I can be helped by a 14-month-old child to remember that connection. So it it’s an interaction, but certainly once we learn these things and the young people can remind us about it, it’s it’s extremely helpful, and the you know the material is there. L let me get you another one. Okay. Oh, here it is. This is a very, very ancient. I don’t know if you have them in Australia. This is a Cadbury cream egg.

I think we do, or at least we do. Okay.

Right. I they they are omnipresent nowadays, as it wi with with everything, but in the past they would be available from about uh Valentine’s Day till Easter. It was a cream egg. And uh so 1980. We’re coming back from the Christmas holiday in maybe it was 81. The Christmas holiday in 1980, yeah, yeah. And I’m sitting with Lulu and Joanna in between me on on the Mulberry Bush bus. And we’re traveling along and they’re chattering away, and then Joanna says, These aren’t the real names, I hasten to add. She says, Oh, oh, yeah. That beetle dydy was killed, wasn’t he? And I said, Yeah, John Lennon, yeah, it was sad. John Lennon got shot. It was early December 1980. I think I said, Yeah, it was really, really sad. So Joanna’s about two years older than uh, what did I call her? Lulu?

Lulu.

And uh Lulu sits there and she and she looks up to me and she says, Have they eaten him yet? And they do this, and then the children start talking about it, because I said, What? What what? What do you mean, have they eaten it yet? Well, a human being is meat, and people eat meat. Have they eaten him yet? And I remembered they had been talking some of them have been talking about becoming vegetarian in the previous turn. And I thought, you know, here’s my opportunity to be Joe Therapy. I sort of put my arm over Lulu and I said, Well, look, Lulu,

actually, there’s a difference. You know, it it’s not quite the same way because when a person dies, and I start describing, I didn’t I didn’t even get into um okay, I’m in the senior moment here. I’m talking about digging a hole and burying the person. And as I’m telling her this, I think, well, this is pretty weird too, when you think about it. And and Muella, who’s sitting in the seat over me, comes up, and in those days the children had a sign going, uh and she said, Oh, Richard, you got the choke. I said, What, Moo? She said, John Lennon wasn’t buried, he was cream egged. Not cremated. And I and you know, I’ve never looked at a Cadbury’s cream egg without thinking of that. But it shows you the a child’s eye view of the world and the well, they’re not even parapraxies, they’re things about hearing things and thinking, well, okay, I don’t know what cremated is, but I know what a cream egg is. And so for them, John Lennon became a cream egg.

Wow.

And uh I I I didn’t take it upon myself to dissuade her. All I have always remembered is it’s children’s life experiences are personal-sized and personalized. They they they they come at a time when they make the best sense they can about something that doesn’t make sense. And you know, here am I, I’ve made it to 77 sunset strip at my age, and still, you know, I can’t give you an explanation about death. You know, uh, I’ve got people on my list, I hope but I’m hanging around for a few more years. But there is this thing about how do you make sense of something like that? And I thought Moo had as good an idea as anybody else when she was seven years old. So I didn’t try to dissuade her. I said, Well, there you go. I hasten to add, I’ve never eaten a cream egg since then, just in case. But I always this this egg is God, I don’t know what’s inside it. It’s many, many years old now.

I was wondering about that, and uh it reminds me a little bit of Edward DeBono’s book, Children, is it called Children Tell Stories? No, Children Solve Problems, and and my recollection it’s a very long time since I I had any interaction with that book, but he had children draw solutions, I think, and then describe the solution to the problem and um and they’re remarkable. Again, representing children beyond needs, needs and wants, eh, uh behaviors and emotions, but that that there’s a mind in there and and the the ways in which that mind works are remarkable.

Yes. And and and they are, as you said, they’re working to make sense, they’re using their mind. And the last thing Moo needed for me was to say, I don’t talk nonsense. It’s not creamag, it wasn’t cream egg. That’s ridiculous. We’re saying, gosh, I hadn’t thought about that. And you know, there might be different ways, but okay. Um because there was no need. She was seven. And when she was eleven, she’d probably put that aside and think about something else. And uh but it it it’s just noticing how the children say it, so we’re um we’re mindful of what they might embody in objects themselves when they’re trying to make sense of a world that, you know, even for the well-developed, that can sometimes not make sense. And for these children who have experienced a hell of a lot of strange things, frankly, most of what they could think has it’s perfectly justifiable that they might think something like that. It’s wonderful, they can think about anything. So that was that was that was quite quite something. Um the other thing, a lesson. This is my new iteration of a crystal ball. Sadly, the original crystal ball didn’t last from uh actually it was it wasn’t my grandchildren, it was from another child who picked it up and it was delicate and dropped. But a crystal ball. And in the first year and a half, I was at the Mulberry Bush. There was there there was a pair there were siblings there, and they both left at the same time. I’m still in touch with one of them, again, 52 or three years later. And uh and so we’ve talked about this story, and and and it was when they left, the child I was still in touch with, I was very, very concerned about her. Because from my l limited experience, I thought she would struggle massively to manage. I was very, very new still.

Couldn’t have been earlier than 19, you know, uh no later than 1976, probably, when she left. I was very concerned. I thought, you know, how can we let these this child go and how how can we do it? But I was up to see, well, there’s a certain time when we have to help them move on. Okay, but I’m worried. And I was worried for her because I thought she would struggle while her sister might make it. Years later, I realized that actually, for whatever reasons, she’s doing fine and still is, and her sister struggles still. And it was a very powerful reminder to me. Don’t make predictions about the future of children. Yes, if there’s absolute risks in the provision they’re going to, you can say this is concerned. But the this this kind of tendency I had in my novice state to think, oh my god, she ain’t gonna make it. No, that’s all about me. It it there was an experience that was had, and it was a good enough experience to make use of alongside, you know, what not for the first time and not for the last, I’ll talk about Winnicott’s notion of the urge of the human organism to health. And it made a difference. So I have never I it was a really early lesson and I’ve always followed it. I never make predictions about the outcome for children and young people in and of themselves. There are times when I say, that’s your plan for this child. You want to do it? I hope you have a plan B. Because I’m not worried about the child. I’m worried about how this so-called service is going to be sustained. So um I have to take very good care of this because I don’t want to have to get another one. It cost me two pounds. No, oh. I s I I suddenly thought. A skull. A skull. Yeah. Did I talk about the skull in the time I spoke with you last?

I don’t recall so.

Okay. Stop me if I have, or he lied, the skull. Again, in the first year and a half I was at the Mowbray Bush, there was this uh Christian brother who was the head of a school for adolescents who are troubled and at times troublesome. And he used to visit the Mowbray Bush regularly. He was, I can’t remember his name, but he was very he was he was a really interesting guy. And you know, again, in my naivete, I said to him, I said, So so what do you and your team do with the young people you work with? And this was around the breakfast table, you know, we’re sitting there, and he said, He didn’t have this. He said, We prepare them for death. And you know, again, I’m I’m I’m still I still got my L plates on in this in this town. And I I said, what he said, well look, when you think about it, what’s the best preparation for death? So I don’t really know. He said, living a good life, having a full life that you can really experience and engage with. And I thought, oh, it’s a very interesting way. And he said, and I said, What do you talk to them about it? They said, Well, we don’t we don’t push it, but we do say, hey look guys, we got a life and we can get on with it. And there’s so much that could happen to us that’s good. There’s other things that could happen that aren’t so good. So let’s live a good life as long as we’re here. And of course, philosophically, we know there are many people who talk about living the good life while we’ve got it. And again, um where is it? My book, Dennis Potter, talks about it too. He he’s very profound about a number of things, saying, you know, a good life. We’ve got one life, you know, don’t know what’s going to happen afterwards, but we got it. So let’s let’s see what we can do with what with what we’ve got now and notice what we’re doing. And and again, it’s it’s I I felt quite encouraged that our work isn’t just to control and contain and maintain children, you know, within, you know, not putting a foot wrong. It really is to help them experience and develop their own capacity to have a good life, whatever that is. And a good life can sometimes be challenging, but it also means enjoyable and interesting and and delightful at times. And so a good life always has to contain not just boundaries, but space. Space we can ha inhabit in that way. And so that’s you know, a good way to prepare with death for death. Um, hopefully for many, it will be a lot longer in the coming. But whatever we’ve got, it’s I certainly have found it valuable to remember that, you know, we got we got one shot at this. Let’s let’s see what we do. So that’s the skull. This is not my original, it’s a really tiny one that I had, but this was my son’s, and when he left home he didn’t take it, so I’ve commandeered it. So that’s one of the things I’ve taken by way of objects. Um I I look, I don’t I can go on, as you can imagine, but if if you have any thoughts, observations, questions, challenges, jump in anytime.

You’ve talked about, yeah, you so you you’ve talked about uh getting to a point, and I’d I’d rather think I’ve got to a similar point of uh in the speaking part of your career, the public speaking part, where you just where you just thought, well, you know, uh I I’m almost getting bored or with doing it this way. Uh it what what are some of the other ways that I can do it? And and you went down this path with telling stories and perhaps in reflecting on your own uh observation of of um I can’t rem recall his name from earlier in this conversation, but the the the live performances you’d see in that yeah. And um I I wondered what the reaction of the adult audience uh was to that. You s you mentioned a little bit about the college of psychiatrists, but I I wonder what adults how they react and what they seem to take from these stories around with the with the object as being kind of like the anchor point.

It varies, as you can imagine. And I think in some groups and

groupings I’ve presented to there is if there’s a resistance, it’s because perhaps for the first time in their life they’ve had somebody present something that’s not telling. And actually, particularly in Portugal and Ireland, sessions with adults in this kind of work we’re doing, the the training they get is a telling. And it actually borders on telling off. And they are not used to somebody coming in and saying, you know, look, here’s some stories, and when they and I say any questions, and they’ve got none, I say, Well, look, what do you think? Am I talking rubbish? They’re not used to it, they have never been asked for their views, they’ve been told. So it varies. Other people say, Oh, gosh, that’s really interesting. I never really thought about it. But in a way, as much as I love to be liked, I I you know, I’m not doing it to get that. What I what I’m trying to offer is a different way of working that involves thinking and thinking about feelings and making those connections. And sometimes it takes time. That’s why I say some of the children’s in the groups I’ve done it to, they get it straight away. You know, they’re there, oh yeah, yeah, no, that that that’s right. Yeah, that that’s right. Yeah. I had uh can’t I’m trying to think of a I told them about a story when I was very little. When I was about I I don’t think I was even three. And, you know, Saturday night television. I lived in a big apartment in New York City, and you know, my parents would be in the other room listening to the you know the variety shows on a thing. And I heard them start talking about Arthur Godfrey, who was the guy who hosted it, had fired Julius La Rosa, who was the main singer. Yeah, here am I, at best three years old, and I’m still awake listening. What they burned him to death? I I I thought television wasn’t real. I they burned him? Oh, God, you know. And when I was telling that story, the children guy said, Oh a child said, Oh, I know. Yeah, I had the same thing. Because um my parents were talking, they lived near Birmingham, and he said, My parents were talking, and they said so-and-so got the sack. And the only thing he knew about the sack was some people who had litter of puppies or cats, some people would put it in a sack and throw it in the canal and drown them. And he thought that this person had been put in a sack and thrown in the canal to be drowned. And and it’s you’re at that age. I didn’t go into my parents and he didn’t go into his and say, What wait, wait a minute, hold on here. What’s this? They burned them to death? I thought this was television, and he didn’t go to his parents and say, Well, why did they throw him in the canal? Why did they put him in the sack? So you’re you’re left carrying that thing. Anyway, it’s one moment. It wasn’t a daily diet of that kind of stuff, but I’ve always remembered it, you know. 74 years later, I still remember that story. Didn’t traumatize me in the end, but I thought, this is a very weird world that I live in, and it’ll take time to make sense of it, and I’m still working on that one.

So it’s interesting the way you talk about almost like a novel approach. And I’ve talked about this quite a lot in this podcast with various guests about thinking about the work, you know, actu actually thinking about what you’re doing, not just um going through the motions as such, you know, just being very much pr procedure bound. And um and I and I think that’s our that that’s our challenge. I I think the first challenge is for people to have the time and space to think about the work that they do, and the second is the capacity. Um I always say, and I’ve always found, well, I have always found, and in recent years I’ve said, is that some of the most difficult questions that I can ask an a group of adults uh to answer are ones where they have to think or at least think a bit differently to the standard mantra as such. So for for example, when I ask adults, how would we know that our this service is making a difference in the life of the child? How do we know how would we know what would we see if um if this intervention was working? And I I’ve observed that to be one of the most difficult questions for for adult practitioners in this field to be able to answer. But children get it, you said.

No, they do, yeah, they’ll they’ll they’ll tell you. But but also, I mean, you know, look, Jerry, very briefly, and I’ve written papers about this, there’s no doubt you have, but one of the things is when you have a child, a population who have suffers things strongly, who have had little to no continuity in their life, the only thing predictable was the unpredictability of adults, and communication and engagement wasn’t there. Some of the earliest measures of how we’re doing is the extent to which the child and young people are able to share in a in a common experience of being together and living an ordinary day, communicate in ways other than in impulsive behaviors or complete withdrawal, and for many of them, which is not attend school. Being there. Now I don’t mean again, they’re not there in quadratic occasions necessarily, though some can. Some can. I can’t, but they they can. It’s a sense of being in a place and they’ve been helped to learn to live with themselves enough so that they don’t just live with other people, but they can live to learn. Yeah. And you know, those those are you know early indicators and measures, they’re not the only ones, but you know, continuity and a degree of predictability and an opportunity to play. And actually that’s a good segue into my next object, if I may.

Yep.

But unless you want to say something, because I can wait. I mean, I’ve been talking all the time.

No, no, no, no, you go ahead.

Right here. Right. This this is a precious family photograph taken in Yankee Stadium on a particular lovely summer day when my children were young, so we’re looking at probably the early 1990s. And it’s the New York Yankees against the Boston Red Sox. It would be like Liverpool, Everton, Man United, Man City. And in the third inning, the Yankees are already winning 2-0. And uh my wife took the photo, and we’ve had we all yeah each member of the family has a photo of this, and we have t-shirts about it. Now, it’s not just a sports game, because I also have oh, it’s not gone. Honestly, these grandchildren. It’s gone. All right, I’m gonna have to talk about it with this because I had an enlarged copy made and it was gonna so I’m gonna talk about it while while this is up. All right, there it is. Oh, okay. And and I think what you see is a stadium surrounding what is called the field of play.

The field of play. And inside the lines that you can see going out from here outside, that’s that’s the field of play, the fair territory. And the other side is the out-of-bounds area. Or in the game, foul territory, but you know, there you go. You can still you can still move in it, and you’ll notice you see the blue wall at the back, all the way up, I don’t know, over here.

Mm-hmm.

Yeah. That that’s i if if anybody plays the ball or hits the ball into that area, it’s a home run or a ground rule double. But the thing is, the players in the field can go after that ball, but if they go after it with reckless abandon, they might run into the wall. So there’s a line of dirt there called the warning track to warn them that you are running out of space in the field of play. And if you keep going, you’re gonna bang into it, and it won’t be a good experience for you. So, and I’m sorry I don’t have the big picture, but look, the the thing is, it’s it’s it’s a it’s a baseball stadium and a sport, but actually it’s it also communicates our world of work, boundaries, and space. And of course, Winnicott was always very clear. The capacity to play is an essential element in the healthy human being. You know, when they asked Freud in the early 1920s, you know, what do you think you’re doing with this psychoanalyst, psychoanalysis and things, he said, look, if oh no, they said to him, what makes the healthy man? I mean, this was 1921. And he said, the healthy man is one who can work and love. And quite some years later, Winnicott said, Yes, work and love and play. And so I think that the environment we have to provide has to allow for a large field of play, and it’s real, and it’s active, and there are boundaries, not barriers. Because at those boundaries that I was talking about, at the end of the game, there are gates that open up, and it lets people walk onto the field of play and walk out. So they’re not barriers, they’re there as boundaries to remind people this is the field of play, and there’s a lot of space. Don’t go running into that wall or through it because you’re out. You’re out of it. And there’s something about a common purpose as well. The team in the field absolutely requires the team at bat to be playing as well. There’s no game if you don’t. And there are referees or umpires, as they call it, without which it can’t happen either. And there are adults who, in their own way, referee the world of engagement and disengagement, and without them there’d be nothing. So there’s something about that picture for me that’s so important for our family, that also reminds me of our world of work, where we have to create an environment where there’s task and purpose, and it can be play and playful, and people can enjoy it. And you’re in there for the moment, and there’s a way out, a proper way out. You don’t have to crash into the wall, you don’t have to scale the fence, you can get it. And it’s for a time, and you’re not there always. So it’s just one of these things that we can think. So, how do we create a field of play? And I don’t mean reckless abandon, though there might be a little bit of it. When you see the Mulberry Bush children cycle around the site, you think there’s a bit of reckless abandon there. But it it is something about creating conditions where we can be playful in so many ways, including being together. And also work together well. Work together well. And well, I don’t want to make too big a deal about it, but I think there’s there are things in the worlds that we in in our world that we inhabit that can remind us about not just the joy and the enjoyment of recreation, it’s about living, changing, growing, and the space that can do it. And in the absence of boundaries, what would you know about what to do? So if as long as the boundaries can define space and you can leave when you’re ready to, it’s it’s fine. When there’s barriers, it’s it’s a difference between containment and incarceration. Yeah. In incarceration, you crush the sense of containment. The containment can be the holding experience. The incarceration is something that prevents you. It’s the restriction without and the constriction without any sense of. Finding oneself and finding a way with and through to somewhere else.

You’ve spoken, Richard, about y uh telling these stories to children, and I guess I just I wonder, like our listeners or watchers might do as well, what are the circumstances in which you think it would be um beneficial to tell these stories about objects to children?

Well, first of all, I’d select the objects, and some I I wouldn’t use, as you can imagine. And I I think the ones I’d select were the ones that can, you know, evoke a bit of interest in class. Um I would also be guided by the adults, the grown-ups working with them. Uh uh, you know, there’s a time for everything. And I think in the right circumstances, one can tell stories and a whole range of stories that they would be able to digest. Again, it’s that principle that Winnicott talked about presenting the world in manageable doses.

Yeah.

Yeah.

So I wouldn’t go in there guns ablazing, so to speak, and piling all these things out and say, Look, man, I’ve been around for all these years and I go all these things, and everything tells me a story, and sit down and listen to it. I I put them out sometimes, and the children I invite, well, children and grown-ups, I give one or two introductory things, and I say, Well, here they are. Is there anything that interests you? And I, you know, I’ve got plenty of others, and you know, they’ll they’ll pick something out and I’ll say, Oh, can’t quite remember what do you think that might be about, about people? And you know, and I and actually I can’t quite remember in the moment what the object meant to me. And uh, and this was a few years ago, not just now. I got more. But and they’ll start saying, oh, well, maybe it’s about this. They said, gosh, that’s and which is what I’m wanting them to do. Think about it. I said, well, that’s really interesting. I’d never thought about that before. That’s a great idea. So it’s about engagement rather than just telling them. Because real storytelling, as you all know, isn’t just about telling people. It’s about engaging with them and inviting them into and you mentioned the story.

Uh you sorry, we’re just getting a little a couple of little transmission transmission glitches um that time. So I apologise if it felt like I was talking over you, but I I it’s interesting what you’re talking about in terms of thinking, and you mentioned containment a little bit earlier, and I I and I Beyond, of course, saw the two things as going together, or that that thinking was the outcome of containment. So and I was thinking in relation to children, that um the capacity to think um and including thinking about these objects and tell a story about these objects themselves is enhanced by them being in a safe, contained environment.

Yeah. Absolutely. I I think they need to feel some degree of safety and security, some degree of belonging, being a part of something and some others rather than a part from. And then I think communication. You know, you bring a group of children, young people, or adults who’ve had little to no experience of participating in real communication. Yeah, it’s like giving somebody, you know, uh a motorcycle who hasn’t learned to use a tricycle yet. So, you know, you you you have to present that world in manageable doses. And uh and in conversations, I don’t know again if I said this the other time we spoke, but you know, sometimes with children, I’d be talking about them and I’d be saying, Well, look, come on, what do you think is really going on? What’s what’s really troubling you? You know, it it’s not the door that you’re kicking that’s the problem. You know, the the door isn’t your problem, what’s going on? And a number of them would say, Well, I don’t know. I don’t know. And I and I say, Well, okay, but you know, but let’s think about it. And some will. And others say, Oh, I just don’t know. And I would sometimes say to them, okay, let’s play a game. What? What I said, let’s pretend that you do know. And if you were pretending you did know, what would you say? And yeah, they you know, they give you like, what the hell’s the matter with you? I said, No, it’s it’s just a game, it’s pretend. You don’t have to do it. You say, well, try. And you know, more often than not, the child says something that actually, even if it doesn’t touch fully directly on what’s bothering them, they bring you into the field of play, the ballpark. They say, you know, there’s this. So, okay, so you’re really you’re you’re you’re upset with Steve because he’s not repairing your bicycle. Yeah, right. I say, okay, well, okay, you know. You do know Steve is downstairs with seven other children. And did he tell you to go away, he’s never going to repair your bicycle? No. So, okay. It’s just inviting them into some way of trying to think about it. And sometimes, let’s pretend, you know, other times they’ve been told to F off. But, you know, it’s a work in progress, really. So it it it’s just finding ways with the belief that given the effort, and it takes time, we know it takes time, with the belief that if you respectfully recognize the capacity of someone of whatever age to at least say something that can be real and genuine about them and what’s troubling them, it will come. We might have to model it, we might have to do it many times, but eventually I’m saying eventually, for most children, young people, eventually something comes and it’s theirs, it’s not ours. We didn’t give it to them, we provided an opportunity, a space for them to actually connect with something they felt before, and it may have been too unspeakable in the previous circumstances they had, but here, as I was saying, everything’s material.

It is speakable and thinkable if it’s in service to trying to understand.

It’s a wonderful spot, I guess. There’s no good spot to bring this conversation to a close, Richard. I think I and and anyone who’s listening to this um conversation would be keen to sit here for another couple of hours and hear about other objects. But um I’m mindful that um we’re getting very close to the day and your bedtime. So I think thank you for coming back on again, Richard. It was thank you. Thank you. It was wonderful. Yeah.

Oh, great. Okay, well, another time perhaps, but now thanks very much for that. And go well through your day, and I’ll get a couple of hours sleep for you, okay?

Awesome, that would be I need a couple of hours more, thank you.

Okay. All the very best to you and your viewers. Thank you.

Richard’s Bio:

Richard has a long association with Residential Therapeutic Communities, having worked at the Mulberry Bush School for well over 20 years and where, from 1991 to 2001, he was its Director. He was also Director, Children and Young People, at the Peper Harow Foundation, from 2001 to 2005.

Richard qualified as a Social Worker with an MSc from Oxford University in 1983, following the then Part 1 training in Child Psychotherapy at the Tavistock Centre. In 2005 he completed the Ashridge MA and training in Organisational Consulting. He has been Chairman of the Charterhouse Group of Therapeutic Communities and for many years the Chairman of the Care Leavers’ Foundation. In 2014 he became Chair of Trustees at the Mulberry Bush School, only recently stepping down from that position, while remaining a Trustee with a special brief for the links and development of the contacts with and participation of former pupils. He has published numerous articles and continues to lecture widely across the UK and Europe.

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Links:
Patreon: https://www.patreon.com/c/TheSecureStartPodcast. Podcast Blog Site: https://thesecurestartpodcast.com/

Disclaimer:

Disclaimer: Information reported by guests of this podcast is assumed to be accurate as stated. Podcast owner Colby Pearce is not responsible for any error of facts presented by podcast guests. In addition, unless otherwise specified, opinions expressed by guests of this podcast may not reflect those of the podcast owner, Colby Pearce. Finally, all references to case examples are anonymised to the extent that the actual case could not be identified, or are fictional but based on real-life examples for illustrative purposes, or have client consent to talk about in an educative context.

Building Healthy Birth Family Connection – A podcast interview with Adriana Dias

How a Reflective, Respectful Approach Helped Families Choose Healthier Relationships

Child protection is often described with neat outcomes and rigid timelines, but the lived work rarely fits those lines. This episode explores a project in Portugal, Revira Volta, that set out to build healthier relationships between girls in residential care and their birth families by widening choice, deepening respect, and anchoring practice in reflection. The team challenged the linear idea of “turnaround” and leaned into non?linear change: shifting direction, trying new strategies, and making room for different destinations. By forming an external, dedicated team separate from daily residential routines, they protected role clarity and created space for a systemic approach. Families were treated as holders of meaningful knowledge shaped by their own contexts, not as blank slates. That stance changed the relationship in the room and opened possibilities that standard interventions often shut down.

The project was built on three intertwined layers of reflection. First, case reflection: building systemic hypotheses about each family’s history, strengths, and vulnerabilities, and selecting tailored strategies rather than defaulting to one-size-fits-all solutions. Second, project reflection: using supervision and expert input to adjust phases, session numbers, and methods as the work unfolded, allowing the design to evolve with evidence rather than forcing families into a preset program. Third, self-reflection: examining personal values, biases, and resonances as practitioners to avoid enmeshment, hold boundaries, and model the relational health they hoped families would internalise. This triad of reflection served as the engine of ethical, responsive practice, keeping the team thoughtful under pressure and aligned with a core aim—supporting healthier connections.

A striking insight was the shift from “reunification at all costs” to “healthier relationships as the true north.” For some families, full reunification remained right; for others, partial reunification—weekends at home, shared caregiving, stepped transitions—proved safer and more sustainable. The power lay in helping parents think clearly about their situation, tolerate hard feelings, and choose for themselves. Containment was crucial here: a trustworthy relationship where overwhelming fears and grief could be expressed, processed, and returned in digestible form. With containment, families felt seen rather than judged, which fostered self-worth and reduced defensiveness. From that steadier base, parents could weigh their daughters’ needs against their own constraints and opt for contact patterns that preserved connection without overwhelming daily stress.

Time emerged as the hardest challenge. Children’s developmental windows are short; adults often need longer to shift entrenched patterns or stabilise life conditions. This mismatch forces systems into blunt decisions. Ribeira Volta navigated the tension by being honest about limits while preserving dignity—naming children’s urgency, acknowledging parents’ pace, and crafting plans that balanced both. Reflective supervision proved vital: it prevented burnout, widened perspective, and protected therapeutic stance. Supervisors didn’t hand out answers; they created thinking space. The team mirrored that with families: not dictating, but partnering, validating, and co?creating next steps. That parallel process matters. When practitioners admit “we don’t know yet,” families are invited into genuine problem-solving, which is both respectful and effective.

Integration set this project apart. Rather than operating as a distant service, the external team worked closely with the residential staff while maintaining distinct roles, ensuring consistent messages and coordinated care. That alignment made practical differences—smoother contact, clearer expectations, and less role conflict. Funding as a pilot encouraged learning, and the team finished with sharper hypotheses about what to change next time: start with “healthy relationships” as the explicit outcome, keep structural guidelines but allow flexible pathways, and invest more in practitioner self-awareness from day one. These lessons speak to systems far beyond Portugal. When we treat families as partners, protect reflective space, and expand the definition of success, we don’t just improve metrics; we help people reclaim choice, dignity, and pathways that fit. That is the kind of non-linear change that endures.

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You can watch here:

About Adriana:

Adriana graduated in Psychology from the Faculty of Psychology and Educational Sciences of the University of Porto in 2006. She later completed a Master’s degree in Special Education – with a Specialization in Early Intervention, from the Institute of Education of the University of Minho, in 2011.
 
Adriana is a Full member of the Portuguese Psychologists Association, is specialist in Clinical and Health Psychology, and has advanced specializations in Psychotherapy and Psychology of Justice.

Adriana also holds a Postgraduate degree in Child Protection from the Faculty of Law of the University of Coimbra, and is currently undertaking a PhD.

Adriana recently led the Revira Volta project that sought to build healthy relationships between young people in the care of Livramento, and their birth families. 

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Transcript of Adriana’s Interview:

Colby: 0:00

Hello and welcome to the Secure Star Podcast.

Adriana: 0:04

And Rivira Volta um have a more complex meaning. It means that you choose some pathways, some circumstances, and that aren’t um fitting quite well, that aren’t um uh going well, and you do something. Um sometimes you improvise, like the Portuguese love to do, and you um you achieve a different outcome. And most of the times these families, these parents didn’t have the fair conditions to develop, to um um to to develop their competences, to develop their um their dreams, and uh we thought that they deserved um have that fair condition to flourish. We saw ourselves, the team, the the professionals, we saw ourselves as facilitators of church. Um as facilitators of uh of dreaming. We are uh sharing and we are listening to them, listening about uh their knowledge, because they have knowledge, lots of knowledge. It’s a different kind of knowledge. It’s uh knowledge learned in different countries, but they have knowledge. Sometimes they choose um not to be all the time with their girls because they understand that they have uh conditions to learn. The self-conscience, uh the self-monitorization, the self-conscience, the self-knowledge about ourselves uh that can help us to choose what we want was one of the most beautiful uh goals that we achieved. When we are um when we have um we have this power of choose uh and we choose our pathway uh and we um have this how to cheat, um then we are um pacified with our choices and with what have happened in our lives. But when we uh feel that the the context um robbed us uh degrees of freedom, we are not good. And this was very important for us, um and we cannot uh uh forget that our residences can have um can limitate us if we don’t have um self-conscious or can be um very important uh um tools to work with the families because we know uh um who we are. I think that’s very important in enough in future projects of this nature.

Colby: 2:55

Hello and welcome to the Secure Start Podcast. I’m Colby Pierce, and joining me this episode is a fellow clinical psychologist in Portugal who led a project on an aspect of child protection work that is close to me and close to my heart and my head. Before I introduce my guests, I’d just like to acknowledge the traditional custodians of the land that I come to you from, the Ghana people of the Adelaide Plains, and acknowledge the continuing connection the living Ghana people feel to land, waters, culture, and community. I’d also like to pay my respects to their elders, past, present, and emerging. My guest this episode is Adriana Diaz. Adriana graduated in psychology from the Faculty of Psychology and Educational Sciences of the University of Porto in 2006. She later completed a master’s degree in special education with a specialization in early intervention from the Institute of Education at the University of Minho in 2011. Adriana is a full member of the Portuguese Psychologists Association, is specialist in clinical and health psychology, and has advanced specializations in psychotherapy and psychology of justice. Adriana also holds a postgraduate degree in child protection from the Faculty of Law of the University of, and I’m struggling with this, Coimbra. That’s a I know I’ll get Adriana to correct me on that in a moment. Adriana is also currently undertaking a PhD. Adriana recently led the Rivera Volta project that sought to build healthy relationships between young people in the care of Livermento and their birth families. Welcome, Adriana.

Adriana: 5:13

Hi, Colby. I want to thank you.

Colby: 5:17

Oh thank you for coming on. Now, there were two, there were the names of two universities there that I probably should have checked beforehand how they were pronounced. Uh and I didn’t. So one was is it Min? How would you Minho or how would you pronounce that university?

Adriana: 5:37

Minho, Minho, Minho. Yes, Minho.

Colby: 5:40

That’s one person Portugal. Minhos. Yes, I’ve got one from one. The other one I I I’m pretty sure that I failed at. What was the the the one where you did the um the other qualification in the faculty of law? What what’s that university called?

Adriana: 5:59

Coimbra. It’s the uh major yeah, the the third major um city in Portugal and the one of the most ancient um universities in Europe, Coimbra.

Colby: 6:13

And I I think of myself as a an amateur historian. I love history. How I’m embarrassed that I got that name. I didn’t know that. I didn’t know that, and I got that name wrong in the pronunciation. Um never mind, never mind. Now I also said Rivera Volta. Did I get that correct? Yes, yes, so Rivera Volta, yes.

Adriana: 6:47

I can’t do um that the the the R there.

Colby: 6:52

Roll the R. Yeah, yeah. We took I think we call it rolling the R, and I can’t do it. I I and that noise that you just made, uh, my mother and my sisters can do it, but I can’t do it. With your tongue that roll with the R the vibrating tongue. I can’t do that. No, but anyway, Rivera Volta is as good as I can do now.

Adriana: 7:16

Yes, the Portuguese have the Portuguese the Portuguese have some sounds that are a little bit difficult because they are very specific.

Colby: 7:27

Yeah, that noise, that noise, you can’t do that. Yeah, yeah. So Rivera Volta was the name of the program that um that I was mentioning, um, that I’m really keen to speak to you about. In in English, what does Revere Volta mean? How does it translate?

Adriana: 7:51

Um the translation, um the bad uh translation I I found uh was turnaround. But um this is very this isn’t very accurate because I think turnaround means that you go and you come back and have a more complex meaning. Uh it means that you choose uh some pathways, some circumstances and um that aren’t um um fitting quite well, that aren’t um uh going well, and you do something. Um sometimes you improvise, like the Portuguese love to do, and you um you achieve a different outcome. Um you have you you do um you um move these uh the pieces of the the circumstances and you can have a different outcome. Um uh we hope a better outcome. So is that you mix all the things, you do different things, you uh experience uh different uh strategies, and uh then you have you have maybe you have a different outcome. Um turnaround, it’s a more linear um process. You go and you come back.

Colby: 9:08

Um so Javira Valtis is that well work with birth families, um, work in this space, child protection is never linear, it’s it’s always um uh follows follows a non-linear course. Yeah. And and if I understand you correctly, what you’re saying is it it’s not turnaround and come back to where you started, it’s changing direction, more like changing direction, taking a different path.

Adriana: 9:41

Yeah, yeah. And maybe you have we will have a different outcome. Um in this context of the project, um, we thought that families deserve uh fair conditions because the system isn’t always fair, and life isn’t all isn’t always fair. Um, and most of the times these families, these parents, didn’t have the fair conditions to develop, to um um to to develop their consciousness, to develop their um their dreams. And uh we thought that they deserve um uh have that fair conditions to flourish, to give them their their girls, because uh livramento um is a residential care home that have only girls. Um they they deserve uh that right conditions, right in comments, um to flourish.

Colby: 10:41

So the project was very much around supporting birth family, birth parents to be a better the best version of themselves that they could be. Yeah. So that and and and my other my other understanding of the project was that part of helping them to be a bit a better version of themselves as parents was about re positively reconnecting or facilitating healthy relationships um with their girls young people, yeah. They’re girls that reside in Livermento. Yeah, yeah.

Adriana: 11:24

We are sorry.

Colby: 11:26

You go ahead.

Adriana: 11:27

We always uh we thought about uh sorry, we um we thought uh most of um of the times uh give them um more degrees of freedom to choose. And that’s very important because we are not educators uh in this project. Of course, we share with them knowledge, scientific knowledge, because that’s important. Um, but we were um we saw ourselves, the team, the the professionals, we saw ourselves as facilitators of change, um, as facilitators of um of dreaming. Um, because dreaming is um achieving uh a more um degree more degrees of freedom to choose. And most of the time these families, these parents didn’t have lots of degrees of freedom to choose in their lives.

Colby: 12:25

Yeah, so you are as I understand it, you were opening up choices and new pathways for them to follow. How were you doing that? How were you how was the project uh uh being delivered? How were you were you um giving those those additional or those extra choices to birth family?

Adriana: 12:50

Um first of all, um we thought that we have to have uh an external uh team. Um Livramento, the resident residential care home, and uh have uh a team that uh work directly with the girls. Um in they are they were they are uh their educators, uh they um they um organize their daily routines, um the they are they go to school. So this team uh work as the educators of the girls, but this internal team um cannot um work with their families without having a conflict of roles. Um because if they do the both roles, they have to um change all the time the hat of the role. I I I um use this metaphor. I have a hat is a role, I take off the hat, I take on um another another hat and is another role. Because when we work with the families, uh we have to have um uh a systemic approach. Uh all the elements uh have to be considered. Um we can focus on one or another element uh for some time, but we have to have the the whole vision. Um and we need a team, an external team, that worked specifically with this approach, this systemic approach. Um we included the girls, of course, because they are part of the family, even if they in that moment they were uh they aren’t with uh living with the families, but we have to focus on the wall, the whole system. So um we um thought that we need an external team. So we created this team, the team of Rivira Volta that worked uh with the families. We work with 10 families because this was um uh pilot project, um, and that 10 families were chosen uh with the the the internal team. Um um that uh because the that families, uh that girls, um the life project of that girls uh was um the reunification. We thought that the better project, the better life project for that girls was the reunification, because there are um lots of girls that are in the in Livramento, um that uh the the project isn’t the reunification because um the system, the the team uh doesn’t uh understand that um the family um can be um secure for that girls, uh can be um minimal conditions of uh security to to that girls be in the family. So we uh worked directly with the internal team, but we were we we had uh different roles, and that was important because families um had to have um a therapeutic um uh relationship with us uh uh with um confidence um trust, sorry, uh with um um a collaboration uh approach. Um they work with us and we work with them. We are not teaching anything, we are uh sharing and we are listening to them, listen about um their knowledge because they have knowledge, lots of knowledge. It’s a different kind of knowledge, it’s uh knowledge learned in different contexts, but they have knowledge. So um this help us to work um with them uh at with this uh approach, with this collaboration approach. Uh and that was a very important point of this project. The other point, uh, very important point was reflection. We have um to have to be all the time reflecting about the um the the way we are conducting the project because uh of course we didn’t uh invent anything. This project wasn’t new uh in their um approaches, um, in their basis, because we had lots of information of the previous projects, but this one we wanted that um was adapted specifically to this context, and that was new because we had to think about the kind of families we had, we had the kind of context that families uh were, and we have to um think about uh the possibilities, but uh all the time we had to adjust what we were doing so we uh reflect lots with the internal team, uh we reflect um uh within the team uh of Vina Volta, we reflect with our supervisors. We have um um a supervisor, uh Patrick, um and um we have some experts of Portugal that uh helped us to reflect. And the reflection was um a base point of this project.

Colby: 18:29

It uh the way you describe it, Maria. Sorry, I can edit that bit out.

Adriana: 18:37

I am I am Maria, I am Maria. Adriana Maria is my name, so you are you are good.

Colby: 18:45

I it I know it’s I’ve just got I I got that stuck in my head at some point, and I’m not sure how, but yeah, I’m pleased to hear that it is, you know, one of one of your names. Um anyway, what what I was gonna say is that listening to you, it it sounds like there were there were those two key elements. It was it was very much a reflective project and a reflective process that was happening, and I can imagine one in which um you didn’t see birth parents as um how would I put it you didn’t you didn’t see them as non-experts in their own life. If I yeah, you rather you saw them, you met them where they were where they are, yeah, and you collaborated with them to open up possibility new possibilities for them in their life. And it strikes me that it was it’s it’s a very respectful approach to the birth parents. Um child protection systems um often struggle to help birth parents feel restricted through respected through um the process and a child’s journey through care. So it was a very as I’m listening to it, it was very respectful, it was very collaborative. Um you were attempting to change the course of the family’s trajectory as yeah. Um and part of that was um about fostering healthy connections with with their with their girls, with their girls in Livermento. Yeah, and you you mentioned that there was a a reflective process, perhaps with with reflective supervision with Patrick Tomlinson as well as um within the Tomlinson. Yes. Perhaps um tell me what you think was the importance of it being a reflective project and there being that reflective supervision that occurred.

Adriana: 21:18

Uh this reflection uh as some um points, uh some main points. Um in one uh one hand we had the reflection about the cases. We had to think about the specific cases, um, the ten families that we were working. Um and we thought about their um characteristics, um uh we construct um systemic uh hypotheses about what was happening, about uh uh their pathways, the previous pathways, and the the strengths and the fragilities. We uh thought about this, and we use um uh an instrument that was uh that it was created by um um a Portuguese um teacher and and and um um Madalena Larcan um that is um in Portuguese is Imias, um that helped us to have a um a world vision about the the conditions of the family. Um and um this kind of reflection helped us to uh work directly with the families uh and use the right strategies, the right uh strategies, what we thought was the right strategies, um, improve dynamics, uh etc. And there was another kind of reflection that helps us to think about the project, the the phases of the project, the number of the sessions, the um the main strategies that we can we could use in the um in uh each phase of the project. Um and this was um uh a kind of reflection that we have with uh with Patrick, but also with the other experts, um, the design of the project. Uh that’s what what I I mean. Uh and uh a third um group, I can uh of uh of sessions of reflection was about ourselves because we thought that the team um uh had to reflect about um about um we we have to to reflect about ourselves as professionals and as persons. Um we have to uh reflect about our values, our uh vision of what is a family, because uh our um our core um visions of what is life. Um and we we did um um um some um exercises um of reflection about ourselves that help us to um to um to improve our competences, personal competences, social competences, and uh therapeutical competences that um we believe uh help a profession to work better with the families. Um Patrick uh said once that the the way we behave with each other as a team will model the way uh the families will behave with the um within them themselves and within us because they are always like like a child uh a child um when we have a child is always observing the parents, um the families are always observing us as a team, as a person. So we have to improve ourselves as a profession, professionals to uh do a better job with them, um, but also to model um the uh some things that we believe that will help to construct um healthier relationships. If we model that healthier uh relationships with the family, the family maybe will um um can um build that healthier relationships within the elements. I don’t know if I explain myself well, but very well. These are three um parts of reflection.

Colby: 25:48

So I’ll I’ll tell you what I what I took from that, which was that there is there’s the reflection on the family and their circumstances and their needs. There’s the reflection on the project. So it starts off uh as a project with I’m I’m guessing with with a certain with certain understandings and certain processes, but they’re always subject to review and and and following a different path. And that fits nicely in the definition of Rivera Volto, as you talked about, you know, that there’s it’s a cry it’s not set in stone, it it’s not just the families we’re wanting to um go to help to go in, have choices about uh other directions that they can go in. The project itself can develop and grow. And and and again, it this there’s this link, as you say, between you you put it about how we uh as how we interact with a team model something for the families about how you how you interact. But I also but but you were it was like you were all on the same voyage of discovery, you were all learning, developing changing path, perhaps. And and the third element of of the reflection was in in reflective supervision and thinking about your own experience of the work and your own values, your own thinking about family, what is a family, parenting, and you were being more consciously aware of biases, I guess, or or the and blind spots, but but you were more self-aware, um, more able to think about your own experience of the work. You’re to to approach the work in a very conscious, deliberate thinking way. Which I can see again is something that we you you you weren’t necessarily telling the parents how they had to be, what they had to do. You were what you were modeling uh is a different approach to life, and you were modeling that individually, collectively, and relationally with the families.

Adriana: 28:48

The the the idea of giving them more choices to choose, but uh in the end, uh the ones who choose are them, not us. They did they don’t do what we say it’s right because we don’t know what is right, um we know what is um what the the science tells us that is wrong, and we share with them the consequences, but uh in the end they um they choose what is right for them, and sometimes and and happened this uh in this project, sometimes they choose um not to be all the time with their girls because they understand that they haven’t uh conditions to that. That and that happened uh in some of the families. Um in the end of projects, uh maybe the the in the at the beginning the the idea was the reunification, the the whole reunification. In the end, uh some of the families understand uh understood that um um the old reunification wasn’t the the the better outcome. we have a partial reunifications. The girls go to the family at the weekends and they stay at Livermento um in the the the rest of the days or they go to the family um some days or uh half of the week and they stay at livramento uh um for some days and this was um a better outcome because uh the the intensity of the the the relationship um make our uh that relationship healthier because they don’t didn’t struggle with uh so many challenges daily challenges and um this conscience that would the the um the parents um um gained uh was uh one of the for me was one of the more um beautiful uh goals that we achieved because um the change the the the the the changes are important uh but the self-conscience uh the self-monetrization the self-conscience the self-knowledge about ourselves uh that can help us to choose what we want um was one of the most beautiful uh goals that we achieved um this um when we we thought uh in this project we thought about uh some uh main principles we wanted to to um to apply one of them uh was auto chip the auto chip is very important for us because uh when we are um when we have um we have this power of choose uh and we choose our pathway uh and we um have this how to chip um then we are um pacified with our choices and with what have happened with in in our lives but when we uh um feel that uh the the context um um um robbed us uh degrees of freedom we are not good and it this was very important for us yeah yeah there was one word that you said that i i i didn’t quite get but what i’m understanding you’re saying is that it was and this is in when child protection authorities become involved with families it’s a it’s an incredibly disempowering experience for them and though families may already be struggling the child protection the child the intervention the intervention to keep children safe often enough maybe almost universally further disempowers the family because it’s a state intervention we we we we are going to take the children into our care for a period of time because we believe that you can’t do that and that’s an incredibly disempowering uh and and parents don’t give a good account of themselves in those circumstances they’re not they’re not they’re not they often struggle to relate to child protection authorities uh in a skillful thinking way yeah they they’re more reactive and defensive because they’re hurt yeah and what one of the concepts that we talk about on this podcast fairly regularly of late is is the concept of containment and containment being the the relationship that um that we develop with people whereby and it’s a bit like a supervisory it’s a bit like lots of relationships it’s like the parent-child relationship it’s like a a a mentor or supervisory relationship but one of the core um component or aspects of um containment is this idea that when you’re interacting with someone they can share with you their most overwhelming experiences fears sadnesses and that you can then feed it back to them in a way that is more manageable for them yeah you can help them so in that doing so you can help you help families make sense of process and make sense of the experience that they’ve had now why all this is important is because of something else that you said which was um that one of the outcomes of the project was that what that you that was you loved the most was that parents were able to think about what was the best part.

Colby: 35:17

Yeah so a containing relationship is a relationship that helps people to be able to manage difficult overwhelming situations and and and be able to then think about what is the most appropriate path.

Adriana: 35:38

Yeah so that I mean that’s as you say it’s beautiful that that families were able to think about what was best for them for their girls and for themselves and and be able to make decisions along those lines a very a very good outcome yeah Adriana I was wondering um you said that there you you referenced that there’d been previous projects but why why did this why do you think this project needed to be done as a you know at when it was done and how it was done because um this projects was uh we did this project within the residential care home um there are other services in Portugal um that work with reunification but um uh they are um based in CAFAP um the centers of family support that uh do different kinds of of of work they work with the families um when the children are within the families they work with the families that the parents are divorced and they have to um manage the the the the con the connections and the contacts within the the the two progenitors um and they work within the reunification um but they are more uh general uh they work quite well but they are more general and we wanted a project a team that worked specifically uh within the the residential care home uh a work uh a team that works specifically with this within this context uh a team that work um very closely uh within the the the another the the other team that that um work with the girls um and uh we thought that uh this kind of project could be uh uh different from the um the other services that are um being doing in portugal because um they um serve a more um um more uh communication that is more um um close uh that’s can that can we can uh work the two teams can work uh directly daily uh and uh the the the attention we give to the families to the girls to these dynamics could be more um more specific yeah it it sounds like it was an integrated project integrated between where the families were at where the girls and where the girls were at right as opposed to uh yeah you know the girls live here and the families live here and there’s a service over here um there was much more integration between the three yeah yeah yeah but do you recall any particularly significant challenges that you you faced in um in delivering on this project and its aims yes um some of the challenges was uh i i I tell you uh um a while um was the we have to reflect about the the um the path of the the the project we have to um do some corrections to the number of sessions dynamics the strategies that was uh some of the challenge but another challenge that i didn’t uh talk about um yet was the what i i i don’t know if i can explain myself but what we um called the time of the family uh and the time of the children um these two times uh weren’t always the same uh the same compass um because we know the time of the of a child is very short they just have a window of a window of opportunity to to develop some kind of competencies um and we have to rush um our our intervention with the children because they don’t have time that kind of time uh they have lots of time in life but they don’t have that kind of time of to develop some um some some competences and um and the time of the family uh the time of the um the adults is a different kind of time and sometimes um we know that the fair conditions for an adult to develop is here two years because they have to have time to think to reflect to talk about to uh experience experience some different kinds of uh um of uh circumstances of uh um of um um situation situations uh to change but the time that the that girls their children have isn’t one year two years three years and this this compass uh between the two times was a challenge for us because sometimes we had to take difficult um decisions um with the parents and the um with the the internal team because the two times don’t don’t don’t match um and the the parents deserve this fair time but the girls didn’t have that time um and this this is a very for me as a professional this is one of the greatest um challenges of interventions because sometimes this um make me I don’t know if I can use this word but we are persons that this make me sad because I I I I realize that sometimes we cannot achieve all goals we cannot achieve all outcomes we have to choose between what is the better outcome for a children um and what is a better outcome for an adult and for the whole family that have this time too I didn’t know if I I explained myself but this is one for me one of the greatest challenges of the project.

Colby: 42:28

Yeah I won’t repeat what you said but um it did come through very clearly what you were what you were basically saying was that um the children the girls and their families were out of sync out of synchrony in I guess we would just say out of sync in terms of where they’re at in their development yeah and um and sometimes to I guess uh for the parents to get to that place where they are the best versions of themselves as parents is is is going to take time longer than the length of I guess a project like Rivera Volta.

Adriana: 43:13

Yeah and I I was wondering while you were talking about it Adriana um about the role the role of supervision the role of the reflective supervision in terms of um coming to understand that and and whether there are other particular um insights important insights that were gained as a result of or uh as a product of that reflective supervision process um the the role of supervision um I guess it uh has uh two main goals and we we get in love a lot with supervision because our supervisors uh have um a different experience and a larger experience of course so they can give us different inputs um about the design of the of the project about the um the um the conditions and um the hypothesis of the uh of of cases uh and that was very important for us because sometimes we are not uh um we are not uh um seeing something uh that they they they they give us a different input and we can we could uh change our vision of what was happening uh within the family but um the supervision uh especially the supervision with patrick because it was um more um personal uh the the our uh the the the the other team that helped us uh help us more with the the reflection of cases or um and the with the the design of the project but patrick helped us to reflect um in a more personal way and it was very important for us to give us this self-conscious of our resonances uh of what was happening with us as persons and as professionals that were uh that were uh facilitating or that were not facilitating the work that we were doing with the families and that was important very important for us as a team um for me as a as a profession but for us as a team we were three uh three psychologists if i i didn’t say that um but uh was very important for us because we could um understand sometimes that some resonances about our visions about life about our visions of our preferred visions of about families about life about parents um our expectations about what we wanted to uh to achieve because sometimes we we work so hard with the families that we sometimes I think we we we become uh in in certain way part of the family uh and that take us take us off the therapeutic um our in some way take us the therapeutic um um capacity and uh and the the supervision help us to to be with the family but um um without losing this therapeutic capacity i you understand what i mean yeah it it it’s about i mean i would say it’s about being able to think about the circumstances of the family in a i guess i we would say a metacognitive way but it’s really um it’s it’s about being one step removed may maintaining a position one step removed and observing the goings on of the family but also observing what’s hap where our own interactions with the family our own and and where we where we sit in this dynamic with the family so I think that yeah the role of supervision there as as I understood it was that it helped you maintain perspective about the family to help maintain perspective about your your own part of that dynamic with the family that working dynamic yeah and um I mean we I think one a theme of this podcast Adriana is about supervision and the the absolute importance of it that it it’s that it’s so critical to work in complex um endeavors like this um where that that it where it’s quite confronting for us and it also can really tug on the the the emotional heartstrings we would say like it it yeah it’s so so yeah supervision I think is vital and in particular as you describe it it the fact that it in it doesn’t necessarily have to give you all the answers it it it just needs to help you be able to think yeah and in the same way like we do with the families.

Colby: 49:14

That’s exactly what I was going to say we don’t have to tell the families exactly how to live their life or they should be living their life or or what all the answers are. In fact uh another theme of this podcast has been I don’t know or another another element of the discussions has been this idea that we don’t have to know everything. We don’t have to know all the answers when we admit that we don’t know then we create a space where you can have a meaningful conversation and work things out with people. And that’s when you’re doing that with your colleagues and with your clients that’s such a respectful way of of conducting that interaction and I could and if you did nothing else treating your those pet those families with respect yeah would change their life course to some degree just treating them with respect treating them as partners in an endeavor in a journey treating them as people of worth my own apart from my my big interest in attachment uh Adriana my other a big interest at the moment is or has been uh for a long time is in self-worth and and I think all therapeutic endeavour that improves self-worth will bear some pretty good outcomes for people because the alternative to self-worth is worthlessness and people make really poor decisions about their life when they feel worthless.

Adriana: 51:18

You talked about over the um the course of the project um your own thoughts changed the project changed um but in our pre-meet when we when we met beforehand you you talked about how your own thinking changed over the course of this project um I wonder if you could tell us a little bit more about that what changed in your thinking mostly um I think that when we started the project we thought that we were working with the families to the reunification to the wall reunification um and um we um uh designed a project with the um a certain number of phases that uh was um was uh implemented or will be implemented with that uh uh order uh and then at the end the the the the outcome was the reunification i guess it’s um when i think about that uh in risk in um looking um back i i think that uh we have a a kind of i uh idealistic view about uh uh about this and can i can i just jump in and say that’s a very can I just jump in and say that’s a very much a psychologist way of doing things yeah very strands and all of and you were three psychologists yes yes yes yeah yeah yeah I I agree with you um and and it was um yes a beautiful and idealistic view about the the the things but when we were um um implementing the project we started to think that reunification can be a more um a less strict uh concept um because we we started to think about healthy relationships more than reunification yes reunification is important and maybe it will be an outcome in some um situations but the most important uh most important thing that we could work with the families was working uh within the the healthier relationship relationships between them and then we thought and we reflect lots about what is a healthy relationship we did um lots of exercise um um in the context of supervision and uh then with the uh with the families uh thinking about what is a healthy relationship what that means what mean these concept what uh includes a healthy relationship and at the end uh um for us the better outcomes was when the the the families gain this um self-conscious again um uh of what is a healthy relationship and um within their specific family uh what is a healthy um how can we operationalize a healthy relationship sometimes a healthy relationship a wealthier relationship in that family was uh the girl um go uh to the family again and live uh with them and uh we have a total real uh reunification sometimes the outcome the better outcome for a healthy relationship was the girl stay at livramento start study um for more years uh and go at the weekends to the family and that was uh a um a good outcome for a better for a healthier relationship so that changed that idealistic view of the the the phases the orders um the number of the sessions uh the a clean project very uh very um very tidy project i i guess um that that change in our head um and the um the the concept of healthy relationship uh become more important i think that was the great um change in my mind in our mind yeah wonderful wonderful outcomes um of course um from from my perspective um if you know that the a a really terrific outcome as you you’ve talked about it is um these best connections the best possible connections at the at the time um that were possible that that certainly also though um that um that capacity to think and reflect on what what was a good outcome for for them as a family yeah I think that that’s that’s remarkable because um in my own experience um the way in which parents feel like they are treated in child protection matters then they become they can the that treatment that disempowerment can make them really struggle to be able to think about what’s in the best interest of their children yeah they become much more inward focused so yeah so the you know being able to achieve that outcome is is remarkable and well done do you think there’ll be further projects like this um either with livramento or or um um in Portugal more generally we want to uh replicate the project um maybe first uh to Libramento um so we can uh uh have more um uh more specific data um because uh like I said it was a a pilot project and we was um we thought a lot about uh how we can uh implement the project and at the end we feel that we we need to start again to do some things differently um to um um to see if uh how what we thought previously uh will have different uh um outcomes um but we don’t know yet if um it will be possible yeah you had my understanding is you had funding you had some uh external funding for the project as well is that right yeah yeah yeah it was like um bp like aisha yeah it was uh an external fund an external yeah like it’s a bank oh it’s a bank yeah yeah yeah so it’s like um almost I’m thinking philanthropic but it’s not not that’s not the right word um but it it’s it’s like social funding I guess a bank yeah yeah a bank uh yeah okay so that have a bank that have a project of social funding yes it’s like that yeah yeah so if you did a project again you would you would you you would take on all of this learning from this pilot project and you would you would um start in a different place I guess um yeah yeah but do you do you I I’m interested to know whether you it would there would be a different outcome to the one that you achieve that you would be looking for maybe we start um because when we realize this kind of uh of uh things i i said to you uh we are at the middle of the project maybe if we start from the beginning we have uh more time to do things like we thought um of course the guidelines of the phases of a project the number of the sessions the stretches the dynamics these are always uh uh this is um all uh important things we have to have that we have to have limits we have to have guidelines because we cannot live and this is this is true for everything in life we cannot live without limits and without guidelines but um if we start with this vision that the the better outcome is the healthier relationship not the to respond to the expectations of a system that wanted to uh on off um answer that oh oh we have uh reunification or we don’t have a reunification uh this black and white response um maybe we can have more time to um do things with families differently and maybe we can go for um go further um in the outcomes uh in the the results um and another thing i think is very important in the in in future projects is the um this reflect reflection about ourselves as a professionals as professionals because i think this uh was um a very important point of this project um of course um we know from the for our formation uh based formation that uh we have to have um professional skills uh therapeutical skills but we forgot lots of the a lot of times um of uh develop our personal skills uh as persons and when we are in uh with the families uh with persons we are the professionals of course but we are the persons too um and we cannot uh forget that our resonances uh can um have um can limitate us if it we don’t have um the a self-conscious or can be um very important uh um tools to work with the families because we know uh um who we are i think that’s very important in enough in future projects of this nature

Colby:

yeah well i i really hope that there are future projects of this nature i hope you get an opportunity to um put into practice some of these key learnings um that you you that you made from this pilot project but i i guess i i think that the the outcomes that you achieved are are really good outcomes anyway so that you the any subsequent projects the outcomes are gonna be that you’re going to look for are going to be very similar these best most healthy relationships between the children and their families i would add um growing um empowerment in the birth plan in amongst the birth families growing their sense of their own worth growing their sense of their own uh importance in the lives of their girls or their children um I would add um achieving an outcome where parents are able to truly reflect on what is in the best interest of their children which is really quite different to the circumstances in which um child protection authorities place children away from parents so I think there’s some all of those things are such worthy outcomes for a project like this um I I wouldn’t change the outcomes with the subsequent project you might change the process but I think the I think the outcomes are great and um thank you very much for coming on and um um english is not your your your first language obviously so um very brave of you to come on and um communicate with uh uh with uh an English uh podcast in this or English speaking podcast in this way as we mentioned earlier my Portuguese is nothing like your your command of English I know two things in Portuguese so thank you again.

Adriana

it was it was my pleasure Colby very thankful for for the invite

Building Trauma Informed Schools – A podcast interview with Megan Corcoran

How supporting adults creates the safety children need to learn, belong, and heal

Belonging sits at the heart of healing, and this conversation explores how schools can become places where children recover, learn, and feel seen—without asking teachers to be therapists. The core idea is simple: when adults in education and youth services feel supported, regulated, and connected, they create the conditions that allow young people to build trust and thrive. Megan Corcoran draws on nearly two decades in alternative education and leadership to show why adult wellbeing is not a luxury but a necessity, especially in environments where secondary traumatic stress is common. When leaders normalise vulnerability and model practical strategies—naming stress, regulating, seeking peer support—they reduce stigma and make it safe for teams to speak up early. That honesty strengthens consistency, and consistency builds belonging, which in turn creates the relational safety necessary for learning to stick.

The path forward blends trauma-informed principles with the realities of busy classrooms. Rather than overcomplicating practice, we begin with Tier 1, universally applied supports that help everyone: morning check-ins that tune the room, predictable routines that lower cognitive load, regulation strategies available to the whole group, and a tone of unconditional positive regard. These are not therapeutic sessions; they are ordinary, repeatable habits that send a clear message—adults are safe, fair, and present. Children may arrive each morning carrying the unknown burdens of their lives; we cannot control that. But we can control the experiences they receive before the bell goes home, day after day. Name them, greet them, notice cues early, and respond before escalation. Over time, those micro-moments add up, reorganising expectations about adults and planting seeds of security.

Leadership sets the weather. In high-stress settings, the old culture of “be tough and get on with it” isolates staff and amplifies churn. Megan describes creating communities of practice for leaders—spaces to debrief, compare notes, and build accountability. That network effect matters. When leaders show they are impacted by crises and share what regulation looks like in real time, they legitimise healthy coping and weaken perfectionism. Supervision, where available, becomes a protective factor, slowing reactivity and reinforcing ethical practice. These supports reduce professional dangerousness by addressing vicarious trauma before it distorts judgment. Policymakers often want numbers first, but retention and relational continuity are the data that matter most for children who cannot afford another goodbye.

At the coalface, a simple compass helps adults act before behaviours spiral: AURA—Accessible, Understanding, Responsive, Attuned. Be accessible by noticing who is wobbling and stepping in early. Be understanding by naming the young person’s felt experience with warmth and clarity. Be responsive by offering practical help proactively, not only when pushed. Be attuned by matching affect enough to convey empathy, then regulating toward calm so the child can co-regulate with you. None of this is exotic; it mirrors how we care for infants, and it scales when done consistently by a whole staff. Consistency is the antidote to chaos. Children who have learned to mistrust adults do not need dramatic new programs as much as they need the same steady signals, delivered by many people, across many days.

When schools hold learning and wellbeing together, the results ripple. Regulated nervous systems learn better; connected students tolerate challenge longer; excluded students re-enter community with dignity when belonging is prioritised over banishment. The wider social cost of burnout—teachers who are also parents, carers, neighbours—demands attention. A school that invests in adult wellbeing invests in public health, crime prevention, and future workforce capacity. The work is incremental and deeply human: build staff safety, strengthen leadership containment, align on simple Tier 1 practices, and let AURA guide daily interactions. Do this long enough and the culture changes. Classrooms become places where young people learn to live with themselves and with others. Healing hides in the ordinary, and belonging lights the way.

You can listen to the podcast here:

You can watch here:

About Megan:

Megan Corcoran is the founder of Wagtail Institute, where she works alongside schools, youth services, and complex settings to strengthen wellbeing and build trauma-informed communities. With nearly twenty years’ experience teaching and leading in alternative education, Megan brings both professional expertise and lived understanding to her work.

Her vision is simple but powerful: that every child has a safe and magical childhood, supported by adults who believe in their future. At Wagtail Institute, Megan partners with those adults—educators, carers, and practitioners—helping them to feel supported, heal, and thrive, so they can continue doing this important work.

https://wagtailinstitute.com/

Related Podcasts:

If you want to hear more about trauma informed practice in schools, you might also like:

Learning to Live with Yourself and Others: Insights from Therapeutic Residential Care – A podcast interview with Richard Rollinson:


Transcript of the podcast interview with Megan:

Colby: 0:00

Hello and welcome to the Secure Start podcast.

Megan: 0:04

Belonging could be the key to healing childhood trauma. This is challenging work. There are some risks to it. So let’s have some open conversations about it. And I think a real crucial part is the leaders actually just modelling. Hey, this was hard. Here’s what I’m doing about it as well. So it’s like, you know, I felt this, but I actually have some strategies in my toolkit as well. I think there’s no lonelier position sometimes than being a leader. Yeah, and that peer support becomes incredibly important when we find ourselves in a position like that. Was when an old colleague reached out to me who was also leading, but in a different setting, who reached out to me and just said, can we start grabbing coffee together and unpacking what’s going on? Um, and it was just such an incredibly helpful space talking about education in a way that supports that notion of I’m a teacher and I’m here to support human beings and they’re going to come in with their complexity. So I just think anyone who’s working with young people has the opportunity to provide therapeutic moments without being a therapist. The curriculum’s not the centre, the young people are the centre of the work that we’re doing. And lots of trauma-informed practice lines up really well with some of our tier one setup for our classroom. We don’t know what experiences these young people have had over the weekend or that morning before they come into our classroom. But we know what experiences we can give them before they leave for the day.

Colby: 1:23

Hello and welcome to the Secure Start Podcast. I’m Colby Pierce, and joining me for this episode is a fellow podcaster and trauma-informed well-being consultant. Before I introduce my guests, I’d just like to acknowledge the traditional lands of the Aboriginal people that my guest and I come from. For me, it’s the Ghana people of the Adelaide Plains. For my guest, it is the Warajari and Bunerong people of the Kurlum Nation. And I’d just like to acknowledge the continuing connection the living Aboriginal people feel to land, waters, culture, and community. I’d also like to pay my respects to their elders, past, present, and emerging. My guest this episode is Megan Corcoran. Megan is the founder of Wagtail Institute, and she works alongside schools, youth services, and complex settings to strengthen well-being and build trauma-informed communities. With nearly 20 years’ experience teaching and leading in alternative education, Megan brings both professional expertise and lived understanding of her work. Her vision is simple but powerful. That every child has a safe and magical childhood, supported by adults who believe in their future. At Wagtail Institute, Megan partners with those adults, educators, carers, and practitioners, helping them to feel supported, heal, and thrive so that they continue doing this important work. Welcome, Megan.

Megan: 3:13

Thank you so much, Colby, and thank you for such a lovely introduction as well.

Colby: 3:18

You’re welcome. Um, I’m really pleased to have you on. And um I’m wondering if we could just begin if you just can uh tell us a little bit about yourself, how you um at the Wagtail Institute, perhaps your podcast as well, because we’re fellow podcasters, and uh and how you gain how you came to start all that, found all that.

Megan: 3:40

Yeah, thank you so much. Yeah, so as you mentioned, I spent quite a lot of my career working in schools. Um, so yeah, I was a good old graduate teacher quite a while ago, um, working at the Berry Street School here um in Melbourne in the southeastern suburbs. And back then when I started, um the Berry Street School was actually set up just for young people in out-of-home care. Um, so you had to actually be in out-of-home care to be a student at the school. So that was quite a complex start to teaching, that’s for sure. Um but I thought I had one of the best jobs in the world. I absolutely loved working in education and loved teaching these young people. Um, so I worked at a couple of different alternative settings as a teacher across the Melbourne area and then eventually uh moved my way into school leadership, which was never on my radar. It was never something I was thinking deeply about. Um, but it came from a bit of a values place, I guess, where um, you know, I was really passionate about supporting the young people and I loved my time in the classroom, but it was a bit of a chance, I guess, just to have a bit of a further impact and support other teachers to do the same and have those wins with the young people. Um, and so I went back to Berry Street actually to start my leadership um journey there. So I kind of came full circle and came back to the same campus and went into leadership at a pretty pivotal point for the campus too. There was a lot going on, a lot of change. They’d had a pretty rough year the previous year, so we were sort of re-establishing some safety in the campus. Um, yeah, and then I worked, yeah, worked there for a little while, and then I was an assistant principal and then worked at a really large alternative setting in leadership as well. So we had like the next school I was at, we had like 360 students enrolled, um, and all of them experiencing some sort of disadvantage and quite a few of them in out-of-home care. And um, yeah, so I got really passionate, I guess, about supporting the practitioners and the professionals in these spaces. Um, I was leading through the COVID era and really saw just how much we really needed to wrap around the adults who were supporting these young people. Um, so I got really passionate about it and I studied my masters in um in well-being science and positive psychology as well. And in that I actually explored um belonging. So I was looking at belonging being, I guess, a pivotal thing for young people that experience trauma. So I sort of was exploring the fact that belonging could be the key to healing childhood trauma. And then I got really curious because I’m like, the only way we can do that and establish places where young people belong is by having adults who are consistent in those spaces. Like we feel a sense of belonging when we know the people in that space. Um, and I was looking at all the turnover happening and all the people that were really struggling to stay in schools and youth settings and out-of-home care spaces. Um, so Wagtail really was dreamed up in that way, I guess, at looking at well, what can we do to support these adults? There’s kind of a bit of a two-pronged approach with what we do at Wagtail Institute. Um, one is enhanced trauma-informed practice so that they actually know what to do with the young people. Um, but the second is enhancing well-being for the adults as well. So we need to know how to look after ourselves, how to look after each other, and to make sure our services and systems are actually helping the adults in that space as well, so that they feel like they can stay and they can do this work with the young people. Um, so that’s really how it all began. And I’m a few years into it now and working alongside lots of amazing settings and organizations and loving every step of the way. Um, and the Wagtails podcast came came pretty early on in the journey as well. So I think I just realized that some of the best learning I ever have as a professional is when I get to sit down with people and pick their brains and just dive into really good conversations. And I thought, well, what a great way to actually share that learning with a wider platform. So just doing what you’re doing, really, Colby, is inviting people that I’d love to have a chat to, and then just having that opportunity and that privilege to share that with a wider audience and learn together through the questions we get to ask on these podcasts.

Colby: 7:47

And that that’s uh you bring up a great point, I think, is that it’s it is actually a great way for us to learn. Well, at least, yeah, I think that’s what you’re suggesting, and I feel that way too. It’s such our people that we interview are often such great resources, not only to our listeners, but but also also to ourselves. And uh yeah, it’s like like doing it’s like the best professional development you ever do in a in a way. Um, although some people may actually call it that. Um, and I I think I think your journey is an interesting one uh in the sense that what you’ve you’ve recognised is the need, if we’re going to deliver trauma-informed practice well to children and young people, we the adults need to be um supported uh as well as the children. And in actual fact, we go so far as to say that um what we want the adults to be doing with the children, we want them to experience themselves so that it kind of um transmits through them, yeah.

Megan: 9:00

Yeah, makes it so much more real too. It’s I feel like with trauma-informed practice, we sort of um as a field, it started off very much as an applied practice to other people. So it was sort of like we’ve got some traumatized young people in front of us, we need to apply this work to them. Um, but we are like developing as a field now to really understand it more as a way of being and a lens to see the world through and a way of showing up and just making sure we’re also preventing harm with anyone we’re interacting with, not just the traumatized young people.

Colby: 9:30

Yeah, yeah. And and I think you’ve also alluded to the fact that it is it it is difficult. Well, it can be difficult and confronting work. It’s not good for the children and young people that for people to come and go uh in the high volume. So I’m just wondering, what are your thoughts about the kind of the scope um of well-being challenges, uh vicarious trauma for the adults that that work in this space and what do we do about that?

Megan: 10:04

Yeah, great question. I feel like it’s an area where we’re just starting to scratch the surface. Um, like if I rewind back to when I started in the field, um, there wasn’t a lot of permission to share how we were tracking. Like we obviously cared about each other’s well-being, we’re really supportive. But if you were to put up your hand and say, I’m really struggling here, there might have been a sense that like she’s maybe not going to make it. She maybe shouldn’t be here. Like back then, that’s sort of how we approached it. And so even for me as a graduate teacher, I was sort of learning how to just suppress some of that challenge and um believe that I’d get like the language wasn’t this, but really I was learning to desensitize my reactions to what was going on around me. Um, but it comes up at some point, you know, and it’s something to be aware of. So I feel like we’re really just starting to scratch the surface, and there’s starting to be, you know, a lot more research happening around secondary traumatic stress, um, you know, and looking at what’s actually happening, what does that look like, what does that feel like? And there is starting to be some really good research around what we can actually do about it as well. So I feel like just stage one really is having permission to name that and be okay that it is actually a risk factor in our field. And if we’re more comfortable in naming it and talking about it and sharing that challenge, um, we’re actually starting at that awareness level, which is where we need to begin. Like if we go into it blindly and just think, you know, you’ve got to be pretty tough to do this work, well, we’re not really helping the young people to have those consistent adults because we need to acknowledge this is challenging work. There are some risks to it. So let’s have some open conversations about it. Let’s be aware of how it may impact us. Let’s track some of those emotions and those sensations that we might get throughout the workday when we are confronted with some of the challenges. Um, and like that’s just really step one is just I know it’s I know it exists and I’m aware of it. Um but there’s so much more we can be doing as well around just peer support, like making sure we’ve got really good wraparound with each other at work. Um, yeah, and just like sort of implementing the trauma-informed principles at the adult level as well. So making sure we’re actually working in trauma-informed ways. So far, if there’s any leaders listening, it’s like, well, what do we do for the young people when we know they’re stressed and we know they’re impacted by trauma? We can translate that absolutely up to the adult level and work in ways where we acknowledge there is stress. We acknowledge that there may be some behaviors from the colleagues that we’re supporting that might be in fight or flight mode, but it just looks a little bit different at the adult level as well. Just making sure we’re putting in supports where people feel really safe, where we’ve got really trusting relationships, um, you know, all of those like really good practices, and that we are actually like working on regulation as well. So just knowing I am stressed, going to do something to regulate, then I’m gonna go back in and support the young people again. Very long-winded answer there.

Colby: 12:52

Well, no, uh no, I think it it’s a good answer. And it I found myself thinking as you were talking about what you’re what the reaction might be when you go into a complex environment like a school or or um you know residential uh care provider for for children. Um you go in and say, Don’t worry, don’t worry about what’s hap what happened to the kids. Tell me what’s happening for you in the first instance. I I don’t know if you if they’re the words that you use, but I I wonder about the re some of the reactions that you may uh get to the adults, I guess expecting to be told what to do with the kids and perhaps not so much expecting to have to talk about their own experience of the work.

Megan: 13:44

Yeah, absolutely. And a key part of that, I think, is um the leaders modeling that as well, because we don’t want to be the new person who comes in and has to be vulnerable in front of our peers straight away, but we need to see it’s actually part of the culture and part of the fabric of the way of working in this space as well. Um, and so the permission sort of comes when we see others doing that too. And I think a real crucial part is the leaders actually just modeling, hey, this was hard. Here’s what I’m doing about it as well. So it’s like, you know, I felt this, but I actually have some strategies in my toolkit as well. And that is something I’m saying from I think neglecting to do that when I was in leadership as well. I’ll never forget a day where I had um, you know, there was a bit of a some sort of crisis and we had a debrief. And afterwards, one of the teachers came to me and she said, How are you okay with everything that happens here? Like you never look like you’re impacted by it. And I was thinking, well, I’m doing a huge disservice to the team if I’m not actually expressing how I feel and modeling what I’m doing about it as well. Um, because they don’t need a robotic leader. Um, like, you know, well, I had great strategies in my toolkit, and they don’t need a leader breaking down every day something happens, but they need to hear that there is permission to talk about it and that we all feel the impact in some way. Um, no matter how experienced we are, you know, we’re we’re supporting young people who it’s their life and something big may happen. And it actually upsets us when we see a young person in crisis, and it’s okay to be upset by it, but it’s also really good to have some strategies to nurture ourselves and to look after ourselves after moments like that.

Colby: 15:12

How can it not be upsetting? I I think it was something that uh dawned on me very early in my career that um the way to desensitization in a sense, if it if it if it stops bothering you, then you need to stop doing the work, really. Um but I think you but so if you kind of practice with heart, you need you need to be able to not lock all those experiences away, but have uh opportunities to discuss them, to be held in mind by a leader at who walks the walk and talks the talk. I think I got that right. Yeah, but you you you need uh you need we talk we’ve talked in previous podcasts on on the Secure Start Podcast about the role of leaders in containment. And maybe we’ll talk a bit more about containment in a bit, but um you uh you’ve really I think hit the nail on the head in relation to leadership, the the the important role that leadership play. And um again that that’s a theme that’s come through um uh many times, and it includes um the importance of leaders having their own person or uh to to go and talk to about um they about their own experience of the work. Yeah. I wonder if that is that kind of something that you get yours get involved in as well in terms of just being that sounding board and that person who holds space for leaders.

Megan: 16:47

Yeah, it’s a really interesting area. I think there’s no lonelier position sometimes than being a leader.

Colby: 16:53

Yes.

Megan: 16:53

Yeah, and that peer support becomes incredibly important when we find ourselves in a position like that. Um, and something I found really helpful, um, which, you know, a couple of years into my leadership journey was when an old colleague reached out to me who was also leading, but in a different setting, who reached out to me and just said, can we start grabbing coffee together and unpacking what’s going on? Um and it was just such an incredibly helpful space because it was like, here’s that peer support that we all need where we have similar experiences, we can validate each other, um, and we don’t feel so alone in the journey. And then from that, we actually developed a community of practice. So we now host, and it’s now five, six years into that community of practice, um, where it’s a space for leaders to just come together four times a year, meet each other, learn from each other, hold space, you know, connect, share details, stay in touch if they want to as well. Um, so this work becomes incredibly important, I think, is just that idea that we need to just have someone to validate and listen to us. Um, and if we’re feeling isolated or we’re feeling like we’re in a space where, you know, maybe we don’t have that peer-level support, supervision is incredibly helpful. Like if we can get good supervision set up, cannot stress enough how important that is.

Colby: 18:09

Yeah, one of my one of my past guests, Lynn Payton, she’s a leadership consultant in Northern Ireland, she she made the comment that leaders leaders can’t debrief, probably butchering it a little bit, but the the general point she was making is that is that because of their role in an organization, the leader can’t uh have this mentoring relationship or this debriefing relationship with someone who is junior to them in the organisation, you know, because ultimately that you that person’s gonna be um self-censoring what they see and observe and acknowledge in the leader. Um, and so yeah, I’m really uh interested to hear about this community that of leaders that um that you set up and I and again um very much consistent um with with with what’s been talked about more in the I guess the social care and child protection organizations specifically uh on this podcast.

Megan: 19:17

Well, yeah, the the um the community of practice we have is um for leaders in alternative education. Um so it’s for any leader who middle leader, you know, executive leader, working in a school with young people impacted by trauma. Um so that’s the key um, I guess, thing that they have in common. And yeah, over the years it’s it’s growing, it it takes different shape. It originally was going to be all in person um around Melbourne, so it was kind of an invitation for anyone in Melbourne. Um then, you know, good old COVID teaches you to do things in different ways. So we ended up in those lockdown years doing it online, and that meant people from regional Victoria started joining, we had people from Tasmania join. We had someone move to the Northern Territory during that time and stay in it. So now we do a hybrid thing where we go, all right, there’s need for in-person, and we still host those, and it that the whole community is welcome, but obviously it’s hard. Um, but we will do three online a year just to make sure that that that can still be available to everyone.

Colby: 20:18

Yeah, that’s fantastic. And that’s that’s one of the the great things that has emerged out of those COVID years is that we were we we we had to trust in technology and and the worth of still being able to connect over this. Yeah, yeah. When you talk about it, it reminds me in in the residential child care space, therapeutic residential child care space in the UK, they have a uh an entity called the Community of Communities. Now the the community of communities uh these are therapeutic communities, um and they do a um they do a lot of things uh about which I’m not uh an expert. Um I’ve just had some conversations. But but one of the one of the good things, I guess, that arises out of that is not just the opportunity to um support each other, but also there’s a there’s a there’s almost like an accountability um aspect of that experience that everyone keeps everyone else kind of on the on the right track, so to speak, in in those circumstances. Um because that they are vulnerable children and young people that we’re talking about, and uh the old concept of professional dangerousness arises where where people are you know experiencing their own vicarious trauma and then they can it can has a possibility of leading people into pref professional dangerousness. Um so I think a a community of communities as with the community of leaders that you’re talking about is actually a really ethical uh space. Um, yeah.

Megan: 22:09

And it’s an important point you raise as well, because if you think about it, the cultures of these workplaces for so long have been about that idea that it is hard work, but you need to just be tough and come and do it. And what we’re kind of talking about here is breaking that mold. And that takes time and that takes a bit of courage as well to put up our hand and say, hey, I’m actually finding this really challenging, or I’ve had a I’ve had a reaction to what happened yesterday. Um, whereas, you know, in the past it’s been a bit of a like, you know, something happened, like, you know, you’re tough, you can handle it, come back in the next day, we’re all okay. And we’re just trying to shake it off and pretend we’re all okay. But as you said, it’s that level of accountability and just keeping an eye on each other and making sure we are okay and that there is permission to go, you know what, it’s okay to have support, it’s okay to raise a challenge, um, and you don’t need to like we can break down that culture together of that tough come in and be tough and just you know shake it off in this industry.

Colby: 23:02

You’ve got to be pretty tough in this area. Um, the other the benefit, one of the benefits that we that it would be good if there’s not already to have really good stats that demonstrate this, um, because policymakers just love numbers. Um But I would imagine that uh staff retention um would be a a really uh um achievable outcome when you when you start from a place of supporting staff. It sounds counterintuitive, doesn’t it? Really? You’ve got vulnerable children, children in need, and the first thing you do is you is your is your work with the staff.

Megan: 23:45

I know it sounds like it’s counterintuitive, but it’s oh not this is the thing. Like, how can we show up and do this work as well as we can if we’re not coming from a place of strength and feeling well and having good processes in place? Um, but this is the hard thing of my work, Colby, I think a lot of the time is I feel like I’m trying to sell it to people and be like, you know, this is why you need this. Um and it feels a little bit crazy sometimes where you know I’ll meet with people and they’ll go, we don’t actually have funding for that. We need to put the funding into the kids. I’m thinking, well, if you’re having a revolving door of staff walking out, you know, that funding is just, yeah, you’re being yeah, you’re spending it on recruiting and hiring and you know, starting from scratch over and over.

Colby: 24:26

So yeah, it it probably and and you perhaps I guess do it, it it needs there to be some clear definable outcomes that you’re looking for with with um intervening at the staff level first or even at the leadership level first. I’ve got I’ve got a I’ve got a theory about this. Well, I it’s I mean all of my theories are based on experience, including the experience of others, myself, and things that I’ve read. So I wonder if anything is truly my theory. But one of the things that I’m aware of from the literature, um relevant literature uh on thinking is that we are um we’re problem solvers. We’re really good at identifying problems and and then trying to we’re very good at identifying the problems, but we’re you know, and then trying to come up with a solution. Now the solution may not always be um successful, but but we do we do notice problems. We’ve adapted in that way. Um and we’re not so good at noticing the things that go well correspondingly. We focus a lot on problems and fixing problems, and we don’t focus so in any kind of endeavor where you’re trying to achieve an outcome, people need to know what that outcome looks like, or else they won’t see it. You know, I’ll just see I’ll just see the problems that persist.

Megan: 25:59

Um, so I think it’s I think to add to add to that as well, if you look at the nature of this work when we support trauma-impacted young people, um, it’s a little bit crisis-driven, if we’re honest, you know, and so we become very reactive. And so we look for a problem, we solve that problem in the moment, and then our like it’s almost like we’re addicted to that fight or flight adrenaline as an industry where it’s like problem, problem, problem, you know, reacting, solving, and we’re not so good, if we’re honest, at slowing down and looking at strategic work and looking at the long-term impact of some, you know, some implementation of different things. Like, I know we are definitely in a better place than we used to be, and there’s lots of good work happening in this space. Um, but we can get a little bit addicted to the reactivity, and our decision making is sometimes pretty quick. Um, yeah, and I’ve seen that from a lot of leaders in this space as well, where you know, they’ll be like, all right, we need to implement this change and we’re doing it tomorrow. And it’s like, how about we slow down and look at you know what outcome we’re trying to do and how we’re going to measure that?

Colby: 27:03

Yeah, and ultimately trauma traumatised organizations uh are not good at um responding therapeutically to traumatised children. Yeah. But yeah, I can see what you mean about it’s it’s almost like it’s a sales, a sales job to to, I mean, leadership, leadership is the I guess in schools is the target, primary target. Um because leaders, yeah, set the tone of the of the school, as you say. Um have you worked out what works with the cell job that you’re prepared to share?

Megan: 27:39

To be honest, I’m not I’m definitely not a sales um motivated person when it comes to business, but I think ultimately um it’s just like just being out in the field and just talking to the people and sharing and having case studies, and like that’s that’s my approach, really, is like if I can share things that are helpful to people, whether it’s an article, a blog, a podcast, uh a little idea that’s worked in a school, um, that’s my approach. So it’s not very sales for sales focused. Um, but you know, if someone finds something helpful, then they’re more likely to think about well, how can we do this on a bigger scale?

Colby: 28:13

Absolutely. Yeah, and I think yeah, being a resource to school leadership um is a great place to start. Yeah.

Megan: 28:20

Yeah, yeah.

Colby: 28:21

Which is a nice we can I can segue a little bit away from that into what what do you think is the role of schools in helping children recover from early adversity, family trauma?

Megan: 28:35

It’s such a good question. And I find that this is a really interesting part of the work. Um, and I’m gonna start by saying I feel like a lot of empathy for teachers at the moment. Um, there’s so much different discourse around what a school does and what the role of a teacher is. And I think we haven’t started from the right place around what it what is the work, you know. When we look at being a teacher and coming into a classroom and supporting a group of young people and often a very large group of young people at one given time, we’re we’re supporting human beings, and those human beings are coming in with all of their complexities. Um, and I think initially what we should have been doing is actually thinking about talking about education in a way that supports that notion of I’m a teacher and I’m here to support human beings and they’re gonna come in with their complexity. Um, so yes, teachers want to teach their curriculum and they they absolutely want to execute those amazing lesson plans, and that’s what they’ve signed up for. Um, but I just think we’re doing a disservice in talking about education as solely that when we look at the complexity of human beings that come into classrooms. So I want to say that teachers do not have to be therapists, and it’s not about adding therapy training to a teacher’s workload. Absolutely not. Um, but I think it’s just about learning ways that we can work in a trauma informed way while we deliver that education. And I just wish that that was part of um. You know, pre-service teacher degrees and training is just a bit more knowledge around trauma-informed practice. Um, and then that way we would come in understanding why children might be behaving in particular ways in our classroom. So for some young people, school might be the safest place. It might be the place where they come in and they actually feel seen and heard and they feel loved by the teachers at the school. And so teachers can be doing life-changing work without even being 100% aware of that notion as well. So I just think anyone who’s working with young people has the opportunity to provide therapeutic moments without being a therapist. And so I just think if we all can put that hat on and just remember, young people are at the center of the work that we’re doing. The curriculum’s not the center, the young people are the center of the work that we’re doing. Um, yeah, and I just feel for teachers, I just really wish, you know, we spoke about it in ways where they understand that complexity before they sign up.

Colby: 30:56

It’s it’s kind of like in my in my uh field, the psychology of individual differences. So it’s that tension between um this is what we know about everyone, and this is what we know. So, you know, we could apply these general theorems or you know, uh this general knowledge to everyone. Um, but perhaps perhaps the the best of those statements is that everyone’s an individual. We need to tailor and adapt and and yeah, I mean it’s it’s what I think what you’re what you’re getting at, um, or what I’m hearing you’re getting at is that um early on it’s important to not only think about what you want to deliver, but just to think about the role. Think about the the role that you put you’re playing uh in the in the lives of the of the children and think about their experiences and how best to um adapt for each child. And uh I feel sorry for teachers too, because I could just imagine if I came in as a psychologist into a school and said, Well, you’ve got to adapt for each individual child, they would say we have 30 children in our classroom and half of them are experiencing this and other yeah, and so you know, and um that’s the thing as well.

Megan: 32:23

Like I feel like we don’t have to get overly complex about it. Like when we look at some trauma-informed practices, we can actually look at what’s called in education, like multi-tiered systems of support. And when we at tier one, that’s universally what we want to do for the entire class. So like we don’t have to make adjustments in tier one. Tier one’s what we provide for everyone. And lots of trauma-informed practice lines up really well with some of our tier one setup for our classroom. So things like having a circle time in the morning and having a chance to actually engage with everyone and see how they’re feeling, do a pulse check, regulation strategies for the entire class, just using unconditional positive regard in how we, you know, respond to behaviors that are coming up, clear expectations, predictable routines, like lots of these things will actually just support all of the young people in our class without overcomplicating it and going 50% of my students need this and 50% need that. Like if we can just get some of those basics right, we’re gonna see some change happen in classrooms as well.

Colby: 33:22

How did what’s the response you get to that?

Megan: 33:25

Well, to be honest, this is actually where I think I do get a lot of positive response from teachers because they are incredibly overwhelmed when they think about I need to do trauma-informed practice and curriculum and this and that. Whereas when I get a chance to actually map it with them and go, let’s map these tier one things that you can do for your entire class, like it’s almost like a sigh of relief of going, oh my gosh, I’m actually so relieved to hear there’s some things I can do just in my daily practice without getting too individualized and overwhelmed.

Colby: 33:54

Do you think it matters who delivers that message? Um, so I’ll give you two examples. You delivering that message, or me as a clinical psychologist with 30 years experience working with these children, developing that uh delivering that message. Do you think it makes a difference?

Megan: 34:13

It can for sure. I think because I’ve walked the classroom experience that sometimes it lands because of that. Um, but I I’m just imagining the power of us delivering that message together, Colby. That would that would be so impactful.

Colby: 34:28

I dare say, um, I always say when I’m when I’m working at school, and just just just to let you know that I’ve written a program for schools. I have I have rolled it out here. It is rolled out, it’s not rolled out widely here. In fact, um when I applied as part of this SA government’s um, they had a scheme to deliver trauma-informed uh practice across schools. Um I’m I’m I’m happy to put my hand up and say that I I didn’t win the tender. I wasn’t a successful tenderer um for that, which um I think there’s a bit of a story in relation to that. But net nevertheless, I have still worked with schools um a lot over the past 30 years, um, less so these days because of that initiative. But but I have a program that is rolled out in schools in Ireland.

Megan: 35:23

Amazing!

Colby: 35:24

Yeah, it’s like but you know, an artist is never known in their hometown.

Megan: 35:30

I find it’s quite funny. Australia’s funny like this, actually. Like I I agree, like there’s sometimes where I’ve seen some um some colleagues who’ve been really successful in the UK, yeah, um, but they’re Australian-based, and then they, you know, there’s certain networks they try and get on in Australia, and it’s like nut, but the UK said yes. And I think, yeah, there’s just different processes and approaches, I think, to to yeah, how we go about it in Australia. We’re very very red tape over here.

Colby: 35:56

I yeah, and also though, I think I just think that whatever’s exotic, you you know, we’re drawn to what’s exotic. So I I I can’t I I feel conflicted when I hear that someone is coming from overseas and they’re rolling out something in my local jurisdiction that I could do, I’m conflicted because I’d like to be doing it in my own local jurisdiction. One, but I also know if I went to their jurisdiction, they would probably find me more attractive in a sense, in an exotic, you know, from overseas sense than than that person that’s come to my jurisdiction. And certainly I find that in Ireland and the UK, and especially in Ireland, um, you know, some of the most validating work I’ve done has been the overseas work because yeah, I think there’s that that bit that goes through it. Anyway, I think I think we digress. What I was going to say is also like I think it’s really important to just ignore. I think part of what’s helpful for someone like me to engage uh teaching staff in a school is to first acknowledge the limitations of my experience. So I’ll I’ll often say, look, I I’m not a teacher, I didn’t train as a teacher, I have never, it’s not true that I’ve never ever taught a class in a school, because I have. I’ve been invited into my my son’s school to in their psychology, year 11 psychology, but for a little bit. But basically, I’ve never taught I’ve never taught in a school, I’ve never worked in a school. That’s also not quite true. But anyway, my point is I’ve I’m not, I haven’t lived and breathed what you have.

Megan: 37:42

Yeah, but you you bring up extra knowledge as well, though, that like that’s the thing. So we can learn from so many different people from so many different angles as well. Um, and I’m sure there’ll be teachers sitting in your training that will like that light bulb moments will be taken. And as long as like part of the message or just one practice is taken, then you’ve made a big difference as well.

Colby: 38:01

Yeah, so well, thank you for saying that. What I what I do say is that I know the children very well.

Megan: 38:07

Yeah, absolutely.

Colby: 38:08

Because I’ve been working with them therapeutically for 30 years, yeah. That’s my primary work, and um yeah, and but I still, you know, it’s still I guess we all would get the people that we meaningfully engage, and then there’s the ones that um yeah, that it it would be harder to achieve that.

Megan: 38:28

Yeah. Well, I’m curious, Colby. What’s your main message to teachers? If you can like I’m I’m now firing questions back to you, but I’m just curious what’s this is my podcast. But what’s your main message if you can sum it up like briefly to teachers, you know?

Colby: 38:43

I thank you, because um I love to talk on my own podcast. Um it’s interesting. I what you said about um you’re always you’re already doing things that will help, it really resonates with me, and really I’m a I often say I’m a simple man with a simple message. My I think that um change changing your approach. So if I’m talking to foster parents or kinship carers or or residential childcare workers or social workers, you know, any of those audiences that I might speak to, teachers, it’s very hard for them to change their habitual approaches to the work. And in fact, their habitual approaches to relationship and relational connection and how we how people approach their roles. And in action, there’s a there’s a statistical phenomenon called regression to the mean, and I sometimes talk about it in this term, which is which basically means that people you can get some people to mobilize a bit of extra effort to change a behavior. The most likely outcome, though, in any behaviour change process is that people will end up back to where they started slowly, they’ll make a change and then they’ll slowly tail back to where they started. And so the message of that for me has always been well, you’ve got to work with where people start. What do they already know and do that helps? So my message uh can be summed up in the acron several acronyms, but the one that people seem to like the most at the moment is aura, where I’m not talking about aura in a well, it is a metaphysical sense, but not the new age sense. That an aura is is def is defined as the felt quality, uh, the person’s experience, one person’s experience of another person or a place, how it how it feels to them. And it it’s also really I I actually came, sorry, now I’m on the I feel like I’m on the Wagtail podcast, but um I came up with this. I was laying in bed one morning and I was just thinking about the concepts that I routinely think about in this space, and and and it dawned on me that you could put them under this aura acronym. Accessible, understanding, responsive, and attuned. Um paying attention to children, teachers do that. Yeah. They know and part of being accessible is noticing or anticipating that a child may be having difficulty and getting in before the child does anything to um to secure attention or get out of what they’re doing. Uh, understanding means just you know acknowledging the child’s experience in our words, in our actions, and in our expressed emotions, our actions, responsiveness, it can be um uh turning our mind to what a child needs from us at this time and just and and offering it proactively. With children and young people who are recovering from a tough start to life, proactive is much better than reactive if because because they feel often feel like they have to control and regulate adults. Your cut through that is that you do things proactively so that they have a different experience. So it’s not you only did that because I did something to make you make it so, rather, it’s um oh, you noticed that I needed that from you. And the last one uh the A in aura is attuned, which is about empathic acknowledgement, really. Just you know, not don’t try and um present an entirely different uh affective presentation to that of the child. The reality is we all have instinctive empathy, well, just about all of us do. Um and so when if a child’s upset, we’re likely to be upset. If a child is happy, we’re like to be we’re likely to be happy. We don’t have to suppress our emotions. What we do though is we we show a bit and then we regulate back to a karma space, and children will follow that. So the that that is a very and these are all very natural parts of of um relationship building and caregiving, being accessible, being understanding and not uh responding and being attuned. We all do it. We do it we do it when the kids are younger, especially we do it for babies. Yeah, and then as babies grow up, they go we say use your words, yeah, and we start to we we we start to be less proactive and more reactive, and it’s part of just socializing our children in the ways of the world. But traumatized children, hate using that term, but children have experienced trauma in the home, their uh their their uh development is start often start way back. Or they’ve got this kind of Frankenstein development in a sense where there’s all these holes in it. You know, they they’ve never that for example, they’ve never had um consistently enough, often enough, the experience of being in the mind of an adult. You know, that they’ve never had um the experience that adults come when needed, that you can tolerate being separated from them because you know that they exist and that they will come when needed. There’s all sorts of ways in which early family trauma and neglect is part of that, impact development, and so they end up with this kind of weird hybrid level development that I think just start at the beginning basics, which is I think consistent with what you’re saying. Start at the basics, yeah, and progress and see how you go from there. And I I think you get along, you go a long way, easier for the staff, and the kids are less reactive to it because it’s all it children who go all children have experienced some level of care, they haven’t been raised by dogs or whatever. Well, you know, that maybe um dogs make I don’t dogs don’t make good parents for children, they make good parents for dogs, but and good companions, but not necessarily parents. Yeah, that’s right. So I I mean, if you start at the basics, they’re not unfamiliar to children.

Megan: 45:28

Yeah, yeah.

Colby: 45:30

If they’re unfamiliar, if someone tell comes in and says you’ve got to do this suite of really, you know, newfangled, sophisticated things, one teachers or f teachers, foster parents, kinship care, anyone will find it hard to implement and sustain over time. And the problem with it not sustaining over time is inconsistency. Inconsistency just rolls the kids up.

Megan: 45:54

Yeah.

Colby: 45:54

So if you start doing something, then you give it up, they’ll they they don’t know what to expect of you. The other thing is that the kids don’t like change, they’re reactive to it. So the teachers go, that this idiot Colby Pierce, he told me to do this, and then we, you know, and then we had to evacuate the classroom as you know when chairs started flying and whatever, it’s just too much. It’s too much. So dose is important. Okay. So maybe we should release this podcast under both Wagtail and Secure Start.

Megan: 46:32

Brilliant answer though. And I like a lot of what you were sharing, like I often say to teachers is um we don’t know what experiences these young people have had over the weekend or that morning before they come into our classroom. But we know what experiences we can give them before they leave for the day. And if we do that every single day, so if we’re just having a couple of positive interactions, we’re saying their name, we’re greeting them in the morning, where you know, we’re pretty consistent in the way we’re supporting them when they’re having a challenge. We’re actually helping to send those messages to them that adults can be safe. Because here’s an adult doing it five days a week, week after week. And over the course of a year, you’ve actually sent some pretty strong messages to that young person that’s going to change their perspective and their experience of adults.

Colby: 47:16

And I think, yes, uh, look, there’s there’s so much going through my mind, and I don’t want to go off onto a long, uh, a long answer, but um I recently had um Ben Perks on the podcast. Now he’s the global head of policy and advocacy and child protection at UNICEF. And he he’s written uh his book is fantastic. It’s just a cracking read. I love it. And but one of the things he he grew up in children, he was relinquished by his parent or parents and grew up in children’s homes in pretty kind of the it sound without going into a lot of detail, it sounds like you know, some of the worst experiences of being in children’s homes that young people can have. And he’s got a you know, he’s got a a massive global role now in UNICEF. Yeah, he’s he’s had a spectacular career from kind of like children’s home, young offender, delinquent kind of uh thing to to here. And anyway, the the the punchline in this story is it started with a teacher. And and and I I think it star it it does start with one adult who just stops and um thinks thinks about this child, holds space for them, keeps them in mind, responds to them proactively. And now and if you can get a whole school focused on this is how we’re going to be with any child we interact with in the school, simple basic things, acknowledging, empathic acknowledgement of their experience, uh responding to their needs proactively before they have to ask. That that that has great power and and you need it because often parental in child protection out of home care, too often um the relationship with birth family is is fra which is fractured is not repaired.

Megan: 49:24

Yeah.

Colby: 49:25

So you need lots of good relational experience for young people to compensate.

Megan: 49:33

Yeah, I heard someone refer to it actually as needing a like a patchwork quilt where we’re all adding a patch to the quilt. And that that’s what a young person who’s had a fractured home life and has lost that sense of the birth family. It’s a patchwork quilt approach where they need multiple people adding to it.

Colby: 49:51

Yeah, yeah. You’ve said a little bit about what you recommend. I’ve I’ve said a lot, too much. Some people will say, we come on and listen to this podcast, Colby, to listen to your guests, not to you. Uh, I know so I can already anticipate one particular person who uh uh regularly I regularly speak to about this podcast, who’s gonna say, Colby, won’t you just, you know, not but you did ask the question.

Megan: 50:17

I did ask the question.

Colby: 50:19

Yeah. Do you is there I wonder if there’s anything else that you think it would be important to say in the as part of this conversation about how we make schools places of healing as well as learning?

Megan: 50:33

Yeah, it’s such an interesting one. I feel like the education system likes to do a bit of a pendulum kind of swing where we focus on one thing and then something else. Um, and I feel like about 10-15 years ago, we’re getting really good at going well-being’s really important, and now we’re pendulum swimming back the other way and going, let’s do rote learning again, and science of learning is the main focus. And it’s like they both coexist, they both have to be there. Um, so I think just giving teachers a chance to hold both, and the priorities don’t have to keep swinging from one to the other. But the most important thing I think I will say is we need to change the discourse around teacher well-being to start, and here we go again about it. But ultimately, it’s hard work, like teachers are, you know, it’s a challenging job. And here we are talking about trauma-impacted young people coming into their classrooms as well. And so I think we actually need to be proactive around thinking about teacher well-being. And there was some research that came out, I think it was in May, from um Adam Fraser and a couple of other people at Deacon around secondary traumatic stress being really high in educators. Um, and so, you know, like we need to acknowledge that and say this is real, this is part of what teachers are facing. So let’s plan for that. Let’s not just assume that that’s not going to happen to the teachers in our school. The stats are showing it’s happening to the teachers in your school. Um, so let’s like acknowledge that that’s a real thing and plan for that. And let’s actually look at how the industry could have more effective debriefing, more effective, you know, peer support circles, like we’ve spoken about. Um, you know, supervision would be a dream for educators. And but I don’t want to plant seeds that can’t be watered or grown in any way. But I know principals, some principals have access to that, and some alternative schools have been implementing supervision. So just making sure we’re actually putting supports in place and then we’re training teachers effectively to actually navigate trauma-informed practice in their classrooms, they’re going to feel a lot better for it. So I think that that’s the starting point, really.

Colby: 52:33

Yeah, it’s hard, it’s hard to get across that uh kind of like a primary prevention method uh message, isn’t it? Where, you know, so one thing, you know, there’s a number of things that came up in in what you were saying, but one thing is that if if let’s say if you want to focus on learning outcomes, you need to acknowledge that children learn best when their central nervous system is regulated and they learn best from people that they feel connect relational connection to. Correct. And so some children some children resist relational connection, and uh so we need to find ways to connect with them. And and I also so that’s you know, with learning outcomes, I also want just wonder about the the cost to society of teacher burnout. And even if not teacher burnout, see again I come back to Ben Perks and his book, and he t he tells lots of stories about parents and and children, some of which are factual and others are um uh fictional, but but making a point. But you one of the kind of things that gives you chills when you think about it is you’ve got a teacher who’s burnt out at work but is a parent themselves. Like that’s it, there’s social costs in all of these things, and they don’t necessarily uh fall nice and neatly into all the buckets that that that you know that the government has, and this is the education bucket, and but if you if you burn out teachers or you know, or burn out child protection workers notwithstanding the their their best uh endeavors, you you create a scenario where they’re not at their best in all walks of their life.

Megan: 54:29

Yeah, yeah. And this is what we ignore sometimes too, is just like how trauma is actually we’re very interconnected. And like the way our systems and our society is structured and set up is actually, you know, perpetrating trauma into our society as well. And we have parents who are quite isolated while they’re trying to parent because our structure of society is all this independence and you know, managing the full-time job and then managing the household at the end of the day. And you know, people are actually, yeah, quite isolated a lot of the time too.

Colby: 55:05

Yeah. Only we can change the world.

Megan: 55:10

I know, but we can bit by bit, we can change, you know, maybe just the experience for one child at a time, and that’s changing their world at least.

Colby: 55:18

Well, this is um well, a point that I would make further to that is that if you can change that child’s world, you can you you have uh there’s a strong possibility that you’ll change the the the life and experiences of a life partner, of their children, and of their grandchildren. So that it by intervening there’s that there’s a social capital. I had an earlier guest who was very interested in social capital, uh, Graham Carrige, um, another good podcast to listen to. But he, yeah, the what came out for me out of that conversation was just that that ongo, you know, that ongoing benefit to society. And then on the flip side is that if you don’t if we don’t do anything about this. I was only thinking about it this morning, actually, that with child protection systems is that each child who comes in to child and and and grows up in in child protection system in a child protection system and out of home care system. How many child and and if nothing therapeutic, if they’re if their life course is not um changed and you we’ve got that intra intra intergenerational transmission, that it’s a big problem. Then child protection will never shrink as a problem because they’ll have uh multiple children, likely they’ve all gonna have similar histories, and it and it just it’s like a snowball, it just gets bigger and bigger. And I do, I personally do think that school it’s been very difficult for me over the years at times to to get the message across, but school is is after the home environment is is is the place where children get the biggest dose of relational connection, not just with teachers but with other kids as well. The the original notion of the takes a village included the children in it. We’ve kind of uh truncated a bit to say a village of adults, but it was a village in the true sense with with children as well, and that’s got implications, I think, for you talked about belonging earlier. Um, it’s got implications in terms of how we manage children’s behaviour, you know, what are the consequences and how do we foster belonging in a system that excludes children for misbehaviour?

Megan: 57:53

Yep, absolutely. That’s exactly why I dived into that area in my masters, really. Wanted to prove a bit of a point that, yeah, just that sense of belonging can be a life changer. And it’s the same when we look at out-of-home care as well, when young people are moved from home to home, house to house, when we have what would call placement breakdown. I hate the word placement as well. Um, but just the impact of that, if we’ve got children moving from home to home and then school to school or excluded from school altogether, well, the impacts are actually, yeah, really, really awful.

Colby: 58:24

Some would say they’re the worst, they’re among the worst things we can do to children. Placement or, you know, homesetting breakdowns, family, yeah, over and over and over. Yeah. And and you could equally, not equally, but you could similarly apply that to school.

Megan: 58:42

Yeah.

Colby: 58:42

I remember um um my father my father was expelled from school. Um many, you know, back he’s not alive anymore, but many, many um decades ago, in the atten, for the the teacher threw a chalk duster at him and he threw it back at the teacher and he was expelled. So this is back in the 1950s, late 1950s. Yeah, and that that never left him. That that was like an attachment injury. He he yeah, he ne he was he was always highly sensitive about that.

Megan: 59:20

Mm-hmm. Yeah, and what an awful experience too, and it just really highlights that dangerous power dynamic that was very strong in the 50s, but can still play out today, where the teacher had the power and was okay it was okay for them to throw something at the at the child, um, but then the child does something that we don’t like, and it’s you know, that power imbalance is huge.

Colby: 59:40

Yeah, yeah. Um Richard Rollinson, he he ran uh and has continued to be a significant figure in the mulberry bush, the uh therapeutic community in the in the UK.

Megan: 59:54

Yep.

Colby: 59:54

Um, he says he talks about how the schools help children. helps children to live with themselves and to live with others.

Megan: 1:00:06

I like that line.

Colby: 1:00:07

And yeah, I like it too. And he um and he talks about the power of we. We don’t this is not something that we do here. You know what we do is this. This is how we treat other people. We we where whereas so there’s that always that sense of in our language of community.

Megan: 1:00:31

Yeah. Yeah. And what’s okay for young people is okay for adults and what’s you know what I mean? Like it’s we have these like sort of unfair expectations sometimes of young people that we think the adults are immune to and it’s like no in a re in a true community we just have values and we operate by those values. And that’s everyone.

Colby: 1:00:51

And although it’s a very powerful way to intervene what we want is people to be we we want people to be motivated to can to um follow the the the norms of the of the group rather than to be fearful of of um exclusion from the group. That’s always there. That’s always a bit of a but you want the predominant thing to be you know I want to I want to stay part of this group. I want to be motivated I’m motivated to be part of this group. Yeah. Yeah. Any final things that you’d like to points you’d like to make about um this discussion or the or the work that you do?

Megan: 1:01:38

Yeah really good question. I think um I mean we’ve covered so much today but just if there is anyone listening that is doing this work it’s I think we’ve planted a few good seeds that like it is such important and beautiful work um and that you are you know making a difference in young people’s lives. So just make sure that you do have those um support systems in place and just thinking about you know the way that we’re showing up and how we’re looked after in the work as well and just so we can sustain ourselves to do it long term would be the main thing I think. Yeah great terrific well thank you Megan for being on the secure start slash wagon thank you so much Colby honestly it’s such a privilege to be invited and honestly yeah sorry for firing questions back you as I said I like to learn from people as well so I was picking your brain I think that I think the most uh uh telling thing was that that you only asked one after my response yeah there were no more well thanks again thank you might speak to another time sounds good

Building Trauma-Responsive Care – A podcast interview with Richard Cross

What if “care for the carers” is the real key to healing children? Richard Cross unpacks attachment, containment, and why residential care isn’t always a last resort.

Why caring for carers is the first step to healing children

The conversation with Richard Cross traces a clear through-line from first principles of attachment to the practical, daily realities of caring for children who have lived through repeated adversity. The central idea is disarmingly simple: care for the carers as deliberately as you intend to care for the children. When organisations build genuine containment for staff—through reflective supervision, stable leadership, and shared language—adults think more clearly, tolerate uncertainty longer, and respond more humanely. This is not abstract. It shows up in fewer reactive decisions, more patient attunement, and a culture where difficult feelings are metabolised rather than acted out. Richard’s pathway is parallel by design: a staff pathway that mirrors what we want adults to offer children—holding, reflection, and growth—so that therapeutic care becomes a living experience rather than a manualised aspiration.

This lens also reframes how we choose care environments. There’s a prevalent belief that family is always best, and that residential care is an option of last resort. Richard challenges this. For some children—especially those phobic of family life due to traumatic family histories—early, high-quality residential care is the right first option. It offers increased containment, predictable routines, consistent relational responses, and an integrated team that can share the emotional load without burning out a single carer. Used early and well, residential care is not a cul-de-sac. It can be a structured bridge that shortens the overall care journey, stabilises education, restores trust, and improves placement matching into foster care when the child is ready. The cost argument fades when we look beyond a single year and count the human and financial toll of repeated breakdowns.

Translating theory into practice depends on leadership. Trauma-informed care is not a leaflet or a one-off training day; it is a culture choice repeated under stress. Richard starts with directors and senior managers, setting an honest expectation of a long journey. Leaders must protect time for reflection, model transparent communication, and respond to crises without abandoning the principles that keep the system humane. Shared language is the glue—terms like containment, emotional holding, thinking-not-acting, and amber flag meetings give teams a way to notice patterns, signal risk, and convene quickly to think together. Staff need spaces to explore triggers, write safety plans for themselves, and acknowledge that not knowing is often the wisest starting point. Tolerating uncertainty creates room for curiosity about what a child’s behaviour is communicating, rather than rushing into control strategies that escalate distress.

Integration across services magnifies healing. When residential homes, foster services, schools, and clinical teams all use the same concepts and responses, children experience adults as consistent and coordinated. Anxiety drops when staff don’t contradict each other, and when ideas flow freely across settings. Practical structures make this real: cross-service supervision, shared formulations, and “amber flag” meetings anyone can call when pressure rises. These routines stop fragmentation before it sets in and keep the system relational. The message to commissioners is equally clear: bring psychologists into placement planning, invest earlier rather than later, and track outcomes credibly so trust grows. Evidence from practice shows that the right residential intervention can reduce total time in high-intensity care, improve education continuity, and increase the success of subsequent family placements.

Mentorship underpins all of it. Richard’s story threads through good governors, supervisors, and collaborators—people who stood at his shoulder while he learned to hold complexity without panic. That’s the same stance we need for staff stepping into tough roles, and for children learning that adults can be steady, honest, and kind. The north star remains attachment: safety, proximity, and reliable responses that let minds turn back on. When organisations embody that for staff, staff can embody it for children. That is how cultures change, how placement breakdowns slow, and how healing becomes less about slogans and more about daily practice that holds firm when it matters most.

Listen here:

Watch here:


About Richard:

Richard is a UK Registered Psychotherapist and Child Psychotherapist.

His career for over 30 years has focused on working with relational approaches in areas associated with attachment, trauma and dissociation.

Richard’s early career was focused on developing relationally based treatments within correctional environments to reduce recidivism, as well as managing democratic prison-based Therapeutic Communities for high-risk adult life-sentenced offenders (HMP Dovegate, England).

Richard collaborated with Sandra Bloom to introduce the Sanctuary Model to the UK in 2004.

Since then, Richard has developed an interest in trauma-responsive models and continued his focus on Therapeutic Communities, exploring how to bring these aspects to life in organisational cultures. One example is a multi-component approach called ATIC (Attachment and Trauma-Informed Care), which is now harnessed across multiple residential child care homes. 

Richard is actively involved in research and innovation, and he also provides consultancy services to organisations, and training to qualified mental health professionals. 

Richard is Director of Clinical Services at Five Rivers Child Care & Midhurst Children’s Therapeutic Services, where he leads teams of psychologists and psychotherapists. He is also a Fellow and Faculty member of the International Society for Trauma and Dissociation, and serves as a trustee of the Bowlby Centre in London and The Consortium of Therapeutic Communities (TCTC).


Related Podcasts:

If you liked the conversation with Richard, you may also like:

My Interview with Patricia Sheridan of Moore House:

You may also like my conversation with Dr Kevin Gallagher:


Transcript:

Colby: 0:00

Welcome to the Secure Start Podcast.

Richard: 0:03

There’s something about having a really good mentor, having a good individual who can create the space for you to think, grow, and develop and wrestle with some of these tensions and unknown elements that can often come around in the world. It’d be great if you could put an old head on your own shoulders, but the reality is that that can never be the case. So we need to go through this. Through this process of learning. It’s that experience that we have someone there that’s going to stand by us through that process of learning, through that process of growth. It’s so reassuring, and we don’t want to care for the staff equally as much as we do the children. We often see the graduates of within the home having other children in mind. I speak to leadership and management, but what’s that going to mean in terms of the leadership style in the organisation and the culture that’s going to permit staff to be able to move to a place where we can truly use the structures and attachment to twelve and form. And we start to think, to learn, to grow, to develop. But if people think twelve and four care to be responsive is easy. It’s not. To be able to deliver this and to be able to do it, so it’s created as a living experience for the staff and a direct experience for the children. It takes a lot of courage and bravery because people need to go and think about hearings and would not really think of it. Foster care can be highly effective for those children who have anaphobic about family living. You know, the great thing at the moment is that five of us is changed caring for over a thousand children, and then the much of it those children are in foster care. Very happy, really good outcomes, you know, great foster parents, you know, doing great work. But there is a group of children and young people that are still the BO them to identify when residential the residential environment is the environment that’s best for them.

Colby: 2:25

Welcome to the Secure Start Podcast. I’m Colby Pearce, and joining me for this episode is a leader in therapeutic and social care in the UK who has a particular focus these days on supporting those whose therapeutic task is to support children in need. Before I introduce my guest, I’d just like to acknowledge the traditional custodians of the lands that I come to you from, the Ghana people of the Adelaide Plains, and acknowledge the continuing connection the living Ghana people feel to land, waters, culture, and community. I’d also like to pay my respects to their elders, past, present, and emerging. My guest this episode is Richard Cross. Richard is a UK registered psychotherapist and child psychotherapist. His career for over 30 years has focused on working with relational approaches in areas associated with attachment, trauma, and dissociation. Richard’s early career was focused on developing relationally based treatments within correctional environments to reduce recidivism, as well as managing democratic prison-based therapeutic communities for high-risk adult life sentenced offenders. Richard collaborated with Sandra Bloom to introduce the Sanctuary Model in the UK in 2004. Since then, Richard has developed an interest in trauma-responsive models and continued his focus on therapeutic communities, exploring how to bring these aspects to life in organisational cultures. One example is a multi-component approach called Attic, Attachment and Trauma Informed Care, which is now harnessed across multiple residential childcare homes. Richard is actively involved in research and innovation, and he also provides consultancy services to organisations and training to qualified mental health professionals. Richard is Director of Clinical Services at Five Rivers Childcare and Midhurst Children’s Therapeutic Services, where he leads teams of psychologists and psychotherapists. He is also a fellow and faculty member of the International Society for Trauma and Dissociation and serves as a trustee of the Balby Centre in London and the Consortium of Therapeutic Communities. Welcome, Richard.

Richard: 5:18

Thank you. Thank you so much, Colby, for that very warm welcome. And it’s really good to be here.

Colby: 5:24

Yeah, and look, it’s lovely to have you and thank goodness for the technology. Otherwise, uh be coming from a different uh well, I’m in the future for you, um, because I’m later in the same day. Um, and and also this technology uh allows me to sound very professional in the opening, even uh if you had to sit through a couple of uh blooper worthy moments there. Now, Richard, is there anything um that you’d like to add to that um that short bio I just uh gave of you?

Richard: 6:01

No, naturally, that’s that was that was very kind for you to share about a little bit about my developmental work history there. Uh but naturally it can’t cover off uh everybody that’s been really supportive of the thinking and innovation that I’ve had the privilege to do because often it takes organizations and systems a leap of faith to consider doing something something new or innovative.

Colby: 6:32

So yeah. Yeah, well, I I want to I do want to um talk to you as we go through about um about individuals, organizations that that that have um uh been influential, I guess, in in uh your career to this point. But I guess I’m wondering in the first instance, maybe if you can tell us a little bit about how you got into this um this space, this space. Uh you might even uh have some other words to describe the space you occupy uh in your work.

Richard: 7:11

Yeah, it’s fascinating when we end up at a destination. We often think about how did we get here, and I think for many people that getting gets involved in thinking about how to supporting children and young people, often there’s a real benefit to think about port supports being our motivators uh to engage in the task, and I’ll sometimes even help the care staff and the people that I support to really think about joining the dots around us. Uh personally uh yeah, you know, I had uh I think one of the driving forces was thinking about the key significant peoples in my early development that supported me through what wasn’t uh uh a particularly easy time coming into the world and uh starting starting off in life, and those experiences really stuck with me. So when I uh left the military in uh 1991, I left the services uh the Navy. I thought, what is it I’m gonna do? And for some unconscious reason, I I ended up working in young offenders. That was my first sort of task. That started off as a prison officer. Uh but very quickly within I think it was six months, I had this really supportive governor, uh, somebody called Dan Gunn, who uh MBE who uh supported me to go on my journey to become first qualified in psychology, but then start up my route to become a psychotherapist over the over the preceding 12 years and get some, you know, and then I got involved in the programs and the like. But yeah, so yeah, there’s there’s uh I often reflect on how I ended up, but there was something that was driving me to think about understanding the needs of children and young people. Uh even back then, it was thinking, thinking be sort of beyond what the label was back then, back in the 91 when I first joined the young offenders. It was all about the young person who committed a certain offense, which which is important. But quite early on, I was thinking, what is it that we need to do to think about what happened to this young person? What was the drivers, what was the antecedents for them to end up in their journey to end up in the young offenders? So yeah, that was that’s a little bit about my early embryonic sort of foray into the work.

Colby: 10:10

Aye, aye. And um uh was is there through your um uh your career since then, you’ve you you hinted at before that there’s been individuals and organizations, I guess, that have been willing to give give things a go or give give your ideas and innovations a go. I’m really excited to have you on because um I said the magic word when I in your bio, uh, which was bulby. And uh I think I think early on in each podcast, I I tend to ask people um about what theoretical orientations um uh influence their work. And I’ve been waiting for someone who who to uh who obviously um has drawn on attachment theory um probably similarly, uh if not uh more than I have done in my own career.

Richard: 11:08

Yeah, John John Bowlby and the subsequent pioneers. Uh because often thinking has its origins, and hopefully then there’s there’s others that can come after and pick up the bat and uh and carry on these these areas of development and thinking, and just as John Bowby’s uh theory is and uh and all uh and also pioneers about the social mind as well. Uh Colin Trif Island, for instance, uh there’s there’s been so many pioneers who who who create idea. Uh so John Balby was a very significant influence in my early war. That’s in part that was why I chose to go and they support places like the Balby Centre in London, but also thinking about how that relational aspect about how it can be applied not only to the practitioners themselves, thinking about their relational aspects in the work and the therapeutic task, but also thinking about the tasks with the child or the young person. Yeah, it’s very important, and I think the whole notion that John Bowlby brought, and I can remember watching his very last interview that was filmed, he uh he often said he had a regret about not incorporating as much as he wanted around the whole notion of trauma. He did move the theory away from the fan this notion of fantasy into the reality, but he had this element uh in his last interview with Peter was saying that there’s so much we need to do in terms of hearing what the children are bringing to us and and understanding that context in the relation of adversity. Uh so yeah, John Bowlby is a very influential person, but so so has been the people that I’ve had the privilege to work with. Uh so I can remember back in uh 2003 I was presenting at a conference in Scotland, uh, and at that time it was presenting on attachment, it was called broken bonds. Uh and in the audience was somebody called Sandra Bloom. And I’m fascinated when we’re passed cross, just like we’ll pass across in today, Colby. Uh when I pass cross with like-minded people, it can often create an energy to think about how we can collaborate and work together. So that was a significant experience for me because I was speaking about things like essays, the importance of the therapeutic relationship within residential childcare. And some of these concepts back then, because that was before trauma informed ideas were in the UK in a big way, it seems to just have become massive like overnight. But in the audience was Sandra who had uh developed this model, and it was great to be able to collaborate with her uh and and and bring that to the UK, which was great.

Colby: 14:32

And that was the sanctuary model.

Richard: 14:34

That was a sanctuary model, and I suppose at that moment, 2004, that had been after I’d my path had crossed with with uh someone called Roland Woodward who uh developed a democratic prison-based TC called HMP Dovegate, and he gave me the opportunity of being the therapy manager for a 40 40-bed therapeutic community. And I wish I could bottle experiences sometime to to give people an experience because to be able to work and manage a team in a therapeutic community for a period of time uh and embody principles like containment and management of anxiety and start to understand how these ways of working can be really effective in turning people’s lives around. Uh it would be because sometimes I feel it’s really hard for people to understand how cultures need to be in a live and breathing way, unless they’ve experienced it. You know, I used to say have faith in the process, uh but that can be difficult if you you haven’t experienced what a process is. And uh I’m going to say thank you for like to roll in because he was there’s something about having a really good mentor, having a good individual who can uh create the space for you to think grow and develop and wrestle with some of these uh these tensions and unknown elements that can often come around in the work. Uh yeah, there’s so many people I could actually say thank you to, you know. There’s I’m sure everybody is that what’s in this field, you know. We’ve like we’ve often had somebody, I’m gonna say something about Bulby here. Uh we’ve often had somebody that’s been at our shoulder that can help and support us in our work, particularly in the early, you know, the early foundational stages of our growth into either being clinicians or therapeutic residential practitioners. We’ve often had somebody at our shoulder that’s that’s embodied that confidence to then go through the professional maturation process, as I call it, to get to a point we can feel more comfortable in the task.

Colby: 17:03

I’ve I’ve I’ve kind of referred to it when previous guests have brought it up as the importance of had people who have confidence in us until we have confidence in ourselves.

Richard: 17:16

That’s that’s such a nice way of putting that, you know, that whole notion that uh and I think this is what children and young people need, you know, this this intentionality that we believe in someone, it’s it’s uh it’s often the unspoken though. It’s like it’s that experience that we have someone there that is going to stand by us through that process of learning, through that process of growth. Uh it’s so reassuring, and and it can automatically reduce anxiety because often that is that’s the critical element that I feel that I’m day-to-day. It’s like it’s my day-to-day task almost of being the being the processor of anxiety from like for staff, creating spaces where they can sit and gain their confidence and tolerate uncertainty and uh yeah, develop that understanding. That’s a nice, very nice way to put it, Colby.

Colby: 18:17

Yeah, well, thank you. I I I had these moments every now and then, but um I I’d forgotten about it until you were talking just then. But um uh you I mean, you’re obvious you were also talking about containment when you were talking about holding on to and and processing other people’s anxiety. So I I sense that containment theory and perhaps the work of Beyond has also uh been of some um well thank you.

Richard: 18:46

Yeah, I’ve I was I was so lucky I had a supervisor for a long time called Bob Hinchelwood. Uh he’s a professor and he’s a psychoanalyst, and uh often that transfer of knowledge and wisdom. I used to have like my first supervisor used to say uh it’d be great if you could put an old head on young shoulders, but the reality is that that can never be the case. So we need to go through this through this process of learning. So yeah, Wilfred Beyond, he was uh when I got involved in therapeutic community work, I used to prolifically read the texts about the origins of TCs, you know, Northfield experiments, you know, thinking about how Beyond, Tom Main, uh Maxwell Jones. I I really like his ideas of the social, the social environment as well. Uh there’s all these active ingredients and knowledge that people have people have identified and brought that we can think about bringing to life, and there’s often interconnections as we know, so so Beyond’s work on containment is really connected as well to Donald Winnicott and that notion of emotional holding, as Winnicott called it. And Winnicott naturally worked with Barber Docker Drysdale. So sometimes when we look, you know how we’re talking about people’s past crossing. Often, often there is the crossing and history of uh how knowledge is then translated from one to another. So, yeah, containment, emotional holding, thinking about how we can use the day-to-day environment effectively for the therapeutic task and all that’s been the foundation of my work, yeah, for many years.

Colby: 20:43

And what one of the things that I often say about Balby is that he was not insular or siloed in it, you know, in the way that so many can be. Um you know, in his time and and and more recently, he was drawing on work from other areas of endeavour and integrating it into attachment theory. So attachment theory is an integration in a way of multiple areas of endeavour. Um and I just go off like I’m sorry. No, no, you say, you go ahead.

Richard: 21:20

No, it’s interesting because if you ever, you know, if I don’t know if you’ve ever been to the Taverstock clinic where Bowby was based, uh in London, it’s a you know, it’s it’s still a center of psychoanalytical thinking. But but even back when Bowlby arrived, and often often a new theory when it emerges, it’s there’s often a there’s often a rejection, there’s often a pushback. And I find this is a fascinating dynamic, particularly in work around children, because often children we can be very clear about their histories and why they’re having to get the supports they’re needing, but often just like theories are often struggle with. I think in general, this notion about attachment theory, thinking about how we handle that. There can be a bit of a bit of a wrestle for professional organizations and systems to you know to truly embrace it, to truly understand it and how to translate it in actual direct practice. Uh there’s there’s there’s often a real challenge about walking the talk, as I call it, in the field. And this is natural and normal in terms of human beings, it can be hard to do what we say we’d like to do. Uh so that’s why systems really need to develop approaches that they can tolerate almost the checking out. Are we sticking to where we want to be? Are we you know we’re staying in staying in this position of therapeutic mindedness and relational-based practice, particularly when the stress comes on the system.

Colby: 23:02

Yes.

Richard: 23:12

And sometimes Bowby, I think, had a really difficult time of it. He didn’t think you know, the very you know, the very early stages. Now it’s like one of the widest embraced uh frameworks that’s in the world. But back in the early thing, yeah. Yeah, yeah.

Colby: 23:33

There’s a there’s a lot in there. One of the things that you mentioned it was about it can be difficult to walk the walk sometimes. Yeah, I think I think theories are good if they have good explanatory power and and and they’re easily understood, digested, and and I think you know, for me, from when I first got involved in child protection work, attachment theory and 30 years ago, attachment theory gave me the best way of um helping me with with um understanding the work that I was doing. Just going back to um I liked your your your idea of having a mentor that you know someone that just is there at your shoulder, guiding you in a way, and and I talked about them having having someone that has confidence in you until you have confidence in yourself. And you mentioned too that that that’s essentially something that we we do for the children that we work with. Um and um and I you know I’ve talked about this with previous guests, but I we talk about you know, we want I think a really important aspect of the work is to ensure that the adults have it have this have an experience of being held in mind, an experience of of being looked out for and looked after in a way that we want them to in turn transmit to the child or or to be to be doing with the children it themselves.

Richard: 25:13

Yeah, and that’s that’s that’s that’s part of the model and the thinking that I’ve actually embodied within attachment and trauma-informed care. Because I thought about how to distill quite complex ideas into uh a model which can be easily embraced and understood. And what I created was two parallel pathways, uh one for the staff and one for the children and young people. And basically the parallel pathway is saying we are going to care for the staff equally as much as we do the children because they are the therapeutic agents of change, and it’s like what does what does an adult adult practitioner need in terms of that mentoring, that support, that guidance, supervision? So, yeah, I work through these parallel models, which fascinatingly it then starts to give the practitioners or the carers or the staff the knowledge and the experience to more directly to be able to do this with the children and young people, because not everybody arrives at the therapeutic task having the knowledge, experience, attunement, and the abilities to do the work with the children. So we we really put as much nourishment as we possibly can into the care staff because so my role really and my my clinical services teams are to care for the carers, to do that that you’re describing very eloquently, Kobe, about giving that that that sense of uh togetherness, uh and it’s fascinating because we even see this happening between the children and young people. We we often see group like the graduates of uh within the home having having other children in mind, starting you know, helping and supporting them. So it’s I see the system as everybody, I see the system as the staff, the children, young people, and also the relationships with the two children themselves, and about how they can start to support and think about each other and help each other.

Colby: 27:37

Yeah, you you’re I think the point to make is that if you want to create a healing system, you need to be supporting your staff very well in a in a way that is analogous or closely aligned with, I should say, with with what how you want the staff to um care for the children. And I think you know, when I think about who comes to the work, um and previous guests referred to the the kind of wounded healer, or you know, you all you’ll often you’ll often get people who come to the work who um haven’t had the the best of upbringings themselves. Yeah, and so they don’t they’re not necessarily they they probably come with an idea of what they don’t want to repeat, they don’t want the children to repeat. And it repeat they want to relieve suffering, they don’t want other children to to experience and go through what they’ve gone through. What they maybe um benefit from is is is a form of um reparenting in terms of setting that re resetting the parenting model for them, yeah. And a containing mentor, supervisor, I guess is it it’s an important part of that relationship.

Richard: 29:05

Yeah, and that supervisor relationship needs to needs to create the environment, the you know, the weather system almost about how that uh professional development can take place. Uh because there is there is a process that often goes through for new staff coming into the field, and I used to find this uh even within the prison-based T sort of TC environment, that the first stage is people arrive believing they’re going to be this omni-important saviour for the children and do this sort of change over like married days, you know. They’re gonna be able in some way make uh significant changes quickly, but then often it’s the repeated relational attunement. Attachment over quite a period of time, and that takes sometimes the need to be really resilient and to be aware of our own biologies and responses, and really understand ourselves and our triggers. And that supervisory relationship can hopefully create an environment where staff can have their own uh well-being and safety plans, so they really start to understand themselves, understand their own responses when the therapeutic task gets difficult. Have a space that they can go and talk about how they feel emotionally before this anything gets acted on. So that uh I really like Tom Main’s notion of thinking non-action, being able to create an ability where practitioners can think but not act. Uh naturally, that’s what we want to support the children with as well, to get to a place where they can think and then you know, through this thinking stuff and not have to act through behaviors. But staff need to learn that, staff need to be able to be in the presence of a child and create a space between them and the child that they can do this thinking and understanding so they can do the attachment work, like we know they can, you know, they know what how they can be in their best of selves uh and respond to children.

Colby: 31:29

Yeah, and and of course, containment the idea behind containment theory and what Beyond wrote about that was essentially um we support another person and in doing in doing so we facilitate their capacity to think.

Richard: 31:45

Yeah.

Colby: 31:46

And I think and I think staff staff who are thought of are better equipped to think of others. If you yeah, when you encourage reflection on your own motivations, the reason why you do things, the reason why you you reacted in that way, your blind spots, when when you’re encouraged and supported to do that, then I guess in turn you don’t just jump to the immediate conclusion that children are bad because they’re doing behavior that is not um agreeable, and uh and they should and they need to be disciplined in some way. You there’s a there’s a cart and a horse thing going on here, and I I myself have been across my career guilty of putting the cart before the horse. If the whole if the cart is teaching this is teaching the adults, this is how you um you need to be relate therapeutically or care therapeutically for the children. If that’s your first step, your first move, then I’ve been as guilty of it as probably you know great many people have. But as I’ve gotten older, and you talked about putting an old head on young shoulders. I am hoping the podcast by interviewing very experienced people does help uh new practitioners in the area a bit, accelerate the growth, so to speak. But yeah, you know, the first step needs in in therapeutic endeavor, it’s become much more clear to me over time, needs to be to um needs to be our endeavours to support the staff and contain the staff and facilitate their own reflective capacity.

Richard: 33:33

Yeah. Yeah, there’s there’s someone that sadly passed away recently called Philip, Philip Bromberg, who’s a psychoanalyst, and he’s written written prolifically about working with complex trauma and dissociation. And yeah, his notion is about always being aware to hold us hold a space between you and the other. That like beyond beyond stuff was about being able to create this metabolic, this this said sort of digestion of another’s person’s uh transference or affect or whatever notion we want to consider. But without creating a space to think, hopefully, all structures out there trying to do the therapeutic task, uh hopefully they have a place where it can be protected to do to do that work, as a group, but also individually in supervision. Uh because without that, people can start to get a bit lost in the task.

Colby: 34:40

Well, I think yeah, my view is that they become procedural and and heartless in the sense that there’s you know, the heart is lost from the work because it’s just a cognitive, it’s not even a cognitive exercise, it’s it’s a reflexive approach, you know. Um, there’s not not that thinking. I I am very concerned about child protection systems, like statutory child protection systems, where workers from you know supervisors down to the to to workers um at the coal face are just you know so much under the pump that they don’t have that opportunity to stop and think about the work that they’re doing.

Richard: 35:24

It becomes a paradoxical situation around the whole things around the social care system, is that everybody like I come from the position that everybody are good entities wanting to do the good task, but often the systems be can can become unconsciously uh distracted due to the some of this parallel shift in us, but some of the anxieties, some of the trauma-related challenges, and actually these systems are working with extreme distress, extreme challenges that can often create reactivity in the systems, but like uncannily that we know what can help and sometimes it’s around holding the boundary around the systems and the processes that we know that work because they’re often the things that go out the window of us, sadly. Uh so it’s like trying to know that people are good people, but be able to find ways that we can raise it in the consciousness about what’s happening because people find it really easy to deal with the rational about uh objectives and well, we’re doing great, and but when things become irrational and they become really difficult, there’s a rule, there’s a real challenge for people to consider that, to think about it, and to really tap into what the reality might be going on, so then solutions can be identified. Thought you know, thought like this, thought through relational-based solutions for people, but also families and children.

Colby: 37:09

It’s it’s such an interesting area. I and I wonder about your experience of introducing um maybe new staff or or new organizations, your experience your experience of trying to introduce um this this thing that we’re talking about, where what we how we want the staff to interact with the children, we’ve we’ve got to offer that as an experience for the staff in their in supervision, in mentoring, in yeah, how how does how does that how does that go down, so to speak, when when you try that?

Richard: 37:52

Attachment and trauma-informed care. So it’s a model now that’s uh you know it’s been in five five rivers childcare for a long period of time, but it’s also going into all the organizations outside the five rivers now. And the first thing I’ve the first thing I say to organizations and the leadership, so start the leadership, even right up at the the point of the directors of the organization, because uh I’ll say this is a journey, it’s not uh I’m gonna arrive today and we’re gonna do this intervention and it’s gonna be in place tomorrow. I’m gonna hand out these leaflets, I’m gonna I’m gonna do a bit of training, and then all of a sudden, the whole organization is going to be trauma involved. Uh so I start off with a realistic base about the journey, about how that’s going to be, what it’s going to feel like. That’s a notion I’ve taken from my work uh as a psychotherapist with traumatised clients. So, like clients will come into me and they’re often like, What’s this going to be like, Richard? And I give a sense about what the journey is going to be like. And it’s like we’ll give a sense about what we need to achieve first. And so, in terms of trauma-informed practice, it’s safety, stabilization, all these notions. But it’s the same for organizations, we go back to we go back to the sort of foundational ways, and this is where the A in attachment and trauma-informed care comes in. I speak to leadership and management about what’s that going to mean in terms of the leadership style in the organization and the culture that’s going to permit staff to be able to move to a place where we can truly use the structures in attachment and trauma-informed care to allow staff to think, to learn, to grow, to develop. How are you as a leadership team going to respond when things might not go quite well within our service? How like how are we going to respond? Uh, how are we going to work together to embed uh these ways of working? Uh so right from the start, it’s all about collaboration, open, transparent communication, you know, it’s almost setting setting the tone, setting the culture. Uh but you know, if anybody thinks trauma-informed care is an easy option, but it can be if you do a bit of training and you get a leaflet and you think you’re trauma-informed. But if people think trauma-informed care and and being responsive is easy, it’s not to be able to deliver this and to be able to do it so it’s created as a living experience for the staff and a direct experience for the children takes a lot of courage and bravery because people need to go and think about areas they would not normally think about in terms of the work.

Colby: 40:58

Yeah, so um I think you’ve touched on the importance of senior management um and or setting setting expectations, managing expectations from the outset. And uh, you talked about you know going into an organization, speaking to those leaders. And while you’re speaking to me, it reminded me of of some previous conversations I’ve had on the podcast about about how we ensure that our that the very leadership of the of these organizations are um uh uh supported to have experiences of of of the model, basically. That you support you know have a have a containing supervisory relationship or relationship with the mentor. Yeah.

Richard: 41:46

Yeah. Can I just say a little bit about how I came to attachment and trauma and phone care? Just a little bit

.Colby: 41:54

Yeah, absolutely. Go ahead. I was working my way around, I was working my way back around to that, but you’re reading it.

Richard: 42:01

Well, because yeah, no, it just somebody came to mind there, and it was and it was the person called Pam Pam McConnell that created five five rivers childcare. So 36 years ago, uh actually on the 19th of September, Pam McConnell created the entity which is called Five Rivers Childcare. And it’s I’ve been there nearly 16 years, and I’ve I’ve stayed there because it’s a secure base for me. Because I believe places of work can also create this sense of security, places you can grow and develop. So I’ve been there for 16 years, but what Pam created, even away back 36 years ago, she noticed that those children who had sadly experienced sexual abuse, trauma, and neglect, the systems weren’t designed to meet their needs. So she was she was very creative and very innovative, and she she started to create residential environments, residential homes for children and young people to come and stay in. And since then, the organization’s significantly grown, we’ve gone into foster foster care, uh, education, we’ve got clinical services, but the key task is to support children at the heart, you know, at the heart of the organization, it’s doing good, thinking about how we can help children and turn their lives around. But PAM allowed the creative thinking about developing a model that could be easily accessible across multiple multiple geographical locations, about thinking about how we we we package up what can be quite complex psychoanalytical, therapeutic community ideas, adapting it into a model that can be translated and easily uh applied if the live and breathing system is on board, if that leadership manager team is in place. Um so yeah, Pam, you know, Pam McConnell just naturally came to mind because without her support and uh Five Rivers is a social enterprise, it’s you know, it’s it’s uh in the UK that means that paradoxically, people have difficulties thinking about sadly, care organizations need to charge because we need staff wages to pay and all that sort of stuff. But as a social enterprise, we reinvest, we reinvest in research, development, invest in our staff, and a bit of the investment that Pam gave was to allow me to invest in creating a model for the organization, which was great. So, yeah, yeah, I wanted to say my appreciation to Pam McConnell for that.

Colby: 44:59

Yeah, it is a remarkable organization because as you mentioned, it has residential care, it has foster care, it has education as a school, has clinical services. Yes, it has multiple schools, multiple services, and crisis intervention. Yeah, and and crisis support services as well.

Richard: 45:19

So, yeah, it’s got these multiple uh so in terms of children, in terms of their care journeys, they can come in at any part. Sadly, children, you know, it’d be a you know, the world would be a great place if children didn’t have to access our services. But the reality is children do, and sadly, in an increasing way across societies, there’s an increase. So, like in the UK at the moment, there’s about a 10% increase in the use of residential childcare. Yeah, uh often sadly, residential childcare isn’t seen as an early intervention, and that’s partly why I developed ATIC because it’s for under 12s initially. That was when I sort of developed the idea that children who are going through repeated placement breakdowns and disruptions in foster care given a given an idea to commissioners and uh uh people who are not sadly not often practitioners in the field. Look, if you see this pattern, there is something else, there’s something else that can be really helpful and harmless for good, and that’s residential childcare. So the notion that we have is we’ve got multiple ways that children can come in and uh have a home with us, uh, and that’s either in residential care or foster care, uh and also access education and the therapeutic services is the need. Yeah.

Colby: 46:51

Oh, yeah. Look, um you’ve drawn you’ve drawn on a number of themes from some fairly recent podcasts. But as I’ve as I’ve been doing these podcasts, one of the things that um has been more and more clear to me is that the this option of last resort is just I mean, that’s what there’s a look, there’s a bit of a story to it. I won’t go into it all, but that that was one that was almost what spurred me on to do the podcast, and in particular a stream of the spot podcast that looks at at residential childcare. I just think that there’s so many problems with this idea of residential care being an option of last resort. I think as I think you did you just touched on in there, there are times when it can be an option of first resort. There are it, and that and and I I’ve been writing and thinking about that and talking to people about that. Um you it it it does, it is something that a number of guests have talked about uh that can be utilized, and this has got to be good quality, good quality, therapeutic focused residential childcare. It can be it can arrest one of the most harmful aspects of out-of-home care, which is repeated placement breakdown. And the other thing is, and Bruce Henderson talked about, he’s my most recent past guest uh on the podcast. He’s he’s probably done the the largest review of the literature, including the uh empirical literature around uh social care, including residential childcare. And um he talked really clearly about um placement matching, and he was in he’s involved with the Black Mountain um care organization, he’s in America over there, and and similarly they have residential and foster um options, and um and it it it it’s allowed what I think you know it sounds like you’re able to do there at Five Res Rivers as well, is is to uh mobilize the care that the children need um where where they are in their journey, and sometimes that’s residential care, often enough that’s residential care.

Richard: 49:24

Yeah, this is very embryonic work in the UK. Um so embryonic uh attachment and trauma-informed care came out of 36 years, you know, the past period of time that we’ve been working, so we’ve harnessed all that knowledge, but that’s only been really since 2016. So I know that’s it might sound a long time, but in terms of changing systems and changing knowledge, uh we’re still on that journey to collaborate and work uh with commissioners with with local authorities because I I feel we’ve got a responsibility to explain really accurately about what can be supportive and helpful for children in terms of their needs. Often we need to translate that for the local authorities and commissioners in terms of the plans that we do. So we’ve got uh you know, when we get the privilege to have a referral for a child, a young person, we spend a lot of time about right, even at that initial phase about really understanding the child’s needs and taking the responsibility for being truly able to say that we are able to support this child, and this is what we would suggest would be helpful in terms of that part of their care journey. Often it comes down to trust, though, with with local authorities and commissioners around is this going to be something that’s gonna be helpful for the child? And and naturally, this is where research and evidence comes in. Being able to deliver really focused uh supports and how to explain outcomes and how to translate that as we go through the journey as well, is support the commissioners to understand that this is being effective, then it then it generates uh more more trust, trustworthy reactions again in the future. So it’s like, yeah, we’ll go back to Five Rivers and we’ll consider this approach again, like residential. It should can be the first option because of the experience. So there is a big responsibility on providers, isn’t that, to be able to make sure that we deliver what we say on the outside of the tin, you know? Yeah, uh, that we walk the talk, going back to that walk the talk bit again.

Colby: 51:57

And I’ve whilst you’ve been talking, I’ve I’ve been thinking about how five rivers with all of with all of those divisions, it’s probably not I mean divisions is the wrong word in if you because it it implies divide, but you’ve got those streams is a better word, and and and you are able, I think I’m hearing, to be to provide an aligned service so that staff might move between the streams, kids might move between the streams, but they have a consistent experience of care across those streams.

Richard: 52:34

And that’s where the model almost provides a tapestry for that. So one of the great things that Sandra Bloom told me when and I learned from what going back to the mentorship thing again, was language becomes the glue in terms of the model, in terms of how we speak about the work, uh how we see the task. And if that is shared consistently, if that language is shared across the different uh almost threads like the education, residential fostering. Children experience this as well. Children experience staffs using the same language, the experienced staff having the same response if situations are occurring. You see the adults sitting down and thinking together, you know. Uh yeah, it creates that uh that harness in the tap. Well, often people call it integration. Uh so one of the things that we do seek to make sure we don’t experience is this fragmentation in the system. In actual fact, people do become that sort of separate siloed uh thinking and the breakdown and communication. So part of the model was as well about the shared language is also making sure we keep these strands interconnected and almost be really aware if they start to drift apart, which can be natural and normal and anxiety. I’m not saying that there’s there’s anything abnormal about that that tension that that can happen, but we are really aware so we can bring things back together.

Colby: 54:11

It’s like and how reassuring for children who leave chaos and uncertainty to come into a place where they uh where the adults interact with them similarly. Because I think I think a task, a therapeutic task or a primary task and a model, it doesn’t make everyone clones of each other, it just ensures that there are there are aspects of uh the way they go about things that are consistent across home and school. And I think that that even just in and of itself, as long as there’s that consistency, that alignment between home and school, and it’s safe and and nurturing, but as long as there’s that, that it that’s gonna have such a massive impact on heightened nervous systems, yeah.

Richard: 55:04

So that magnification is a you know, when I was developing attachment to trauma and informed care, I thought, how can I magnify these helpful relational experiences? Going back to attachment again. How can I magnify these experiences?

Colby: 55:19

Can I say it all comes back to attachment? Sorry, I didn’t want to talk over you, but I I just needed to chime in there. It all comes back to attachment. Sorry, yeah, go ahead.

Richard: 55:30

No, it’s it’s great, yeah, because naturally it’s great, you know. All like research shows like if we’ve got one person, you know, it can have like quite a significant impact on us. But imagine if we can magnify that having 12, 15 people. So like I was looking at okay, if I can create this this approach in the residential care environment and have it in the schools, and when children are prepared and ready to go to their home in foster care, and the carers are embodying this stuff as well. It’s you know how enriching, how nourishing is that for the children, but also it creates this really helpful relational way of working and way of managing stuff between the staff and the adults as well. They’ve got this sense of understanding about okay, when this stuff happens, we get together. Uh, we’ve got different approaches for crisis management. There’s one called an amber flag meeting, which is anybody can call it, it’s like when things start to become difficult, staff can raise the flag, call a space, everybody gets together. We’re all involved in thinking, all involved in supporting. Uh and it, you know, it takes away the anxiety and fear that it becomes an everybody approach rather than somebody feeling their left on their own with a situation. Again, going back to attachment theory, uh, you know, often yeah, we’ve got our own resources and we want to develop that and our staff increase their resiliency. But when it gets to a point they feel overwhelmed, they feel like people either grow or they go sadly in the work. You know, people either grow in the work or uh it feels it gets too much, they leave. So we have like we’re all about growing people, so create and make sure people know they’ve got an outlet if they feel they’ve got to the end of their solutions or the end of the resources. We create this space where they can come and talk through and uh get the helping support they need.

Colby: 57:42

And of course, um um the first of my guests to um talk something uh a little about this was John Whitwell and uh of Cotswold Community and ISP uh integrated services. I’m not sure I got that last bit right, but anyway, John John was talking about uh going to because he went to the it went from residential care to foster care, and uh on the first day the staff, you know, there was something was going on in Stafford came to him and said, What do we do? What do we do? And he says, I don’t know. But but let’s talk, what do you mean you don’t know? Um but let’s talk about it, and I think, yeah, yeah, yeah. Like there’s and that has come back a number of times. Um, in fact, Peter Wilson, who we were talking to about a little bit beforehand, uh uh wanted to name his forthcoming book or title his first coming book forthcoming book, I don’t know. The because the I think the the the the um the the power or the influence or the strength in that is that it invites collaboration. And one of the things that that I’ve noticed, just as a bit of an aside, when I when I do training with um carers, uh if we if a carer brings up an issue to do with um a child in their care and they just don’t and they don’t know where to go with that, the other carers are actually really good at offering solutions, yeah. Yes, but then those same carers feel stuck in coming up coming up with solutions about their own the the children in their in their care. So it’s it’s quite fascinating that if you take if you take almost like a metacognitive stance, yeah, you’re yeah, you’re one step removed from it. The the yeah, that’s such a resource to be around people who are one step removed from being in the in that particular challenge.

Richard: 59:54

I think it’s I think it’s one of the key areas that can impede for. Trauma informed practice in my mind is the inability to tolerate what I call the unknowing. And that’s a direct translation from my work with clients because we can be sitting thinking we’ve got the answer. But the sad bit is if we think we’ve got the answer, we’re missing the opportunity to find out what it is actually like or what the meaning is from the other person. And equally with staff, the temptation is to think about that we’ve got the answer and to do the quick solution. And uh thinking really like back in my early work 30 years ago, I used to be so keen about just getting a solution. Let’s just let’s just do something. Because I used to come to the thing about doing something was better than doing nothing, right? But in actual fact, being able to tolerate uncertainty that uncertainty, that unknown for a period of time creates opportunities that uh can make people feel the part people need to feel part of the solution because otherwise, what what we find out in the terms of the attachment uh people go into that ambivalent state, they feel that they’ve not got a voice, there’s no point in saying, they become silent, and those toxic things within care environments are unawanted because we need we need people to feel they’re part of, they’ve got a voice, they can be heard. Uh and it may be a difficult process this about working through this, but the outcome of it is as golden as I see it. It’s it is to me, it’s the work to be able to because equally the staff are going to have to do this for the children, they’re gonna have to try and understand what the children are communicating through their behavior, trying to make sense of it, uh, and coming to that from a certain lens as well, as we know it’s about uh trying to illuminate about what that communication is that the you know the child is doing between them and the staff.

Colby: 1:02:17

Yeah. While we’re while we’re talking, Richard, um a question without notice has been formulated in in my mind a little bit. Um but hopefully you don’t you don’t mind. Um the question is what it was starting out as what sort of child need needs residential care and it and and but it’s now it’s also kind of in my mind it’s it’s blending a bit with what what does residential care offer uh to children to children in need of care that that perhap of that is per hot perhaps superior that time of need for the child than than other forms of out-of-home care.

Richard: 1:03:11

I’d be interested in your thoughts about that well foster care in its is a in its own right can be highly effective. So in terms of my comments that I’m gonna say about is foster care can be highly effective for those children who are anaphobic about family living. Some of the responses I see children displaying, and it’s not about the family they go and stay in, but they carry inside themselves experiences about being in families that mean it’s going to be highly unlikely that they’re going to be able to stay and create security within that family. Uh it becomes unbearable for them. It’s uh and it becomes unbearable for the uh foster carers as well. And it’s the foster parents can sadly they can they can almost be placed in a situation where the material that they’re getting given to process and uh the behaviours and stuff gets to a point, and often foster carers can get to a point they they feel this task is task is too much for me. It’s too much. They get to yeah, too much. And sadly for children, then if they they start to expand, well, naturally they’ve had one, but their uh the original scene was in the family or origin, uh this is often replicated and reenacted within the foster replacements, and I’ll see the attempts to use foster care well into double figures sometimes. You know, children children will be in that repeated cycle. So if we can identify children as early on that that are gonna often I’ll I’ll see social workers and stuff understanding the children’s history through an attachment and trauma and form lens, understand about their experiences and knowing that that containment is going to be needed in terms of the children’s distress, it’s gonna need much more than foster care. Yeah, foster carers can’t typically manage situations where children act out excessively in terms of acting out against other people or uh the environment of the home, the foster foster parents’ home. So, quite early on, you can almost you can see what I call gateways. I’ve got this notion of gateways to particularly uh care options uh to help be able to identify through assessment, and this is where the psychological lens can come in within care organizations commissioning. I don’t know how it is in Australia. I don’t know if you know, I worked in New Zealand for a little period of time myself, but yeah. And I’m like I’m always fascinated about where care the care system is sort of held within the UK, it is social care. There is a greater involvement with health. To me, there needs to be even more. The more that we can help commissioning teams understand the psychological and emotional aspects of the child’s needs, then that can more effectively inform what part of the care journey does that child need. Does the child need residential care and all that that it offers, increased containment, and less risky staff burnout, foster carers, fostering families, massive risk of that? Uh we can provide this more integrated educational magnification of these principles that often child needs. And that often cuts down the time. Some of my some of my research at the moment has shown that if you do this early enough, it can be an early intervention that over the care journey period actually reduces not only the the child’s need for in terms of staying in these higher higher recruiting environments, so the child can go to foster care, uh but it also cuts down the time. Uh because naturally I saw the other end like working in that prison-based therapeutic community for adult male life offenders uh who had committed it was sad to see how many of those uh human beings had been in the care system. So this notion of early intervention and about stopping patterns and doing the you know, doing the work as early as possible, not as late as possible. To me, it’s a cost saver. To me, it’s uh to me it’s a no-brainer. It’s like just it’s just uh uh but it’s a challenge I know for systems to think past a year. You know, most uh business plans only cover one year, most governments I think only covers the their term in office. Some of this stuff is moving the systems to longer term thinking, longer term perspectives. Uh but I but I truly believe the more people that have these these ideas, the more we can send the messages out in the box to social care and social work and the political system. About let’s turn this thinking, you know, the mindset from short termism, like to sort of longer term.

Colby: 1:09:02

And and I mean, I think part of the whole option of last resort is for residential care is is it’s the most expensive form of care. So we don’t want we don’t want to be uh what we don’t want to be uh focusing initially on on the most expensive form of out-of-home care.

Richard: 1:09:24

Is it not?

Colby: 1:09:26

We’d rather we try foster care. And and and there is a a deeply held belief in society that the that family is the best place to raise children. But it’s not it’s not for those children, as you said, who are phobic of family, who have a phobia. And I’ve written, I first wrote about this um in a published paper 13 odd years ago. That um, and and so to me, residential care provides a psychologically so people think, oh, you know, with all the scandals and and so on, this is you’re mad for saying this. But in actual fact, residential care provides a psychologically safe, relationally safe care environment that is better for certain young child certain children and young people than than putting them into a into a family-based environment. And we we need all those options. We in my state here, they they embarked on a bit of a uh um uh an endeavor to to get rid of residential care because it was seen as being because it was of low quality, seen as being of low quality, option of last resort, expensive, all of these things. But but in a what I’m hearing you say is in a um in a functional, adaptive, um, effective uh social care system that that meets that is able to tailor care to the needs of the children and use fitness and match it placement matching um to its best ability, then residential care has an equal place alongside uh family-based uh care options. And I really like what you said that you think that it that it can enhance the young person’s preparedness to go into or ability to go into a family-based placement such that that’s uh more successful for them.

Richard: 1:11:39

Yeah, uh the evidence illustrates that uh so early on in the delivery of the attachment trauma-informed care model, it was children and young people who had largely been through that repeated placement disruption and ending and leaving one one relationship and going to another relationship, and often being out of education that would come into the service, and naturally we we we were we were still able to attain the trajectory that we wanted, the aspirational trajectory for the children in terms of them being able to go into foster care and becoming more secure. Uh but while even the children used to say to me about the trust thing, about almost their mindset was that they were gonna even have to leave that home, you know. It’s like the you know, the attachment systems have become so uh hyper-vigilant that they believed that nobody could care for them, nobody could uh tolerate what they were going to give us. And it’s like, wow, I’m not like I used to say, I’m not surprised that you’re giving me this stuff to have to handle for you. You know, this is what I used, you know, in terms of my understanding with the children, is that uh it’s quite understandable if they’re exposed to situations that are repeated and chronic and things don’t work. Uh yeah, it is still possible, but it’s much better for the for the child and the whole system to be able to identify those children, it’s not all children. No, uh you know, the great thing at the moment is that Five Rivers has changed caring for over a thousand children, and uh the majority of those children are in foster care, very happy, really good outcomes, you know, great foster parents, you know, doing great work, but there is a group of children and young people that I feel that we owe them to identify when residential uh the residential environment is as the environment that’s best for them. Yeah, yeah.

Colby: 1:13:59

I think that’s a wonderful spot to finish up, uh Richard, because um time is time is marching on. I’ve put I’ve kept you for over an hour. Um it’s been fantastic to chat with you and um and talk more about attachment uh on the podcast. Everything comes back to the catch. Um I’m being a bit time-cheapy. I’m kind of sort of being time cheap about that. Yeah, it’s been thank you for taking the time and uh invariably I I say it before I’d like to have you back on again at some stage because there’s so much more that we could talk about. So thank you.

Richard: 1:14:42

Thank you so much, Colby, for the time today. I’ve really enjoyed speaking to you.

Colby: 1:14:47

As have I. Thank you.

The Case for Quality Residential Childcare – A podcast interview with Bruce Henderson

“We don’t need to pit different kinds of care against each other. The real question is quality.” Professor Bruce Henderson shares compelling research showing why high-quality residential care should be an option—not a last resort—for vulnerable children.

Rethinking Residential Care

In a world where residential care for children is often viewed as a “last resort,” Professor Bruce Henderson’s evidence-based approach brings a refreshing perspective. His comprehensive analysis of the research challenges longstanding assumptions about what’s best for vulnerable children in out-of-home care.

Professor Henderson’s experience with Black Mountain Home for Children in North Carolina provides a compelling case study. What began as a struggling facility with outdated approaches was transformed through quality leadership into a model organisation offering a continuum of care. Today, Black Mountain provides not only residential care but also foster care, adoption services, family reunification support, and programs to help young people transition to independence. This approach recognises that children’s needs are diverse and often change over time.

The concept of “fit” emerges as central to Henderson’s argument. Rather than adhering to a rigid hierarchy of placements where family-based care is always prioritised, Professor Henderson advocates for matching each child’s specific needs, history, and circumstances to the most appropriate care environment. For some children, especially those who have experienced multiple failed foster placements or who need to remain with siblings, high-quality residential care may be the most appropriate first choice – not a last resort after everything else has failed.

One of the most disturbing statistics Professor Henderson shares is about children who have experienced dozens of placements. He mentions a young person who had been in 35 different placements by age 15, and the interviewer notes working with a child who had experienced 50 placements. The damage caused by this constant upheaval – educationally, socially, and psychologically – is immeasurable. For these children, stability in a well-run residential setting may be far preferable to continuing the cycle of failed family-based placements.

Professor Henderson’s critical analysis of the research literature is particularly valuable. He points out that much of the negative perception of residential care stems from a handful of influential studies, particularly research on Romanian institutions, which examined exceptionally poor care provided to infants and very young children. These findings have been inappropriately generalised to all forms of residential care for children of all ages. Meanwhile, research showing positive outcomes from quality residential care – including survey research with alumni who report positive experiences – receives much less attention.

The core issue, Professor Henderson emphasises repeatedly, is quality rather than setting. “You can find good and bad versions of every kind of care,” he notes. Quality care comes down to relationships – selecting the right staff, training them properly, supporting them adequately, and providing stability. When these elements are in place, children can thrive in residential settings.

Professor Henderson challenges the “family first” language common in child welfare policy, preferring the Danish approach of “children first.” This subtle but profound shift places the focus where it belongs – on the needs of individual children rather than on ideological preferences about care models. For some children, particularly older adolescents or sibling groups, quality residential care may be the environment where they can best heal, develop, and prepare for independent adulthood.

As jurisdictions around the world reconsider their approaches to child welfare, Professor Henderson’s evidence-based perspective offers a valuable corrective to simplistic thinking. Rather than eliminating residential care options, we should be focused on ensuring quality across all care settings and making placement decisions based on the specific needs of each child. Our obligation is to provide vulnerable children with environments where they can heal from trauma and develop to their full potential – whatever form that environment might take.

You can listen here:

You can watch below.


About Bruce:

Bruce is Professor Emeritus of Psychology at Western Carolina University, and is a child psychologist (PhD for Minnesota) whose research until 2018 focused on the development of curiosity and memory in children, and on teaching in higher education. Since then, most of his writing has been about residential care. His book Challenging the Conventional Wisdom about Residential Care for Children and Youth: A Good Place to Grow (Routledge, 2024) is a critical appraisal of the research on residential care and a defense of high-quality residential care for children who need it. For over 35 years, Bruce has been involved with the Black Mountain Home for Children, Youth, and Families, an organization that provides residential care, but also has foster care and adoption services, transitional and independent living programs for older youth, and works to reunite children with their families of origin whenever possible. Bruce lives with his wife Judy in the mountains of Western North Carolina. 


Related Podcasts:

I am sure you will also like my conversations with Dr Laura Steckley and Dr Jenna Bollinger. Click the links below to watch and listen:


Transcript:

Colby: 0:00

Welcome to the Secure Start podcast.

Bruce: 0:04

I think it’s a huge mistake to break up sibling groups when that may be the only part of their family that they’re still in touch with on a regular basis. I think the record that I know of was a young man at the age of 15 had been in 35 different placements 35 different placements, and if you think about what that does to your life, it’s just. I mean educationally, socially every way you can think of.

Bruce: 0:37

I think the issue is a matter of finding a fit between a particular child, that child’s history and an environment that’s going to work for that child, and I think residential care needs to be one of the options. I don’t think we need to pit different kinds of care against each other. I mean, you can find good and bad versions of every kind of care. And the question, the real question, is quality, the quality of the care, and it comes back to that every single time and to a large degree, the question of quality is a question of building relationships. If in fact, there’s a good chance of going back to the family of origin, residential care is kind of a neutral place to go.

Bruce: 1:18

The evidence is that we lose foster care families at a rapid rate and I think it’s oftentimes because of that insensitivity about the nature of that child. I don’t think residential care should be the norm for kids who need care. I think it’s gonna be relatively rare, but it needs to be one of the options. The last resort notion came from a belief that residential care was inherently bad for children. But if you ask a large number of alumni of residential care about their experiences and they tell you. They had good experiences and they never would have preferred foster care. You’ve got to give some attention to that.

Colby: 2:08

Welcome to the Secure Start podcast. I’m Colby Pearce, and joining me for this episode is the author of perhaps the most comprehensive review ever of the research evidence in relation to children’s residential care. Before I introduce my guest, I would like to acknowledge the traditional custodians of the lands that I come to you from the Kaurna people of the Adelaide Plains, and acknowledge the continuing connection the living Kaurna people feel to land, waters, culture and community. I’d also like to pay my respects to their elders, past, present and emerging. My guest this episode is Bruce Henderson.

Colby: 2:55

Bruce is Professor Emeritus of Psychology at Western Carolina University and is a child psychologist with a PhD from Minnesota, whose research until 2018 focused on the development of curiosity and memory in children and on teaching in higher education. Since then, most of his writing has been about children’s residential care. His book Challenging the Conventional Wisdom About Residential Care for Children and Youth A Good Place to Grow is a critical appraisal of the research on residential care and a defence of high quality residential care for children who need it. For over 35 years, bruce has been involved with the Black Mountain Home for Children, youth and Families, an organisation that provides residential care but also has foster care and adoption services, transitional and independent living programs for older youth and works to unite children with their families of origin whenever possible. Bruce lives with his wife, judy, in the mountains of western North Carolina. Welcome Bruce.

Bruce: 4:14

Thanks for having me, Colby.

Colby: 4:16

Yeah, and you quiped a little bit earlier about speaking to someone in the future, which probably the laugh that it got from me probably would have if we’d been recording. It would have blew out a few eardrums if we included it in the podcast recording. But yes, it’s nice to be here too. It’s Thursday for you and Friday for me.

Bruce: 4:41

And don’t give me the lotto numbers. I don’t need them.

Colby: 4:44

You don’t need them, you’re doing okay. Well, that’s good to know. Yeah, yeah, in my neck of the woods, professor Emeritus means that you’ve retired. Is that the same in America?Bruce: 4:58

Yes, it means I retired from teaching and committee work and you’re given access to your computer and to your email and you can sit on dissertation committees and things like that.

Colby: 5:14

But yeah, I basically retired from teaching in 2020 after 42 years, 42 years, and look, and I was going to uh make the point that it doesn’t really look so much that you, like you, have retired as such my, my brother calls it a faux retirement a faux. Yeah, that’s probably a good yeah, that’s probably a very good term to use yeah anyway, as long as you still enjoy it, why not?

Colby: 5:42

that’s right and that’s right yeah, and particularly brain active yes, yes, I can imagine myself writing, you know, until I can no longer write, I would in fact, I’m looking forward to retiring. I’ll probably do a faux retirement myself, in terms of I’ll retire from certain activities and free up a bit more time for reading and writing in the area.

Bruce: 6:06

Well, my job was at a regional comprehensive university we call them here, not a research university and so when you did research and writing, you had to find bits and pieces of time. So I find it quite a luxury to have a good deal of time to write. It’s been fun.

Colby: 6:26

Yeah, yeah. So, as I read out in your bio, your work activities until relatively recently were very much focused on teaching and training and you were interested in children’s curiosity and memory from a research point of view. But you have also had this longstanding connection to residential childcare, wondering if you’d tell us a little bit more about how that came about.

Bruce: 6:58

Well, my wife talked me into doing that. I didn’t really want to do it, but she had visited the Black Mountain home and at that time in 1989, the home was in a good deal of difficulty. Their leader had died unexpectedly. He had actually fallen back behind the times and really had needed to retire years before he died, and there were lots of problems and I didn’t really like what they were doing there. And so I went on the board and at that time met with other board members trying to find a way to gracefully close the place down. And it had become. It wasn’t serving very many children and it wasn’t, in my opinion, serving them very well. But instead of closing it down, we hired some effective leadership and that turned the place around.

Colby: 7:59

And that was, as you say, 35 years ago, in the early 1990s. Yeah, yeah, as you say, 35 in the early 1990s, yeah, yeah, what was it that you noticed?

Bruce: 8:12

where had it gone? Gone awry? From your perspective, I think, uh, they hadn’t kept up. Come up, uh, come along with new ideas about child care. They, they were still using almost a barracks kind of situation and they didn’t have cottages, they didn’t have enough house parents, the physical facilities had gotten old and dilapidated, they didn’t have a good education support. There were lots of things that needed to be fixed and they didn’t really have good relationships with the children’s families, and all of that needed to change.

Colby: 8:50

Well then, tell us a little bit about how that happened, how it came to be turned around.

Bruce: 8:57

Well, I think it’s almost always leadership, and we hired two leaders. It was a couple and the man had been involved in mental health he was a Presbyterian minister and he’d been involved in mental health and his wife was a child welfare lawyer and so they brought some skills that were really well applied in the child care situation well applied in the in the child care situation, and having having a lawyer around was quite useful in trying to help kids navigate the legal system.

Colby: 9:33

That oftentimes is pretty oppressive, and having that that kind of background really helped a lot and I was impressed to read that not only is Black Mountain these days a therapeutic residential child care facility, but it also has fostering activities associated with it. It has some endeavour around looking after young people who are entering adulthood who have been in out-of-home care, and also reconnection or strengthening connection with birth family.

Bruce: 10:13

Yeah, I think that what you see at Black Mountain is increasingly common with good programs. They often call it a continuum of care. I like to call it an array of services, because I don’t think continuum is an accurate description. But you know, children are complex. They’re as complex as they’ve ever been. Families are as complex as they’ve ever been, and so I think the programs need to have the flexibility to assess what’s going on with a kid or a family and then use whatever services are needed at that time, and you know that can change over time. It’s different for every child and family. Every child and family and we are at Black Mountain, like a lot of places, we’re dealing with kids who’ve had just awful experiences. I think the record that I know of was a young man at the age of 15 had been in 35 different placements, and if you think about what that does to your life, it’s just I mean educationally, socially, every way you can think of that’s insane.

Colby: 11:30

And so those are the kinds of situations we’re often dealing with arises that you see the young people with that level of well, that type of history, largely because of residential care being seen as an option of last resort, so that definitely has an impact.

Bruce: 11:58

So what? What has often happened to these young people is that they’ve been in foster situations that didn’t work, or even even, sometimes, adoption situations that didn’t work, or even, sometimes, adoption situations that didn’t work, and then they’re put in residential care and the pressure and this is not just true in the United States, it’s true all over the world there’s pressure to get the young person out of the residential care as fast as they can and oftentimes it just leads to another bad foster placement that doesn’t work and the kids suffer for it.

Colby: 12:33

So I guess what I wonder with what you’re saying is that sometimes children may even yo-yo in and out of residential care or between foster situations and residential care.

Bruce: 12:46

Some of the histories are amazing. I mean, you look at it and you say how can that happen to any child?

Colby: 12:52

Yeah, well, as it happens, I work therapeutically with children in the out-of-home care sector primarily, and I have a young person that I see at the moment who’s been through 50 5-0 placement that’s unbelievable, unbelievable yeah, yeah. So, um, the option of last resort, um, how does that sit with you?

Bruce: 13:24

Well, you know, I think the issue is a matter of finding a fit between a particular child, that child’s history and an environment that’s going to work for that child, and so the idea that you’ve got a hierarchy of placements makes no sense if you think in terms of fit, because there may be children the very first thing that would be best for them would be in residential care, and I’m not talking about being in residential care the rest of their lives.

Bruce: 13:57

Oftentimes, what they need is a period of time. It may be six months, it may be a year period of time. It may be six months, it may be a year, a year and a half, two years. It varies. And there’s another situation that is common and that is sibling groups.

Bruce: 14:11

And oftentimes sibling groups in the United States and I know other places get broken up because their foster families don’t want to take more than one child, and I think it’s a huge mistake to break up sibling groups when that may be the only part of their family that they’re still in touch with on a regular basis.

Colby: 14:33

Yeah, if you stop and think about it, and this is part of the problem, certainly in many jurisdictions, and what I’ve heard from many people talking on this podcast is that practice is dominated by a set of, I guess, principles or ideals or beliefs, indeed, one of those beliefs being the best place for children to grow up is in a family environment. The best place for children to grow up is in a family environment, and if that’s your paramount decision-making standard, then you get those sorts of situations where children are separated from their siblings, because if it’s a large sibling group, it’s very rare or difficult to find a family-based placement where they can all be together, and it comes with complexities when you do put siblings together as well that I think child welfare authorities often worry about.

Bruce: 15:43

Well, I think you’re right about the concept of family has, I think, been used in an unfortunate way, because sometimes what these kids need is a home. They need a place that is a home, and sometimes your biological family isn’t home, or at least it isn’t for a period of time.

Colby: 16:02

until it can become a home, you need another home yeah, yeah, I often and you made a very good point in there I I think the language we use is really important. I I strongly encourage child welfare authorities to um use the word, use the that’s not a word unless you make it one but use could not, instead of cannot be safely cared for at home. Because you see kids who tally up a huge number of placements over in their teens by the time they reach their teens and they’re still writing that the young person cannot be cared for at home, but no one’s really assessed that for years and years and and so much damage is being done in the meantime with, with, through failed placement endeavors. Uh, in family-based care.

Colby: 16:56

You see, black mountain is interesting for a number of reasons, not least of which is you have those, at least those four streams of endeavour that I talked about children’s residential care, the foster care, the transition from care and the family reconnection. I think. I mean it sounds like an absolutely ideal model service to me From your point of view view. You’ve talked about fitness and I think I think fitness is a a really key concept here, because fit in a struggling child welfare system, fitness goes out the window. They’re just looking for a bed, right, right, yeah, that’s right. But I also wonder about what your thoughts are about the relative standing of residential care alongside family-based foster care or adoptions, which you do in America.

Bruce: 18:02

Well, my view is that what we need are options because of the fit fit question, and I think residential care needs to be one of the options. I don’t think we need to pit different kinds of care against each other. I mean, you can find good and bad versions of every kind of care, and the question, the real question, is quality, the quality of the care, and it comes back to that every single time and, to a large degree, the question of quality is a question of building relationships, and one real problem with the last resort notion is that oftentimes the children are placed with the expectation they will not build relationships because they’re going to get yanked out soon, and that’s, I mean that that’s becomes a self-fulfilling prophecy if you, if you say, well, um, you know that here’s the, here’s the care of last resort. Therefore, don’t build relationships, and then in, in fact, it’s bad care, it’s bad care by circumstance, and you said you talked a little bit earlier.

Colby: 19:12

You mentioned that for some children it may be the first resort, the option of first resort, and this is something that is very much in my mind at the moment and I’ll just just just very quickly. The reason being is that my, my long-held view or observation of children, young people, who find their way into out-of-home care, the trauma that they’ve experienced is relational trauma. It’s happened at the home, it’s happened, you know, with their parents and they come into care with. Well, I would say it’s uh for people, because people don’t easily think of it in this way. I would say it’s akin to a phobia, where the phobic object is there is a relationship, is relationship or relational connection.

Colby: 20:03

Now it’s, I would say it’s more than akin to a phobia. It is a phobia and that phobia has, you know, probably relative degrees of difficulty for the young people, a challenge for the young people and there are, there are probably young people, there are undoubtedly young people who come into care that perhaps the worst place to put them is in the family environment, where they’re really challenged by relational closeness and the expectations of the adults in those environments. And again, I think that comes back to what you were saying about fitness. I wonder have you got any comment you’d like to make about that?

Bruce: 20:48

Well, you know, I think something that goes with that is that we often think in terms of these children who’ve had traumatic experiences in their families, all in terms of parent-child attachment.Bruce: 21:04

But as kids get older, it’s their peer group that’s increasingly important.

Bruce: 21:09

And unfortunately, there has been a mythology that’s built around the idea that if you put kids in residential care, they’re just around other troubled kids and that’s just more trouble, when in fact I don’t think the research supports that.

Bruce: 21:24

And I think that if you have high quality care, as kids get older certainly when they’re by the time they’re 12 or 13, their peers are becoming increasingly important and that peer group can be a powerful form of relationship and, under the guidance of sensitive adults, that can be an important part of their therapy. And the idea that you’ve always got to go back to the infant-child attachment model I think is a mistake. Now, the infant-child attachment model works in the sense that every social relationship is about kids sending off signals and needing to get sensitive responses back from those they send the signals to, but it doesn’t have to be a parent and it doesn’t even have to be an adult yes, in fact, um children will continue to make relationships that we would we would refer to as attachment relationships throughout their throughout their growing years and even as adults as well.

Bruce: 22:30

And I don’t want to, you know, put down the parent-child relationship, because I mean, if it had worked in the first place, the kids would have been a lot better off. But the other thing I know is I’ve rarely met a child who wouldn’t go back to their family if they possibly could. I mean that that that is fundamental, and even when they’ve been mistreated, and even when they know it’s not a good situation in their heads, they would love to be able to go back to that. And so I don’t want to suggest that’s not an important relationship.

Colby: 23:05

it is yeah, and I think it’s something that it should be aspirational in terms of our endeavors, that we, we, we do endeavor to try and return them, and part of the part of my reasoning around this is that children form multiple attachment relationships, but their overall attachment style is a is influenced by all of those relationships.

Colby: 23:31

So one of the reasons why placements, foster placements break down, not least of which is that the children are challenged, potentially overwhelmed, by the expectation of the foster carer around relational closeness, is that they’re carrying around all this attachment baggage for want of a better term from their relationships with their parents and that impacts their capacity to form a new attachment form, an attachment to their current carers, and also it impacts their overall attachment style and those two things interplay with each other.

Colby: 24:12

So you know, I call it the secure ideal. Child protection authorities seem to be relentless in trying to pursue this idea of attachment security, but in the process they often neglect these historical relationships or they may still be contemporary, but they may also be unrepaired, and those relationships do hamper our efforts, I think significantly, to achieve an outcome where children and young people approach life in a well-adjusted way, well, cognitive psychologists would call it mental models or schemas, and that’s how we interpret our worlds, and these kids often have mental models that are distorted in important ways, and partly what therapy is about is working on those mental models and providing new models.

Bruce: 25:09

And uh, and you can’t provide new models.

Colby: 25:12

If kids are changing situations over and over and over again, they, they never get a chance to form them yeah, yeah, and if they’re just putting transference into all of those, there’s a lot of transference going on into all of those new relationships and too often unhelpful counter transference. But one other thing I think you touched on. I just wanted to ask you, before we move on, do you think that residential care, children’s residential care, could be an option of first resort, and under what circumstances do you think Well, I think there are a couple of situations residential care, children’s residential care, could be an option of first resort, and under what circumstances do you think?

Bruce: 25:50

Well, I think there are a couple of situations. You know. If in fact there’s a good chance of going back to the family of origin, residential care is kind of a neutral place to go compared to having to get a brand new family and starting all over again. And residential care under those circumstances might be the best place for kids to be while their family’s getting their act together.

Bruce: 26:17

And so I think that’s one. Another one is the sibling situation, and at Black Mountain I’ve seen situations where we’ve taken in three or four kids at a time and they, for those kids, those sibling relationships, are the most important relationships in their lives, and so that that, I think, is sometimes a good reason to put children in a residential care as a first resort. There may have, you know, there are also, I think, red flags. There are red flags in some kids especially, you know, adolescent, young adolescents, where it’s clear that they don’t want another family and that you’re really putting not only them at risk but the poor foster family at risk. The evidence is that we lose foster care families at a rapid rate and I think it’s oftentimes because of that insensitivity about the nature of that child. And you know, I feel for social workers, social workers around the world they’re too young, they’re too inexperienced, they don’t last think, I think they’re in incredibly difficult situations.

Colby: 27:29

But I think we’ve created some of that difficulty by doing things like saying um, well, residential care is last resort yeah, when indeed it as we’re talking, I mean we’re highlighting some of the, you know, the manifest strengths of residential care, and I know from reading some of the you know the manifest strengths of residential care and I know from reading some of your writing you’ve talked about stability and resources as strengths Wonder if you might tell us a little bit of your thoughts about that.

Bruce: 28:02

Well, you know, this gets complicated because it’s related to what I think has been the stereotype of residential care that has kind of ruled the literature over the last 30 or 40 years. And I think that what they look at is they say that residential care is inherently unstable because the caregivers are coming and going Well in high quality care. That’s not true. In high quality care, where you’re compensating your house parents, for example, well and you’re making their jobs doable and attractive, then you can get long-term stability in relationships. So I think that stereotype has worked against it. If, in fact, the residential care is not providing stability, it is not high quality by definition. It’s not able to provide high quality care Resources.

Bruce: 29:07

I think the most important resource we’ve talked about relationships and those are the most important resources. But I think also there are resources like specific forms of therapy for some kids with particular traumas, but also just basic things like education. One of the things that happens to these young people who’ve been through dozens of placements is they’ve not only changed families, they’ve changed schools, they’ve changed neighborhoods, they’ve changed playgrounds. They with the same group of children and adults is just. For some of them that’s the first time that’s ever happened to them in their lives.

Colby: 29:54

Yeah, yeah, I think you speak compellingly about these aspects of residential care that are strengths and often overlook strengths.

Bruce: 30:07

You’d have to say when the dominant, when the dominant view is that residential care is is the lowest standard of care and the option of last resort well, even related to to foster care, one of the one of the advantages we have at Black Mountain is we we have a campus and we have resources there, and one of the advantages we have at Black Mountain is we have a campus and we have resources there, and one of the things we can do for foster parents is provide them with resources. And one reason that foster care places don’t make it is because the foster parents don’t get enough support. So we’re careful about identifying the parents in the first place, but then we also support them. It may be if it’s very young children.

Bruce: 30:51

it may be something as simple as diapers, providing them with diapers, which are very expensive, or it foster children that they wouldn’t have otherwise, and now they’re getting some of the same experiences as the residential kids are getting and we can also work with them in terms of things like educational planning, vocational planning, and that really helps those foster parents.

Colby: 31:26

Yeah, and what you’re describing is a is a community, a therapeutic community that’s right, that’s right. Yes, that’s that’s right, and you know a lot of, I guess, even just from my own jurisdiction, where I’m most familiar a lot of these things that that we’re talking about just don’t exist in residential care yeah, that’s right, that’s right and so residential. I want to get on to talking a little bit about the research in a moment, but it’s probably worth mentioning beforehand that residential care is a heterogeneous group, just as families are.

Bruce: 32:02

That’s right and worldwide it’s incredibly heterogeneous and some of it’s good and some of it’s bad, and I will say that I have tended to focus on private residential care. I am not in the sense that I’m not sure for profit residential care. I don’t know how you can make a profit in this business. I don’t know how you do it and make a profit, and I haven’t looked closely at for-profit care. I read the newspaper too, and I read the stories about a lot of problems in for-profit residential care, but I just don’t, unless your government is supporting it well or you’re a private, uh organization that has extra support from, from donors. I don’t know how you do it, yeah it’s definitely an.

Colby: 32:59

What we’re talking about is expensive care or at least someone taught me the task about this about whether you call it extensive, sorry, expensive or high cost, though, and no, he was arguing that it’s high. When it’s done well, it’s high cost, expensive kind of has connotations of not being really value for money, but just for image, I guess.

Bruce: 33:26

But yeah, I think the key, key word is value. Uh, I mean, it’s a question of values. Uh, you know, the united states spends billions and billions of dollars on aircraft carriers that float around the the world and in the sea. Uh, we spend enormous amounts of money on betting, on sports activities and lottos and so forth. And it’s a question of you know, where are you putting your money? I don’t think residential care should be the norm for kids who need care. I think it’s going to be relatively rare, but it needs to be one of the options.

Colby: 34:10

And I guess when you say the norm, are you saying that children? Probably it’s not the best place for children to grow to independence so that they spend all their time in care, in residential care.

Bruce: 34:25

Well, again, it depends on the child and the environment, and when we get new youth, when they’re 14 or 15, it may, in fact, be the best place for them to grow to independence. Because we can, we can provide the support in terms of training and support. You know, for years and years in many states in the United States, when a child turned 18 in foster care was basically by it’s been nice knowing you, and for most 18 year olds, the idea that you’re going out on your own without any support, I mean could you have done it? Could I have done it? I mean I can’t imagine it and so that idea was just crazy. So I think the changes in recent years to provide more support for older kids it may be a 15 year old. They need to stay in residential care until they get the skills to be independent. But yes, certainly there are situations where it’s going to be a lot cheaper, more effective, to find a forever home for children, whether it be a really good foster situation that’s going to remain stable or adoption.

Bruce: 35:37

Now I have concerns about adoption. In the United States. We’ve had a tendency to rush to adoption in too many cases and I don’t like the idea that families of origin can be cut off quickly. That shouldn’t happen. If they need to get their act together in order for their child to come back to their house, give them some time for it, because one of the naive aspects of some of the changes that occurred in the last decade was the idea that you can fix families real quick and then send the kids home. I mean that I don’t know who told them that could happen as a psychologist.

Bruce: 36:17

That’s crazy to me yeah, yeah.

Colby: 36:21

So so the issue with residential care, or the I guess the point sorry that we’re that is being made is that, um, there, there needs to be an ongoing, perhaps, assessment of what is the best care arrangement for this person. So, um, so that that can happen at the beginning when children come into care. And what I’m hearing you say is that there shouldn’t be a distinction in relative status between residential care and a family-based care environment. They’re just all part of the care options and they have equal standing and merit because they cater to children who have different needs, the variability of needs, and then, as a child travels through the remaining years of their growing up, their childhood, there can be a continuing assessment of fitness and what is, what is the best placement environment for them. And we need residential care to have the same standing as an option as, uh, as those family-based options.

Bruce: 37:44

That’s what what I’m, I guess, to summarize, yeah the last resort notion came from a belief that residential care was inherently bad for children, and what got me going on and looking at the research was that a law that was passed in the United States in 2018 that said that no federal funds could be used for residential care. And I was the chair of the board of directors at Black Mountain at that time and a reporter called me up and said you know, you’re going to lose significant amount of money here. What are you going to do about it? Now, black Mountain is a faith-based organization and I said we’re a faith-based organization. We’ve been working with kids for a long time. We’re going to find a way to work with these kids and meet their needs.

Bruce: 38:39

Well, I got attacked immediately by a lobbyist in Washington DC who said you people who are spreading this notion about good residential care, that’s phony and I’ve got the research to support it. And he argued that he had three pages of citations of studies that showed that residential care was inherently bad for kids. Well, there I was, a child psychologist and somebody with research background and research methodology and I thought, well, I’m going to take a look at those citations. And that got me in looking at the whole literature. Now it turned out that those three pages of citations didn’t have a single one that supported what he was saying, but it got me into that literature to look at what actually was going on I’m going to come to that in a moment.

Colby: 39:36

But what I would say I mean we, because we’re going to have people who listen to this podcast. Perhaps. Perhaps we’ll get a lot of people who listen who are kind of thinking similarly, but we’re going to have a proportion of people who think that this is nuts. You know, talking positively about residential care. And there is and I know I’ve had, I’ve put, I remember a post I put up about residential care some time ago on LinkedIn and I didn’t get any comments, but one where the person who commented basically said that residential care was basically a repository for adults who engage unlawfully with young people, and they weren’t as vague about it as I just was.

Colby: 40:32

But I think to those people, to those people who are concerned about residential care, I would say that my understanding of what we’re talking about, the message is this that in some instances and for some children, residential care is not a good option. So, in some instances, because residential care is not always the same and there are residential care programs or facilities that do not meet the needs of the children and young people and for other children and young people, that’s not what they need at this time. They need to be, they’re ready and they need to be in a caring family option, or they need to go home to their parents a parent or parents? Yeah, I think so, and I think, think so. It’s a good time to go to the next part of our conversation with the. What does the research actually say about children’s residential care, including in comparison to other care options in out-of-home care?

Bruce: 41:50

Well, you know, I think I started off the book with an early chapter on research methodology, because I think you need to think carefully about this research.

Bruce: 42:03

It’s a messy area and there’s some things that we can’t know, and I think it’s important to keep that in mind.

Bruce: 42:12

I do not think there’s any way to prove that residential care is inherently bad or that it’s good, because of what you were talking about earlier the range of different things we’re talking about, and so definitional issues are really important and I’ll just say up front that I think there’s certain forms of residential care that seem to have consistently been poor, and that’s correctional juvenile justice forms of residential care that seem to have consistently been poor, and that’s that’s correctional, juvenile justice forms of residential care, and I think that’s because they rarely, if ever, use a developmental model, they never really understand the way kids work, and so that all over the world you know juvenile justice interventions in residential care have not worked.

Bruce: 43:03

Now I think that when you look at the research that says residential care is inherently bad, a problem with making that statement is all you have to do is find one, one residential care situation that isn’t bad and then that blows the inherent out of the water, it’s not by its nature, it’s, again, the quality of the care. So, anyway, when I started looking at the literature, it became clear to me that there’s a handful of studies, research studies that have had an enormous impact on the view of residential care, and the single most important one is the study of the so-called Romanian orphans who by?

Bruce: 43:47

the way were not orphans at all. But that study, the Bucharest Early Intervention Project, has just dominated all the talk about residential care for almost 30 years now.

Bruce: 44:06

And it appears over and over and over in the statement, and that was a situation where there was lots of money for research and American researchers, including good researchers from Harvard University, were involved in the research. They’ve published dozens and dozens of journal articles out of it and indeed the care that was given in Bucharest was horrible care and it should never be repeated. But what’s happened is that that research has been generalized. It was, it was research on infants and very young children, and yet it has been generalized to all forms of residential care, for all kinds of different kinds of residential care, for kids of all different ages and backgrounds, and that’s a. That’s a research. No, no ages and backgrounds. And that’s a research? No-no, you don’t generalize from one kind of research to completely different situations, different majors, different kids. I mean it’s just amazing to me that it has been applied so naively. And there are a handful of other studies that have the same problems, have the same problems. There was one that was funded by the Annie Casey Foundation that basically looked for kids or adults who had grown up in bad residential care and interviewed them and said residential care is terrible. I mean it just frankly. It’s researchers not following their own rules.

Bruce: 45:45

Now, on the other hand, I think there’s evidence that it’s not proof. It can’t be proof, but I think there’s strong evidence that good residential care has positive effects. And some of it is just simple survey research, which tends to be. You know, researchers tend to look down their nose at survey research. But if you ask a large number of alumni of residential care about their experiences and they tell you they had good experiences and they never would have preferred foster care, you got to give some attention to that. If you look at simple pre-post studies, kids come in and you look at them when they come in, you look at them when they leave and they get better consistently. Now, that’s not going to prove that it was the program that made them better, but it all suggests that it’s not making them worse. That’s not going to prove that it was the program that made them better, but it all suggests that it’s not making them worse. It’s not.

Bruce: 46:46

So I you know what I did in the book was to was to kind of look at both sides and I looked very critically at both sides and I and I and there is no perfect research. There’s not going to be perfect research, but the evidence is that if you do it well, kids thrive, they do grow. And then in the book I focused on two very different models of residential care the teaching family model, which has behaviorist roots and a lot of people I work with don’t like behaviorist roots but I don’t think the actual application of the behavioral psychology and the teaching family model has been. It’s not Watsonian or Skinnerian, they found out very, very early relationships mattered and that family systems model I think works well.

Bruce: 47:44

And the other is the care model. And, uh, the care model is the out of cornell, out of the uh, uri bronford brother center, and the care model is what fit, uh, what we were doing at black mountain, and so, uh, we adopted that and became one of the care model programs and I think they do a wonderful job. I think they have a very sophisticated theory that combines James Anglin’s work, attachment theory, vygotsky’s work, and they do it in a very sophisticated way and I think that it’s had a power, powerful, positive effect on residential care all around the world, including in australia.

Colby: 48:26

Yeah, yeah, what you were saying there put me in in mind very recent guests, which was, uh, dr laura stickley, who, um you, you would, you would know, who in fact put us together in contact with each other.

Colby: 48:44

And, yeah, she talked about exactly the same thing that when you interview alumni of residential care, more often than not they’ll say that they have a positive opinion of it, and even if they’ve also been in foster care, they’ll report comparatively more positively about their residential care experiences.

Colby: 49:08

It would have to be said, though, that that data may be influenced by the circumstances in which they left foster care and went into residential care, and I think this is it’s that, it’s that level of and I think this is probably what you were, you, you have were saying about just be aware of basic research methodology, and and you had that early in your, you have that early in your book which is that we, we, we need to, to be, we need to be able to critically appraise the research. That um and not not everyone can do that, and that’s why I guess it it’s helpful to have people like you who can do that. To spell it out, um for people, but, um, you know even just what, what I just said, that you’ve got to, you know, understand the circumstance, or turn your mind to the circumstances under which a child might have left foster care to go into residential care, or young person.

Bruce: 50:08

Yeah, you’re really not talking about discrete effects. You’re not talking about what we would call discrete, independent variables. You’re talking about packages. It’s much like studying cultural differences when you’re comparing kids from one culture to another culture. You can’t identify something discrete about those two cultures because you’re dealing with packages. And that’s certainly the case in terms of residential care. And the other thing I think you have to be careful about is the quality issue, because that’s what comes back over and over again is as more important than the site of the care is the quality of the care, and kids can have bad care in every single different situation, and what we need to do is make sure you’re assessing that quality of care is. Make sure you’re assessing that quality of care.

Colby: 51:02

Yeah, yeah, you’ve mentioned your book a number of times. You’ve mentioned I don’t mean that in a bad way, but you’ve mentioned it. It’s one of the reasons why I was really keen to speak to you. What can people expect to get out of reading uh, access and reading the book, and how? How do you think it would influence practice in this space?

Bruce: 51:30

uh, you know I I did not push the book for the first year and a half because the hardback version was ridiculously expensive.

Bruce: 51:38

So I didn’t suggest anybody buy it, and so now it’s in paperback and you can buy it on sale sometimes and it’s more reasonably priced. But I think some of the other things I’ve written in journal articles would get the message across, and I often just give references to open access articles because they can get the basics. James Anglin, who has had a big influence on me, and anybody who knows residential care knows James’ name, and James said that the main purpose for my book should be that anybody writing a grant proposal to get support for residential care should put it in the appendix, and that’s basically why I wrote it. I wrote it because I felt like those who do residential care, those who see it as having a positive impact, were getting a bad press and I wanted to clear that up. And so you know, I think the major purpose of the book was to make that point. Now I do think that and this happened to me when I talked I was giving in Calgary, canada, last year a young woman came up to me and had actually bought the expensive hardback and she said that she she had, she was running a program there in Canada and she said what she had picked up from the book and which I was delighted to hear, was a better idea about what quality care is, and I think if people can can read that book and take that away.

Bruce: 53:21

I’m delighted because I think that’s such an important issue. It is the issue, the issue of providing quality care, and I think the reason you know, I don’t think there’s a mystery here. I think the research shows what high quality care is. It’s a matter of picking the people who are going to provide it carefully. It’s a matter of training them carefully, it’s a matter of supporting them carefully, providing the resources they need and the kids need, and then providing that stability. And I think that if you do that, you can provide quality care. Now it’s easy to provide bad quality care. There’s so many different ways of doing it and you do have to go into it. I think, thinking that this is an expensive form of care. And I say in the book, in the conclusion of the book, one of my conclusions is that residential care is expensive and it should be. We owe it to these kids. Society has not supported these kids well up to now and we’re going to pay for it and we should pay for it.

Colby: 54:30

I think that’s a really good point and it puts me in mind of an earlier guest who came into residential care from economics and who was very interested in human capital, the notions of human capital Graham Kerridge was his name, if you wanted to look back and I think that residential care done well, I think that residential care done well, just as is the case with other forms of out-of-home care, is an investment not only in the future of that young person, but their children and their children’s children. That’s right, and I do think that when you view residential care as an option of last resort, I wonder whether you know, like I wonder, whether a certain amount of that argument comes from the funders. Because of the cost yes, because of the cost they don’t want kids to be in residential care.

Bruce: 55:37

It’s bad for them, which also confounded with with the fact that it is also expensive yeah, there’s no question about that, that that happens, and and I think that, um, one of the reasons they get legislators on board for, uh, pulling the support from residential care is exactly that. And they said you know, it’s cheaper to keep kids in families. Well, no kidding. But the question is what’s the long term impact and what’s it going to cost society in the long term if we’re not careful? One of the things that’s happened because of the last resort thinking is that and the lack of foster care placements is there’s some strong stress on keeping kids in their families of origin, sometimes to the point where that’s dangerous.

Bruce: 56:34

And they’re doing it in situations where that’s dangerous. So there’s a writer, Naomi Riley, who writes about this regularly and what she’s pointed out is that when you increase the number of kids who are going back to their families of origin, abuse and deaths go up. Yeah.

Colby: 56:54

Well, that’s sobering.

Colby: 56:57

As a practitioner myself for 30 years working in child protection and related endeavor, one of the one of the the challenges that practitioners like me have is is that the state is a is a relatively poor carer and it’s a bit of a case of out of the frying pan into the fire for a lot of our young people, unfortunately, and I think you know, our legislators and our services have got a big job ahead of them to address the quality this, the quality of, of all forms of out of home care I mean state care, or the care if you’re in the care of the state. That should be a haven, that should be a sanctuary for the children that should be a safe place to grow up and too often we owe that to them yeah, yeah, have you ever said

Bruce: 57:58

that no, you go well, I, I think you know the foster, foster parent situation is we we don’t give, typically, we do not give nearly enough support to foster parents. Um and and if, if you’re serious about making uh, foster care work, we’ve got to do a better job of supporting foster parents.

Colby: 58:19

Yeah yeah, yeah, bruce, it looks like the sun’s going down where you are, the it’s getting darker and darker. It’s getting dark. You’re right. I don’t know if you wanted to pause for a moment and put a light on I can put, I can put a light on does that help? That’s different. We’ll wait for that. There you go.

Bruce: 58:45

Now the camera is focusing in on you again well, I I was going to do this outside on my, on my deck, overlooking the mountains, but, uh, they were predicting, uh, um, thunderstorms, so I I decided to go inside.

Colby: 58:57

I I well, we talked last time. You, I think you were out on the deck.

Bruce: 59:02

Oh was I.

Colby: 59:02

Yeah, there were thunderstorms predicted then too. You were in a very stormy place, it seems. Yes, yeah, I can predict that, on the basis of N equals 2. Both times I’ve spoken to you.

Bruce: 59:13

Well, we live in what’s known as a temperate rainforest.

Colby: 59:18

Yes.

Bruce: 59:18

And we are in the wettest portion of the United States east of the Mississippi.

Colby: 59:24

Wow, yeah, yeah, well, there you go. Well, there you go. I mean, my prediction was true based on a sample there you go. Sometimes it works. Bruce, if you were sitting down in front of legislators, what would you say to them about residential care?

Bruce: 59:42

in a nutshell, Well, we’ve talked about some of the things I would say to them. In fact, I have written to to as a written witness, to a number of of legislative groups and what I, what I say, is good residential care needs to be available and it needs to be an option, and not an option of last resort, but an option that takes into consideration the child’s needs. And one of the problems we’ve had in the United States and I’ve told legislators this over and over again they use the term family first and I think that’s wrong. I think the Danes have it correct. In Denmark, they don’t say family first, they say children first.

Colby: 1:00:32

And.

Bruce: 1:00:32

I think that’s the attitude that we need to take, and so what we need to do to have children thrive. They’re the ones that don’t have the power, they’re the ones that don’t have the voice, they’re the ones that get pushed around, and when you say family first, and what you really mean is parents, adults first, that’s not a good approach.

Colby: 1:00:55

No, no, yeah, finally, I’ve asked you a lot of questions, bruce. Was there anything that you’d like to ask me before we wrap up?

Bruce: 1:01:06

yeah, um, um. Australia was a place a few years ago that said we’re going to do away with all residential care. That’s the dream, and the dream’s been realized, and then things seem to have turned around pretty quickly. What’s your take on what happened?

Colby: 1:01:27

Well, I can’t really speak authoritatively for what’s happened in other states of South Australia. I’m in South Australia. We had what’s called a Royal Commission in our political environment, which is based on the British one, a Royal Commission and I’m probably not going to give a great description of it, but it’s like a very high level judicial inquiry into an issue. It’s called by the government of the day, it tends to take a period of time and it’s an investigation of an issue of great importance to the body politic, and then recommendations are made and it’s usually around things that have gone wrong. We had one in relation to child protection systems and an outcome of that was that, well, one of the things that flowed on from that was there was this idea reinforced that residential care is inherently bad, excuse me. And so we did have congregate residential care units. They’ve been closed down. Residential care units they’ve been closed down. I think almost all of them have been closed down, at least the state-run ones.

Colby: 1:02:48

And there was pressure in the last few years to move children out of residential care arrangements and, in particular, temporary residential care arrangements, which they were referred to as emergency care.

Colby: 1:03:05

And there remains this um, this idea that that residential care is bad and and that we should have all children out of residential care. And indeed our minister, or her staff has, has, you know, talks in posts on social media about we funded this program or that program and we saved children from residential care. I can’t quote you the figures, but residential care hasn’t gone away, and though the state or the government-run child protection agency tried to divest itself of residential care to independent providers, they have ended up having to maintain their own residential care program. I don’t know if it’s expanding or static. I don’t know if it’s expanding or static, I just know that it’s not been successfully gotten rid of. And I think you won’t. You won’t, and I think there’s very good reasons, as we’ve outlined in this conversation, for why residential care needs to be part of the picture. So it’s almost like the tail wagging the dog, in a way.

Bruce: 1:04:23

Yeah, yeah.

Colby: 1:04:28

The need is right in front of people’s faces. There needs to be this option. You can’t get rid of it. What you, rather, should be focused on is how do you make it better? How do you improve?

Bruce: 1:04:44

it. Quality is the issue. Quality of care is what it’s all about. I know that the people at Cornell in the care model have spent a lot of time in Australia and a lot of Australian programs have adopted the care model and I think that’s a real positive outcome because I think if you really do take the care model seriously, you can provide high quality care. Yeah, yeah.

Colby: 1:05:22

Well, Bruce, it’s been a real privilege to be able to have tracked you down and had this conversation.

Bruce: 1:05:27

Well, I have a low social media presence and that’s intentional, but I’m not hiding from anybody I know.

Colby: 1:05:34

But look to be honest. Last weekend it’s Father’s Day here tomorrow, tomorrow, sunday’s Father’s Day here tomorrow. Tomorrow, sunday, it’s Friday here, but one of my sons is going away tomorrow. So we celebrated. Last weekend. I barely picked up my phone and looked at social media and, gee, it was nice to do that. But thank you for taking the time to speak with us.

Bruce: 1:06:00

I’ve enjoyed talking with you. It’s been a fun conversation, awesome, thank you.

Reimagining Children’s Homes: From Last Resort to Purposeful Healing, with Kevin Gallagher

Not Forever Homes, But Forever Impact

In this insightful episode of the Secure Start podcast, host Colby Pearce engages in a profound conversation with Dr. Kevin Gallagher, a veteran practitioner with nearly 30 years of experience in UK residential care. Their discussion delves into the evolving landscape of residential care, its purpose, and how it can be optimally utilised to support vulnerable young people.

Kevin’s journey into residential care began in his mid-twenties, following personal struggles with identity and finding his authentic self. His early experiences of inequality and exclusion fostered a deep desire to help others, eventually leading him to social work training in the late 1990s. This personal healing journey coupled with professional development highlights how many practitioners in helping professions bring their own lived experiences to their work – what Kevin refers to as the “wounded healer” phenomenon.

What stands out in Kevin’s narrative is the evolution of his practice from an intuitive, heart-driven approach to one that balances authentic connection with evidence-based methodology. In his early career, his approach centred around providing “good parenting” – ensuring children had bedtime stories, proper meals, and a well-maintained environment. While well-intentioned, he acknowledges this approach was “crude and naive” without the underpinning theory to support it. This honest reflection demonstrates the importance of continuous professional development in the residential care sector.

A pivotal aspect of the conversation revolves around the purpose of residential care. Kevin makes a statement that might initially seem controversial: “These are not forever homes.” However, he clarifies that this doesn’t mean these environments should be cold or unfeeling. Rather, it speaks to the purposeful, time-limited nature of therapeutic residential care. The goal is to provide young people with healing, skills, and relationships that enable them to flourish within the parameters of their stay, ultimately preparing them to navigate life more successfully when they move on.

The podcast challenges the prevailing narrative of residential care as an “option of last resort.” Kevin questions why, after a second failed family placement, the conversation doesn’t shift towards trying something different rather than attempting several more family placements. This cycle of placement breakdowns creates additional trauma through repeated rejection. He suggests that in some cases, residential care could be used earlier and more purposefully to do the necessary therapeutic work that would eventually enable young people to successfully transition to family settings.

Kevin also addresses the heterogeneity of residential care, emphasising that just as no two families are the same, no two residential care settings are identical. He describes how his current organisation, Amberleigh Care, operates psychodynamic group therapeutic communities for teenage boys – a model that wouldn’t be suitable for all young people. Meanwhile, other organisations like The Mulberry Bush School use similar therapeutic frameworks but adapt their methodologies for younger children. This diversity is essential for meeting the varied needs of traumatised young people.

The financial aspects of residential care receive thoughtful consideration as well. Kevin makes an important distinction between “high cost” and “expensive” – residential care is undeniably high cost due to the resources required, but it should only be considered expensive if it doesn’t provide value for money. This nuanced perspective challenges simplistic financial comparisons between residential and foster care.

As our care systems continue to face increasing demands with diminishing resources, Kevin’s insights provide valuable guidance for how we might reimagine residential care. His decades of experience suggest that when used purposefully and therapeutically, residential care can be a powerful intervention that changes young lives for the better. The key lies in being intentional, responsive to changing needs, and guided by both heart and evidence-based practice.

You can listen to the podcast here:

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About Kevin:

Kevin is a qualified social worker, organisational consultant, manager and has just completed his PhD. 

He has worked in residential care and education for almost 30 years (with Amberleigh since 2015), from front line practitioner, through management roles and into leadership in a diverse range of organisational structures, both public and private. 

Kevins passion is for therapeutic residential care and education, promoting the use of quality improvement standards. 

He is an Advisory Group member and Therapeutic Care Specialist at the Royal College of Psychiatrists. 

Kevin has been a trustee of The Consortium for Therapeutic Communities for over a decade, supporting and developing therapeutic practice across the UK, in particular, supporting local authorities to commission specialist provision. 

Additionally, Kevin assists providers in strengthening models and practice. 

Kevin is a very public campaigner for better understanding and use of residential care through a focus on practice evidence.

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Transcript:

Colby: 0:00

Welcome to the Secure Start podcast.

Kevin: 0:04

When the second family placement has failed? Where is the conversation that says maybe we should be trying something different rather than carrying on trying another three or four or five? You know you’d like to think that residential care would be used earlier and more purposefully to do the work in order to allow young people to move into family type settings successfully. Therapeutic care as opposed to any other descriptor, it needs to be purposeful, it needs to be deliberate. These are not forever homes. It’s not forever, but whilst they’re with us, it is their home.

Kevin: 0:50

We need to be clear on what are we doing. Why are we doing it? How are we keeping it responsive? How is it responding to changing needs? This idea about them not being forever homes there’s nothing in my mind. There is nothing cold and feeling about that which would be the kind of criticism, and quite the opposite. It’s a much more responsible approach to say how can we make sure that these young people feel loved and welcomed and protected and encouraged and enabled to flourish and given all the opportunities they can within the parameters of the time we’ve got?

Colby: 1:32

Welcome to the Secure Start podcast. I’m Colby Pearce, and joining me for this episode is a highly experienced practitioner and leader in the UK residential care community. Before I introduce my guest, I’d just like to acknowledge the traditional custodians of the lands that I come to you from, the Kaurna people of the Adelaide Plains, and acknowledge the continuing connection the living Kaurna people feel to land, waters, culture and community. I’d also like to pay my respects to their elders, past, present and emerging. My guest this episode is Dr Kevin Gallagher.

Colby: 2:19

Kevin is a qualified social worker, organisational consultant manager and has just completed his PhD. He has worked in residential care and education for almost 30 years the past 10 years with Amberley Care, from frontline practitioner through management roles and into leadership in a diverse range of organisational structures, both public and private. Kevin’s passion is for therapeutic residential care and education, promoting the use of quality improvement standards. He is an advisory group member and therapeutic care specialist at the Royal College of Psychiatrists. Kevin has been a trustee of the Consortium for Therapeutic Communities for over a decade, supporting and developing therapeutic practice across the UK, in particular, supporting local authorities to commission specialist provisions. Additionally, kevin assists providers in strengthening models and practice. He is very public as a campaigner for better understanding and use of residential care through a focus on practice evidence. Welcome, kevin.

Kevin: 3:49

Hi, colby, it’s great to spend some time with you and thank you for that very generous introduction. I feel like I need to, you know, add some personal bits to it. I’m a Gemini, I don’t like football, I’m no good at DIY, and we’re picking up a new puppy tomorrow.

Colby: 4:04

Oh really, I’m no good at DIY and we’re picking up a new puppy tomorrow.

Kevin: 4:06

So I think that just it kind of rounds off a long list of work-related activities. But it’s great to be with you and I’m delighted to have been invited. Thank you.

Colby: 4:15

Well, and thank you for agreeing to come on. I’m not sure when which month covers Gemini. Yeah, we’re a little bit different. I don’t mind the football and building things. In fact, I’ve spent much of today doing renovation work here at my house, but we obviously both have an affection for dogs. There you go. What sort of puppy are you getting?

Kevin: 4:42

tomorrow. So we’re getting an Irish Terrier puppy tomorrow. Oh yeah, yeah, yeah. So that last dog of 16 years sadly passed away about a year ago. So we’ve got the summer holidays out of the way, so that we’re now ready to have a new addition to our home, and actually we’ll be registered as a therapy dog as well, so I can bring him into work with the children yeah, I look, I’m a I’m a massive dog person.

Colby: 5:10

I love dogs, my mine. Last month was two years since our maltese cross poodle passed um and uh. I’d like to tell the story about the, the variation in in uh, the dogs that rebecca and I, about the variation in the dogs that Rebecca and I have had in the course of our marriage. So our first dog early in our marriage was an Alaskan Malamute, and so a very big dog, very big, very strong, shedded a lot. And then we went from there to a Maltese Cross Poodle, or a Moodle as they call them here, and they both used to sleep in our bed. He was small enough to sleep on his daddy’s chest, a bit like the Bubbies did when they were small. So, yeah, dogs really enrich our lives. I wish I could get another one, but my sons feel my pain, and so one of them’s already. He moved out earlier this year into his own house and very closely after that, bought himself a golden retriever puppy.

Kevin: 6:21

Dogs have always been part of my life and actually even at work we have dogs and animals of various descriptions in our two settings. I might talk a little bit about later. But I think that kind of the impact of having dogs around or having animals around and needing to care for them, as well as the kind of the distraction and shared experience that you can have with staff, I mean, yeah, I think it’s. It enriches our lives to have animals around.

Colby: 6:46

And I think there is definitely an evidence base that is emerging around the role that pets slash animals play for the benefits around mental health and wellbeing and the developmental benefits for children and young people as they’re growing up having pets to care for. So, yeah, that’s great. Was there anything else that you wanted to add to the bio that I read before, or just the personal addition was sufficient.

Kevin: 7:25

No, it’s an honour to be invited and I think when you kind of read it out, when you’re in and doing the work, and then the years go by and you learn and your role changes and now I find myself 30 years in being invited to have conversations like this, which is a real privilege. So it’s always useful to be able to reflect on the journey and the different roles and how it’s evolved and how that informs how I practice and you know the views I have around child care, how we run the services, how we campaign. So I think it’s a yeah, it’s a useful starting point in terms of the conversation this morning.

Colby: 8:04

Yeah, yeah, and of course the privilege is also mine as well, having you on, so tell us about how you got involved in residential care.

Kevin: 8:15

I mean, I think, like a lot of people in helping professions, there’s a degree of wounded healer in in the background. I sort of fell into it in my in my mid-20s. I kind of left school at 16 with qualifications. There wasn’t a, there wasn’t an encouragement in my house to kind of work, um, and struggling with my identity as a gay man. I hadn’t come out at that point and I found myself with a house and a girlfriend and a job and responsibilities and living a life that really wasn’t um, authentic um, and there was a kind of a hidden side and the tension and the pressure of managing that culminated in me coming out and having some quite a lot of difficulties during my late teens and early 20s, you know, become a little bit extremely strange for my family for a while. A bit of running with the pack, mixing with some of the wrong crowd, too much partying, um, you know those those sorts of issues, and I was kind of finding myself um and I wasn’t happy during that period. Uh, and then, um, as I began to settle into myself a little bit more, um, I actually went back to night school as it was then, and did my sociology and psychology a levels, um as a stepping stone towards social work. I think the my experiences of being a gay man and coming out and growing up during the the 80s I was born in 69, so um, the kind of the environment, um in the, in the culture at the time around, homosexuality was still um very negative um, and even my first experiences of coming out on on the gay scene there were a handful of quite clandestine venues that you would go to and a real melting pot of people in there in terms of ages and interests and so on and so forth. It’s not like it is today and I think I was very aware of inequality, unfairness, feeling excluded. Some of these thoughts were not properly worked through because I was living them and experiencing them as a young man and that definitely informed a motivation to want to help others. I’d always found that I was fairly gregarious, quite confident in, at least on the surface, quite confident in social situations, and when I left school I ended up working in banking and sales, so a very kind of talking, interacting type profession, and I think that and then this combination of social values and wanting to help people I didn’t recognize it at the time, but some of that was also my own healing that. That took me towards social work training.

Kevin: 11:37

So I did my social work training in the late 90s and that was the beginning of a sort of a turning point in my personal life. I can kind of come out of a difficult period and then now had more of a purpose of where I was going. I’d come out, my family had had some time to adjust to that. The fact that I was now training and on a career path was, you know, was helpful in rebuilding my relationship with my family and so it moved on from there. And then usually at the time when I did my social work training it was a diploma in social work. It’s now a degree in the UK, so it was a two year diploma with quite extensive placements as part of the learning.

Kevin: 12:28

And I did my second year placement, partly attached to um uh, an adult um, mental health hospital, um and partly with a leaving care team, um, working with young people transitioning, and that was the beginning of my hook into working with young people. So when I qualified, everybody else on my course there were about 20 odd of us. Most of them were doing children and family social work or adult social work and wanting to go and work in statutory teams, but I went to work in residential care straight away in the local authority. So even that was quite unusual at the time. So I found myself in a small local authority children’s home in the West Midlands in a very kind of urban setting, working with quite diverse, challenging young people. If I look back on it now, there was no deliberate use of residential care. You know this was a unit, as the language would have been called then, and we were working with whichever young people the senior management in social services were sending through to us.

Kevin: 13:50

And it happened that we were working with a very complicated young person who displayed sexualised behaviours as part of his kind of profile and we were engaging with an independent sector organization that were actually coming out to do some assessment to see whether he would be a suitable match for their service. And I was involved in that and although, as it turned out, that wasn’t the right route for that young person, I made a connection with that service that ultimately then turned into a job offer at a later point. But I found myself fairly quickly as the only qualified member of staff in a mixed staff group and within a few months of being there the registered manager had an accident that injured his back and put him out of work for several months. And as the only qualified member of staff I was asked to step up and hold the team, even though I was newly qualified and really wet behind the ears. So I found myself learning on the job very quickly and that was my springboard then into the, the independent sector and moving into a management role after about two years in the local authority and it moved from there. So I started as a residential social worker um managing a really tiny service initially, then moving into a six bed service for under 12s all boys and that was my first taste of working with therapists. That service used to buy in its therapeutic services from another established provider and, yeah, that was where I cut my teeth. I was in that organization for five years as that organization grew. So I started as a manager of one home, um, and then after about a year I moved into a middle management role and then was overseeing the opening of more homes and that’s when I really, you know, got my my feet into personnel management and staff training and understanding some of the policies and, um, you know the regulatory frameworks in more detail, and it basically moved on, moved on from there, um. So so, yeah, it’s definitely rooted in personal experience. There was definitely a motivation to want to help others.

Kevin: 16:25

When I look back now at my knowledge back then was wafer thin, really wafer thin? I mean a lot of the judgments were quite crude and naive. I mean I remember a phase I mean this would have been, you know, way back at the very end of the 90s, and my thinking was very much about good parenting. It was quite sort of middle class, sharp, elbowed parent type, thinking about manners and looking after our environment and making sure there were bedtime stories and that the house was well maintained and there was abundant food on the table, and so I didn’t have any of the underpinning theory to go with that. It was just based on this kind of strong sense of good parenting to try and make up for what had been missed. Um, you know, reflecting back on it now, it feels very crude, it feels very, very naive, and I certainly remember at one point, you know, three or four years in um, I was very much on my white charger, trying to rescue everybody and trying to lead from the front, and that was definitely my achilles heel.

Kevin: 17:45

I remember one, one period where you know the degree of trauma again, I’ll use the language that I understand now things were uncontained. Um, I wasn’t recognizing the need to contain the staff, to contain the children. I was trying to do all of that myself and you couldn’t fill your own cup quick enough to be able to feed everybody else. So, yeah, there were definite moments where I think I was very fortunate. In the first kind of four or five roles that I had, I had really solid, experienced practitioners as my immediate line manager or mentor, and so those four or five people really. They kind of gave me confidence and support to kind of do what I was good at, but they also kind of challenged and signposted me on the areas where I needed to grow and develop and that, yeah, that put me in really good stead.

Colby: 18:50

People seem to find their way into this area. That kind of need to find their way into this area.

Kevin: 18:57

It’s strange work really, isn’t it? I mean, when I talk to people about over the years and I’ve talked to kind of friends or people that you meet who are outside this work, and people will often say, oh well, it must be so rewarding, or well, I couldn’t do what you do. And it is a strange, it is a very strange situation. I mean even thinking specifically about the idea of a children’s home. Specifically about the idea of a children’s home. You know it’s a place of work for the staff who are coming in, but then it’s a relational and very kind of familial and domestic set-up, but then the young people who are there are not really there by choice. It’s a very odd situation to be in by design.

Kevin: 19:48

And then, in terms of the nature of that kind of relational work, um, you know, I often talk about to staff as well, about you. You need to be open and affected and bothered enough, um, to actually have real connections. You know that you’ve got. You’ve got. You’ve got to feel and want and want to know and want to be with these young people. But, by the same token, you also have to be slightly detached and aloof enough if aloof is the right word, detached enough to be able to think and and see things objectively and be able to apply yourself deliberately, and I suppose that’s the the point.

Kevin: 20:39

I was the thing I was talking about earlier. I suppose that’s the point of distinction. When I was earlier in my career I I wouldn’t have been able to describe it like that because I was driving very much just from the kind of internal um wants and motivations and the kind of internal my own internal working model of how I thought the world works, um, but now I’m able to kind of harness the good part of that but also balance that with something that’s a bit more structured and a bit more evidence-based and informed. You know that the thinking has a much more concrete underpinning now rather than it just being from the just from the heart. You know, you need that.

Colby: 21:26

I mean, I think the word that comes to mind is sophistication Like the approach has become more sophisticated as you’ve had opportunity to reflect on the role that you’ve been performing and delivering over the years. I did think. I must say I did think when you were talking about your initial approach and it being a family by from what I heard, a conventional family trying to provide a conventional family environment, and feel I think, you know, I think that there’s nothing terrible about that. In fact, if we can do that for our young people and provide them with some of those conventional family experiences or relational experiences, I think they’re the foundations.

Colby: 22:26

They’re good foundations to build on.

Kevin: 22:30

Yeah, I suppose at the time I would say it’s yes, and, and at the time I didn’t have the, and I think that’s the thing that I’ve learned. And I think that bit about heart and head and, you know, being authentic and being connected but not but able to um, stay contained and not be overwhelmed and flooded, I think there’s also a parallel when we think about um staff teams because, again, you know, residential settings are an unusual environment with multiple relationships, um, they’re familial and domestic, but then they’re not, in terms of the shape of them, that difference in age and gender and personality type that you have within staff teams. You know, there are some that will be much more thinkers and want the theory and the evidence base and the knowledge and use that as their way in to kind of inform their practice. And then there are others who just seem to be innately able to connect but might equally then struggle with report writing and paperwork. And so this thing about moulding a team and being able to recognise that you need all of those different talents, sometimes they’re contained within individual people, um, sometimes they’re absolutely contained within different people within the team. Um, and I think, again, that’s another thing that over the years I, you know, I’ve been able to have a much deeper understanding of in terms of how you support and shape and develop a team. It’s definitely become more. You know my thoughts around that become more strengthened as I’ve got more and more into therapeutic communities. I mean my therapeutic community interest. That absolutely came by accident.

Kevin: 24:25

20 years ago I took on a director role for an organisation that had 27 small, very small children’s homes spread across North Wales and Shropshire with a couple of small schools that they were servicing, and it had been through some operational difficulties. There was some really great practice happening in pockets and there were some areas where things were chaotic and not good. Um and I can’t take the credit a predecessor in the role had come across these therapeutic service standards and had literally just got them and started an initial email conversation and it had never gone anywhere. So these were sort of almost in the inbox when I arrived and I was looking for some kind of framework to help bring these 27 homes together, some kind of common language or set of principles so that I could start to share what was working well with services that were perhaps struggling and kind of, you know, coordinate it really.

Kevin: 25:34

And the therapeutic community standards were what I discovered and it was like a light bulb moment. I mean, they were to me, they were an off the shelf-to systemic framework that gave a language that we could use consistently. That then, as you got into the detail, talked about some of the how-tos in terms of systems and processes and, yeah, that was my starting point and I’ve worked with those standards, um, in deeper and deeper ways. Uh, ever since it’s, that’s become a complete um, uh, yeah, complete turning point in my, in my kind of practicing and career.

Colby: 26:22

Yeah, yeah, uh. Peter wilson, a very recent guest, said his life has been a series of serendipities. You referred before to you had some mentors that you had when you were getting into the work and I really wanted to ask you, when you mentioned them, what it was that you took from those mentors that helped you in your own practice and career progression um.

Kevin: 26:54

So I think, in in my very first step into, uh, into the independent sector. So when I, after about 18 months, two years of working in the local authority, um, so in the uk, as, as people may know, um, we most children’s services in the UK now are delivered by the independent sector. Most of that is private sector. There’s a small amount of third sector provision and public sector provision has been very, very low for a long period of time and when I was first joining the profession it was right at the beginning of that journey. So the independent sector was relatively new. It was probably a decade. We’ve been around for about a decade but it was growing, growing, growing. So my career has been lived through the experience of public sector shutting everything and a new market of private provision and how that market has evolved and matured, which we can talk about later. So in that very early stage I was working with two experienced local authority child protection social workers who were and this this was very common in terms of how those early services were set up it was predominantly experienced local authority practitioners who were, you know, disappointed or frustrated with the way that services were organized, who decided to go out and set up on their own to do things differently. And so I worked with these two guys who were, um very well established in their own reputations. They knew what they were doing. The service was, you know, solid in terms of um its understanding. You know it wasn’t yes, it was a for-profit organization, but back in those early days this wasn’t set up as a money-making venture. That wasn’t the, that wasn’t the kind of way it was positioned. This was like new innovation. So being around them and having their support was, um just very reinforcing in those early days. And then I moved to um a larger organization. I took a sort of immediate middle, sort of middle senior management role in a larger organization that was already working therapeutically in different ways, and I had a there was a female managing director there, again very, very long in the tooth established local authority child protection social worker who’d been managing these services for a number of years and had that mix of the kind of operational leadership in a space where the services are being purchased by local authorities but still needing then to operate, from a practice perspective, quite a diverse portfolio of different provisions. Um. So again, there was a bit of troubleshooting to be done there, um, so it was good experience and she was um, as I touched on earlier. She was somebody who appreciated what I was able to do and gave me space to just crack on with it but was an absolutely amazing backstop and mentor. So in terms of if I was hesitant about something, that sounding board, but it really felt like a peer relationship rather than it being a line management relationship, it felt very kind of creative and that then was a stepping stone then into the organisation.

Kevin: 30:37

I think a mutual colleague, patrick Tomlinson. I joined SACS so there was a bit of full circle there. So SACS was a very, very reputable therapeutic childcare organisation in Shropshire in the Midlands and the first independent sector role that I had where there was the bought-in therapy, the bought-in therapy was being provided by SACS. So I began to have a sort of an awareness and a working relationship with them and three or four years later I then joined as a director when that organization was expanding and that was one of the most significant periods in my kind of, you know, middle part of my career, the the expertise. There was a lot of commitment in that organization to really developing the evidence base of what they were doing. They developed a body of work. They had a very clear treatment and intervention and assessment process. The systems were very structured. The people that they had had recruited into that kind of senior team.

Kevin: 31:46

There was a lot of thinking going on. They were writing, you know, publishing articles um, supporting the writing of books, um, it was. Yeah, it was a really fertile um period in terms of being exposed to thinking. I mean, that’s when I started to get more exposed to psychodynamic thinking. First came across the Tavistock. It’s through that organisation that I uh, alongside that, as part of that kind of reflective work, which was not something that I’d done earlier in my life, um, so it was a. It was really interesting to come at personal therapy under the auspices of a work and a qualification, um, but it was. It was really that point where I properly got to understand that you’re using yourself in the work, um, in a very explicit. My understanding became much more explicit, um, and then my understanding of the theoretical underpinnings of that and what that looked like in terms of organisational structures and systems and the idea of anxiety in organisations and containment and how that pertains to leadership. All of those ideas absolutely came through my time at SACS and that and that qualification. Yeah, there was said there were several, several very influential colleagues there and they were also an organization that was very outward facing and networking with other practitioners. So it certainly laid the foundations. It gave me introductions and contacts with other people and into the other networks that I’m still very much in contact with today, 20 years on. So that was definitely very, very significant. And I think the other person I would say would be very significant for very different reasons Before I came to Amberley so I’ve been at Amberley now for 10 years.

Kevin: 34:08

But after I finished that consultation qualification, I uh I started to do some individual consultation work to make it live, you know, to make it a real, a real thing. And uh, I used to, I used to meet up regularly with other providers in our part of the country, kind of networking groups, and the original owner and founder of Amberley was somebody that I used to see regularly in these spaces and we got on well and she needed some role, consultation, because she was a director, a registered manager, a responsible individual, you know she was wearing a lot of hats in quite a small organisation and needed some thinking space, some kind of coaching and thinking space, and that relationship was ongoing for six and a half years, providing that supervision and doing. I did some board strategy days and some team development days at various points and there’d always been a bit of a joke. I was running a much larger service as an employee, um, and there was always a bit of a joke about, oh, when you’re going to come and work for us so I can retire, you know, I could hand over to you, and that conversation became more serious in 2015. And so that’s how I joined Amberley. So Amberley has been around for 20 years and I’ve been connected with the service for almost 17 of those, but employed in the leadership role for the last 10.

Kevin: 35:46

So that relationship with that particular woman uh, you know that that founder um was a, you know provided me with the opportunity that I, that I have today.

Kevin: 35:58

I wouldn’t be, I wouldn’t be in the role I mean now had I not had that, that working relationship. So it’s definitely significant, not always straightforward. I mean the idea. I mean that was a learning in itself, the idea of um, you know, helping to manage the transition of a founder, you know, leaving the thing that they have put their blood, sweat and tears into for a, for a decade, um, and that kind of handing over the service to somebody else, to kind of take it for a very complex process to have lived through, you know, not always easy and uh and learned a lot through that, but, um, but definitely a significant person, um, you know, I wouldn’t be here now without, without that opportunity, so I’m always mindful of that what’s become really uh clear in the expression of people who work in this space and in related endeavors is the role of supervision in, as you put it, providing some thinking space, that opportunity to reflect about the work, because if we’re not thinking about the work, then how are we practicing, is the question.

Colby: 37:11

You mentioned earlier the word containment quite a number of times and I was going to ask you about the kind of theories that particularly influence your practice. I’m very much of the view that the people who do well in this space, they can be quite a diverse group, but the one quality that I think really makes people stand out is that they’re good at containment. Yeah, some people are just naturally good containers, you know they’re just, they are, I think.

Kevin: 37:46

I think in terms of, um, I think there’s a responsibility to the children. And, if I was to use a slightly different perspective, these are paid for services, whether it’s delivered by the state or whether it’s delivered by a private sector organisation. It’s public sector money, it’s a state intervention when we’re looking after children. So I think there is a, I think there’s a moral and uh and an economic um, um responsibility. But to the children, um, they’re with us, not by choice, you know. They’re with us as a result of, you know, these significant early traumas and we owe it to them to work with them and alongside them in the best way that we possibly can.

Kevin: 38:41

And I think, in relation to therapeutic care, as opposed to any other descriptor and we may talk about that in a while it needs to be purposeful, it needs to be deliberate. So I think, the thing about the kind of the learning and the knowledge and what that might mean for containment, for people who are leading a shift if that’s the language that’s used or a registered manager or a senior manager we’ve got to understand the nature of the work on the ground and to play our role in the system to make sure that those young people and those staff are getting the maximum amount of support, relational opportunities and different inputs and supports to be able to, uh, help with healing and recovery. So so, yes, we, we could go along and do that in a very uninformed and just go with what’s natural, but loads of mistakes are going to be made and these young people deserve much better than that. So I think that’s, I think I think sophisticated. You know, having a more deliberate or sophisticated approach I think is absolutely essential, but then it’s a deliberate thing.

Colby: 40:22

Yes, it’s the intentional use of yourself, the intentional use of the self, and so there needs to be a guiding framework, um that so you, so that there is an understanding of the children, of the work of, of relate, the relational environment in which you’re working, so that, um, so that you can be intentional about it. And it needs to be the opportunity to stop and think about the work and how I approach it and use myself in a way that is reflective of good care standards and of the needs of the children.

Kevin: 41:10

I think it’s. What is the work? I mean children’s homes, you know I’ve spoken a little bit recently about which some people can find slightly controversial. These are not forever homes. These young people are coming to us at a point in their life where they need particular types of help. They’re only going to be with us for a relatively short period of time. Maybe that might be a couple of years or three or maybe a bit like, if we’re lucky. I mean, in the uk the average length of stay in residential care is getting shorter um, so it’s not forever, um, but whilst they’re with us it is their home, but it’s. It’s a special home where they’re there to get specific sorts of help from a diverse group of individuals.

Kevin: 42:05

So the purposefulness it’s. You know we can’t afford drift. We need to be clear on what are we doing, why are we doing it, how are we keeping it responsive? How is it responding to changing needs? I mean, I work with teenage boys and if they’re with us for three or four years, they’re growing up as young men, young adults. So their personalities evolve and are shaped by the people and the experiences that we provide. I mean that’s a. You know, I’m not a parent outside work and it’s interesting that I know I’ve spoken with, with family and colleagues along along the way. I think there is a there is a strong parenting motivation within me that gets satisfied through the nature of the work that I do.

Kevin: 42:54

Um, so, yeah, it’s strange when, when you know, when you have, like, a media presentation about children’s homes and and young people can then either be put into these polarised positions of being these poor victims that need to be looked after by the state, and if you start from that position, a whole load of assumptions can unfold or it’s a more demonised view about troublesome individuals that need to be managed away from society, and both of those positions are obviously unrealistic.

Kevin: 43:32

Um, but they, but they both then set up a set of assumptions at a societal level about what a children’s home is or what it’s for. Um, and, yeah, this idea about them not being forever homes. There’s nothing in my mind, there is nothing cold or unfeeling about that which would, which would be the kind of criticism, and quite the opposite, it’s a much more responsible um approach to say how can we make sure that these young people feel loved and welcomed and protected and encouraged and um enabled to flourish and given all the opportunities they can within the parameters of the time that we’ve got, with an understanding of their starting point when they arrive with us, with the application of theory and practice, so that by the time that they’re moving on they are healthier on all levels healthier, more rounded, more confident human beings to be able to go on and navigate life more successfully under their own steam. I mean, that’s the outcome from my perspective.

Colby: 44:46

I think yeah it’s not so controversial with me, kevin, I’ve been thinking a lot about the best way to use residential care, in a sense, because I do think it has strengths. It has really clear strengths in a number of areas. So, yeah, the idea is that we should be very much aware of those strengths and we should be very much aware of the populations of children and young people who can benefit from it. I’m interested to hear more about you know how you view residential care as, as compared with um, foster care, for example yeah, well, again across my career.

Kevin: 45:39

So again, this is where the understanding evolves over a career. So I now have a much more, a much clearer understanding of the um, the wider societal roles about um. You know economic policy for argument’s sake in a country and how that translates to the funding of services. So if we look in the in across my 30 years in the uk system, um, it’s moved from massive decline in public sector provision into the private sector and then that sector not very well managed, given that we’ve only got local authorities who are commissioning services. Then, if I look at the last 10 or 15 years in particular, because there are some extreme pressures in the UK, as there are in many systems, we’ve had 15 years of real cuts in public funding. So our local authorities, in terms of all of those early help, help for families, early intervention, youth clubs we had Sure Starts centers in the uk, a lot of these initiatives that were helping children and families to have the best start in life and ultimately reducing some of the numbers that would be coming into care they all got stripped away.

Kevin: 47:03

Um, at the same time we’re on a societal level. We’ve had real economic pressures, a more unstable labour market, a more unstable housing market, fuel pressures, et cetera, et cetera, et cetera. So all of the societal pressures that are going to drive demand into a kind of a looked after system have risen at the same time when a lot of those preventative and protective structures were being taken away. So it’s been a perfect storm. We’ve seen rise, rise, rise in terms of the numbers of of children and families coming into the system, um, and then it’s a bit of a crude analogy. But if, if we were to look at that a bit like a funnel in terms of, you know, greater numbers coming in um and greater complexity within that, where that kind of filters all the way through, um, you know you’re thinking we’ve now got a situation where about 90 percent of children who are in care are in foster-type settings in the UK, foster-type settings or sometimes kinship care, and about 10% in residential care.

Kevin: 48:18

But that line between, you know, the line between moving from fostering to residential care, has moved further down that funnel. So, you know, you’ve got young people who 20 years ago might have been in residential provision now absolutely in foster care, and a lot of that is driven by economics, not by practice, um, so fostering gets talked about like it’s a single thing, and of course it isn’t. It’s a spectrum of different types of provision. So we’ve got therapeutic foster placements and solo foster placements and you know those for siblings and so on and so forth. And then when you get to that point where you know if you’re a young person where the local authority is deciding that a family is not right for you, authority is deciding that a family is not right for you or quite often multiple foster families have been tried and failed and that and children need to go through that, sadly, before they’re able to start accessing the resources of residential care.

Colby: 49:22

That that’s um the line and distinction when that change is made has moved more and more as they kind of down that funnel, sorry, there’s something that you just said there that I want to just jump in on because I think it’s really important to hear more about and talk more about you. You mentioned that some it’s almost as if some children have to go through a succession of foster placements before they get they. They end up in residential care. Yeah, yeah, and and it can’t be really understated what the impact on the children is of those, those successive breakdowns in foster placements before they Multiple rejections yeah.

Colby: 50:12

And that also then feeds into this idea of residential care being an option of last resort, last resort, and I wonder what you thought of that. I wonder what you think about this idea of it being an option of last resort.

Kevin: 50:29

Yeah, I mean that’s been the kind of narrative in the background across pretty much the entirety of my career. You see it at policy level. I mean we just had in the UK a couple of years ago we had a big independent inquiry into children’s social care by Josh McAllister, who’s now an MP, kind of putting forward a number of reforms, and it was interesting in that in terms of who they spoke to and what the kind of narrative was guiding that kind of that kind of inquiry, because residential care was hardly even included in it. And you know, you look at it and think, well, yes, it’s a, it’s a relatively small part in terms of the numbers of young people, um, but they’re the young people who are the most diverse and they have the most, um, you know, complex lives in terms of competing needs and it’s also the highest cost interventions. It’s where the system is spending the most of its limited resources. And yeah, the whole narrative is almost about we don’t want it. I mean I get it.

Kevin: 51:47

When the Children Act was introduced, that kind of reinforced this idea of residential care as last resource.

Kevin: 51:53

And I I get it because you know, I absolutely subscribe the best place for a young person to grow is in their family or in a family setting where that’s possible.

Kevin: 52:04

Um, but the way our laws and our systems were created, it almost had a systems level thinking that was that’s what we should be focusing on at all costs.

Kevin: 52:22

And so, inevitably, residential care becomes, yeah, absolutely the end of the line. Care becomes, yeah, and absolutely the end of the line. So you end up with processes where children do need, you know, do end up having lots of failed placements and you kind of you sit there sometimes as a social worker and kind of think what, why is nobody, you know, in terms of the decision makers who were kind of managing this young person’s care planning, when the second family placement has failed? Where is the conversation that says maybe we should be trying something different rather than carrying on and trying another three or four or five? But then, you know, by the same token, I’m not in the position of sitting in those resource meetings where those local authorities are trying to manage. You know, you’d like to think that residential care would be used earlier and more purposefully to do the work in order to allow young people to move into family-type settings successfully.

Kevin: 53:41

And that definitely is what happens in some of the countries. I think some of the Scandinavian think some of the scandinavian models work like that, but their whole welfare system and how that’s funded is entirely different to a uk context. So we’ve had experiments in the uk when people have looked at um, you know, social pedagogy models from scandinavia or germany and tried to kind of bring them in and they haven’t really worked because the wider system around them isn’t geared up to embrace that way of working, because it’s like turning the UK system on its head and we’re not set up for that.

Colby: 54:21

It’s too culturally different, but it’s interesting. On this question of option of last resort and, by the way, I agree that there are compelling reasons for it to be the option of first resort, but the people who would keel over at their desks, of course, are the chief financial officers of the commissioning organisations, because you wonder whether it is expensive to do it. To do it compared to foster care, residential care, High cost.

Kevin: 54:58

Just to put it in language there I say you know, I make a distinction between something being high cost and something being expensive. High cost is realistic in terms of the amount of resource that needs to go in. I think something’s only expensive if you don’t get very much for your money, because there’s a conversation about the cost of things and about value for money and how you determine that. So they are absolutely high costs. There’s a sensitivity to that in the UK because we have examples of profiteering, which is something that’s become quite a you know, a political and a media element in the kind of wider narrative. That’s why my ears pricked in that language.

Colby: 55:43

Again, I think you raise a very, very good and very interesting point around and and that is around value for money and um, I want to get into talking to you, about talking with you a little bit about the heterogeneity of residential care, that it’s not all the same, just in the same way that not all families are the same and not all not all foster and and there and there seems to be a relentless pursuit to try and make and I’ve been part of it to try and make all care experiences as same as possible. But reality defies us. The reality is that there is always going to be diversity. But just getting back this idea of the option of last resort, but just getting back this idea of the option of last resort, I mean you do, I am turning my mind to whether that’s is it the option of last resort for financial reasons, or is it the option of last resort because it’s a lower standard of care?

Kevin: 56:49

No. What are your thoughts about?

Colby: 56:50

that.

Kevin: 56:51

Yeah, yeah, interesting point. I think the financial drive is very, very significant within that and, as I say, over an extended period of time when the financial imperatives for local authorities have changed in points, when they’re under dire cuts, that financial motivation becomes much more to the fore. But I think, before that, I think, going back to the comments I made about the Children Act, I think there’s something rooted in our systems thinking, in our cultural thoughts about, you know, what is the proper place for children to be brought up in, what is the environment? So this idea of the family and the family home and for children to grow up in that environment, and what we might think of as ideas of normality and childhood and so on and so forth, there’s something deeply ingrained at a cultural and systems level, and even in terms of our legislative framework. That means that we are prioritising family and in many instances I absolutely agree with that, you know, I completely agree with that. But I think that needs to be balanced with and, yes, and sometimes a family has been the place where trauma has been created to such an extent that that young person needs something different for a period of time, to such an extent that that young person needs something different for a period of time.

Kevin: 58:30

When we go back to kind of you know, thinkers and writers, somebody whose work is absolutely as relevant now as the day that it was written, adrian Ward, who was writing back in the 1980s about, you know, leadership and and residential care, and in relation to therapeutic care he was well, residential care. He was kind of saying, well, if it’s not therapeutic, what is it? And I think he was speaking to a point that I I certainly make loud and clear now when we look at the profile of need of young people who are being referred into residential services in the UK I’m sure this is true elsewhere. By definition, by default, those young people come with significant underpinning trauma needs in all kinds of ways that express themselves in all kinds of risks and behaviors. So so all residential care must surely be therapeutic and planned and purposeful. How can it be anything else, like I, given the nature of the task.

Kevin: 59:43

But then that’s where there’s a disconnect. When you look at the way that um, and there are some changes emerging in the UK, but broadly speaking for a long time, when you look at the way local authorities describe, specify, commission, purchase residential care, standard places and and and core provision and and somehow other things are then enhanced and bolted on, like the. There’s a, there’s a. There’s a difference in thinking um, and I think some of that is informed by procurement and commissioning language rather than about social work language. I think it’s two different mechanisms trying to talk about the same thing in the middle, um, but we are, we are definitely beginning to see some change there.

Kevin: 1:00:41

I think um and that goes back to this idea that you know, children’s homes need to come in all different shapes and sizes, both in terms of their locations, the size of the building. Are they going to be single gender or mixed gender? There are definitely different cohorts of needs for young people, some of which can be clustered together and overlap, some of which you need to work quite distinctly with, and a good example I give to bring that to light. I mean, we’re in amberley, we’re working, um, in a psychodynamic group therapeutic community. So it’s unusual, um, in the uk residential settings where we have up to 19 boys, uh, on one of our sites and one of our communities in two buildings and up to 13 boys in the other.

Kevin: 1:01:34

Now, most children’s homes in the UK are two or three, maybe four places, so they’re unusual in their size and we work with a very specific cohort of young people. So we’re very clear who we don’t work with, our environment and that operating model of using the power of a group and using relational practice in that context would not work for certain types of risk profile um. And yet we’ve got the mulberry bush school, which is a very, very long established, you know well-renowned therapeutic community. So they operate to the same set of therapeutic standards that we do, but they have. They’re working with primary age children whereas I’m working with teenagers, and they have a campus model of five small homes around a school, all on one site. Now, same set of standards, same psychodynamic thinking, a lot of the same structures and practices, but the but the way that is delivered in the day-to-day um and some of the kind of the theories and structures, like their approach to assessment, for example, and intervention is rooted in the needs of younger children. So it’s a way of having the same framework of practice in terms of governance, but the methodology that you’re then hanging on to that framework is bespoke to the nature of the children that you’re working with, and I think that speaks to this idea that we need diversity of provision.

Kevin: 1:03:17

You can have some standard frameworks to help create some common language, but that allows local authorities when they’re more confident in engaging with that. It allows local authorities to be able to make more of a comparison between apples and pears, because if they think that residential care is all the same and they’re presented with a plethora of models and descriptions and acronyms and the reality is, is that some of those are robust, some of those are well-meaning but maybe a bit thin. Some of them are just marketing BS. I mean, that’s that’s the reality of the kind of diverse system that we have in the UK and local authorities are in a really difficult position in terms of how to navigate that and knowing what questions to ask. So you have a real experience on the ground of.

Kevin: 1:04:12

You know, they know the quality services they’re working with. They also are in their hamstrung at the moment because there isn’t enough provision. You know volume coming through the door is huge, complexity is huge. They haven’t got access to enough diverse services that meet need. So there’s all kinds of failing arrangements um, you know, unsatisfactory arrangements for children, um, overly expensive, certainly not delivering value for money. You know we’ve got, we’ve got a lot of that, uh, in our system in the uk, but it’s, but it’s not the whole by any stretch of the imagination. But where it would have been a frayed edge to our system maybe a decade ago, those are now big tears.

Colby: 1:05:05

But there are some challenges. It’s definitely expanding, there’s no question. No question.

Kevin: 1:05:09

You know it’s definitely. It’s definitely expanding. Yeah, there’s no question. Yeah, no question. And now we, we’re now beginning to see the kind of over the last, you know, I’d say the last half a dozen years maybe we’re beginning to see an increasing focus now on wanting more diversity, focusing more on practice. Therapeutic community standards, therapeutic child care standards they’ve always been around, but now they’re starting to be rediscovered and re-engaged with, which is it’s great. It’s also a little bit frustrating at the same time, because there’s been lots of people and lots of government reports over the years that have been pointing to these things, but somehow the system just wasn’t in a place to be able to make that shift. So there’s still a lot of work to go, but there’s definitely promising green sheets.

Colby: 1:06:00

Well, listen, kevin, it’s been an absolute pleasure to speak to you about these issues related to the work. I feel like, just kind of, this is a bit of a press pause, because there are some things that already that I’d like you know. Time permitting, I would like to follow up with you and, if you’re game, I’d love to have you back, you know, in in a little while on the podcast. But thank you for for making the time and um contributing, uh, to what’s been, for me, quite a very enjoyable and, uh, informative conversation well, no, thank you so much.

Kevin: 1:06:43

I mean, it’s been, it’s been looking to spend time with you and, yeah, I, I, you know I’ve happily unpack, unpack more of these issues in more detail, I suppose by way of apology. Uh, you know, you know, sometimes, um, the ideas link from one to another and maybe some of these points could have been put across more, more succinctly for you. Um, but no, I really really appreciate the opportunity to, to speak to you this morning and I hope that you know, viewers and listeners find, uh, find, some of that interesting and helpful.

Thanks, kevin.

The Science of Prevention: How We Can End Child Maltreatment, with Benjamin Perks

The Importance of Attachment and the Science of Prevention in Child Development

In a recent podcast episode, Benjamin Perks, Head of Campaigns and Advocacy at UNICEF, shared profound insights about child development, attachment theory, and the global effort to end child maltreatment. His personal journey from growing up in residential care to becoming a leader in child protection provides a powerful narrative that underscores the importance of positive relationships in childhood development.

Ben emphasizes the concept of the “Four S’s” – secure, safe, seen, and soothed – as essential elements that every child needs to flourish. When children receive these four elements from their family, they develop resilience that protects them from adverse experiences in other environments. When family support is lacking, schools become the critical secondary buffer. The ideal situation, according to Ben, is having all three systems – family, school, and community – committed to ensuring every child experiences these four essential elements. What makes this particularly significant is that we are the first generation in history with the knowledge and resources to ensure universal access to these developmental necessities.

The podcast highlights the alarming prevalence of Adverse Childhood Experiences (ACEs) and their long-term impact. According to the Center for Disease Control in the United States, each adverse childhood experience significantly increases the risk of negative outcomes across 40 different well-being indicators, from addiction to poor mental health to involvement in crime. This intergenerational cycle of trauma creates what Ben refers to as “relational poverty” – the inability to form healthy relationships due to lack of early relational skills development. This pattern is observable not just in humans but across species, where similar patterns of attachment and development have been documented.

One of the most compelling arguments Ben presents is that child maltreatment can be ended through a public health approach similar to how child mortality was dramatically reduced globally. In the 1980s, when 14-15 million children died annually from preventable diseases, a targeted approach implementing four simple interventions (vaccinations, oral rehydration salts, growth monitoring, and breastfeeding promotion) reduced child mortality by 61% over a decade. Ben proposes that with similar determination and a few key interventions, we could achieve comparable results in reducing child maltreatment.

These key interventions include universal access to evidence-based parenting programs, extended parental leave, universal preschool from age three, and widespread public education about child development and trauma. According to the UN Special Representative on violence against children, while child maltreatment costs societies up to 12% of GDP through various social costs, implementing these preventative measures would cost less than 1% of GDP – making it not just a moral imperative but an economic one as well.

The podcast also explores the complex nature of intergenerational trauma, including collective trauma experienced by communities that have faced historical oppression. As Resmaa Menakem notes, people maladapt to contexts that are passed through generations; the context is forgotten, but the adaptations become culture. This perspective helps explain how trauma patterns persist in communities long after the original traumatic conditions have changed.

Ben’s’ own healing journey demonstrates that recovery is possible at any age. After recognizing the impact of his childhood experiences on his adult life, he underwent therapy that transformed his world “from black and white to color.” This personal transformation enabled him to break the cycle of insecure attachment with his own son, demonstrating that with appropriate intervention, intergenerational patterns can be disrupted. His book, “Trauma Proof: Healing, Attachment and the Science of Prevention,” combines scientific research with personal narratives of healing from around the world, offering both inspiration and practical approaches to addressing childhood trauma.

You can listen to the podcast here:

You can watch here:

About Ben:

Benjamin Perks is the Head of Campaigns and Advocacy in the Division of Global Communications and Advocacy at the United Nations Children’s Fund, based in New York. He leads public and policy advocacy on the development and protection of children. He previously served in human rights diplomacy roles as the UNICEF Representative and UN Resident Coordinator ad interim to both the Republic of North Macedonia and the Republic of Montenegro. In both capacities he advocated for reforms to fulfil international human rights commitments and realization of the Sustainable Development Goals. He has served in Georgia, Kosovo, Afghanistan, India and Albania. He coordinated the Back-to-School campaign in the Northern Afghanistan which brought 3 million children, including 1 million girls, into school-most of them for the first times in their lives. He has led work on demobilization of child solders, deinstitutionalization of children in state care, addressing child poverty, pre-school expansion and disability inclusion.

Related Podcast Episodes:

Professor Julie Taylor:

Listen here:

Watch here:

Transcript:

Colby: 0:01

Welcome to the Secure Start podcast.

Ben: 0:04

This teacher took me under her wing and made a connection with me, and I say in the book that she’s the first adult that I think I really had a proper conversation with. If you grew up without family, your relational skill you have relational poverty. Your relational skills are poor often. Poverty, relational skills are poor often. So family is the primary buffer in that, when family is not able to provide that buffer, school is the next best option.

Ben: 0:34

And what’s really important in relation to my work is that we got the first generation history that can ensure that every parent is able to give the child the four S’s and that every school is able to do that too. But we now know that with three or four, similarly, with three or four simple interventions, we could dramatically reduce child trauma, child maltreatment, risk of trauma. I also think that child maltreatment is something that drives a number of social costs. According to the special representative of the Secretary General of the UN on violence against children, he says it costs us up to 12% of GDP, but the interventions I’m suggesting we make globally available will be less than 1% of GDP. We must be the last generation to see violence against children, maltreatment and trauma as being insurmountable social problems.

Colby: 1:33

Welcome to the Secure Start podcast. I’m Colby Pearce, and my guest for this episode is a global leader in child development and protection. Before I introduce my guests, I’d just like to acknowledge the Ngarrindjeri people of the Lower Murray Lakes and Coorong, on whose land that I’m coming to this podcast from, and I’d like to acknowledge the continuing connection the living Ngarrindjeri people feel to land, waters, culture and community. I’d also like to pay my respects to their elders, past, present and emerging. My guest this episode is Benjamin Perks, benjamin Perks.

Colby: 2:28

Ben is Head of Campaigns and Advocacy in the Division of Global Communication and Advocacy at the United Nations Children Fund, based in New York. He leads public and policy advocacy on the development and protection of children. Ben previously served in human rights diplomacy roles as the UNICEF representative and UN resident coordinator at interim to both the Republic of North Macedonia and the Republic of Montenegro. In both capacities he advocated for reforms to fulfil international human rights commitments and realisation of the Sustainable Development Goals. Ben has served in Georgia, kosovo, afghanistan, india and Albania. He coordinated the Back to School campaign in northern Afghanistan, which brought three million children, including 1 million girls, into school, most of them for the first time in their lives. He has led work on demobilisation of child soldiers, deinstitutionalisation of children in state care, addressing child poverty, addressing child poverty, preschool expansion and disability inclusion.

Colby: 3:47

Ben is Senior Fellow at the Jubilee Centre at the University of Birmingham in the UK, which researches education policy on character, social and emotional development of children, and he is an Associate Faculty Member at Oxford University Department of Social Policy and Innovation. Ben is recognised as a public speaker and campaigner on child development and protection. His book Trauma Proof Healing, attachment and the Science of Prevention is out now.

Ben: 4:22

Welcome, ben. Thank you very much, colby. It’s great to be with you, connecting from New York to you in Australia. I’m very glad to be on your podcast.

Colby: 4:34

Yeah, thank you, owen. Thank you very much for agreeing to be on, and I was just wondering and I give all my guests this opportunity is there anything that you’d like to add to that bio of your work?Ben: 4:48

yeah, a couple of other things. I I lead globally for the un on international day of play, which is a new ua, the outcome of a new un resolution, and obviously play is central to child development and child protection. So I’ll be talking about that, I guess, a little bit in the conversation today. But also just to add that everything I talk about today and everything that I’ve written in my book is in a personal capacity. I’m not speaking on behalf of the UN or UNICEF or anybody apart from myself today, so I just wanted to to be clear on that as well. Yeah, excellent.

Colby: 5:23

Terrific. So, ben, tell us how you got into this work that you’re, this really important work that you’re doing and have done across your career.

Ben: 5:34

I think there are three kind of major turning points. I think the first one is that I was in. I grew up the second half of my childhood in residential care in children’s homes. I was in. I grew up the second half of my childhood in residential care in children’s homes. I was in Birmingham and in London. I lived a lot on the streets, I ran away a lot, I was involved with gangs and other kinds of kinds of activities. And then suddenly at 16, I had the opportunity to become an activist in London for the rights of young people in care. And that’s my first job, my first serious job at the age of 16, a full-time activist. Um, so, so that was how I became a campaigner. That’s how a campaigner was born, I think.

Ben: 6:15

And then, secondly, a few years later, when I was at university, it was very rare for somebody from a children’s home to go to university in the UK. Uh, in those days it’s still quite rare, but it’s uh, the prospects are a little bit better now than they were back in my day. But I was really passionate at university about Martin Luther King and the civil rights movement and Gandhi. I read endlessly about their work to change the situation of segregation and structural racism in the United States. Also the effort of Gandhi to build a movement against colonialism, the passive resistance and all of this very well-disciplined campaign work, and that made me really think that I want to dedicate my life to real change, not performative work but real change that delivers outcomes. And one of my heroes in the civil rights history of the United States was a guy called Ralph Bunch who was a big figure, an African-American guy who became a big figure in the early days of the United Nations and he became kind of a hero to me and I then thought about a career in the UN.

Ben: 7:29

So at the end of my first year at university I somehow managed to organise to go to Croatia and there was a middle of a conflict Croatia and Bosnia and Croatia. I somehow went on the bus to Croatia and kind of talked my way in to a role, a temporary role, in UNICEF, and took a year out and worked on that and I was hooked. So I I had very much of like a bog standard UNICEF kind of career. I I did very well I, when I finished my master’s degree a few years later I went back to the organization and, you know, worked my way up towards being a head of office and all of that.

Ben: 8:12

But finally when, when I became a head of office, you know, in a formal diplomatic UN role I was at a meeting where there was a conversation about deinstitutionalization and somebody was talking about attachment research and I heard it for the first time. I was sitting there and I realized the guy who was talking, the professor, was talking about the outcome, the adult outcomes, of insecure attachment in childhood relationships. All of that and I saw myself in everything that he was saying. So I went into a period of therapy for a year and then I became a passionate campaigner on issues like child trauma, attachment, and that’s the journey that brought me to write the book and that added another very personal stream of work to the work I’d already been doing on children’s rights. Very long-winded answer, but those three points were crucial in bringing me to where I am now.

Colby: 9:13

Yeah, that’s awesome and I also am a little bit interested in attachment as well and written a bit about it. But do you remember the name of the fellow who who, um, first introduced you to attachment?

Ben: 9:28

but that’s yes, you know, I’m getting to an age where I think that I forget things, so it’s uh, it’s uh, it’s professor from uh university of nottingham, and it will come back to me during the course of the conversation and I’ll probably blurt it out when it comes back to me okay, awesome, so I’m just queuing your recall for that, perhaps at a later date.

Colby: 9:50

You’ve talked a bit about influences in terms of your circumstances and the roles that you’ve gotten into. Are there any people that really stand out for you as having played a role and been a big influence over your career development? And you’ve mentioned attachment. Maybe you can tell us why you think attachment is so important in your work as well so well in terms of, um, in terms of people that have influenced me.

Ben: 10:23

I write a lot in my book. My book tells lots of stories of different people, but I write a bit about my own as well, and one of the things that was transformative for me was I had a teacher when I was 15. I’d been thrown out of school. I had a best friend who’d been killed in a knife fight. I I had, uh, I was in a very tense inner city poverty care, you know situation, no parents or anything like that. But this teacher, um, somehow, in this, in his school for kids that have been kicked out of school, this teacher took me under under her wing and made a connection with me, and I say in the book that she’s the first adult that I think I really had a proper conversation with as a child.

Ben: 11:08

I was 15. And her name is Jan Report. And when I had this moment, when I listened to this professor from Nottingham giving this talk about attachment, at the end of it I went into this process of therapy. But I also tracked down my teacher in that process, because I wanted to go back and tell her what I’d done with my life and I would have done none of it without her. And so I went back and met her, having not seen her since childhood, and that was incredible. And now now every year when we go back to the UK, we go and see her. I took my son to meet her last year and so so that’s a really pivotal person.

Ben: 11:52

I also had a great social worker. At one point there was a good residential social worker in the children’s home. I had a couple of good friendships when I was young and also eventually also became kind of connected to a family that had reached out over some campaigning work that I was doing. I think that makes all the difference, because if you grow up in a without family, your relational skill you have relational poverty. Your relational skills are poor often and so you know, because you just don’t. It’s like a muscle. You have to grow relational skills and I hadn’t so many things that people learn in a family. I hadn’t really learned them.

Colby: 12:35

I grew up in a, in a survival mode, um, but somehow I managed to have these friendships and uh, attract this support and engagement, and I think all of it meant the world to me and I wouldn’t be here today without those people yeah, that’s an awesome story and it puts me in mind of two things the, the idea that comes from the one good adult research, that that all the child needs is one adult who believes in them, who’s’s there for them, who truly listens to them and helps them. And then there’s the other idea, which is that it takes a village. Now, I think both of those concepts they may be seen as being mutually exclusive, but I think that they sit comfortably alongside each other. The one helps the other, particularly the one good adult helps the other. I do think that when children grow up in adversity relational adversity the more good relationships they have, the better the outcomes.

Colby: 13:40

And I was speaking to someone relatively recently and apologies if you’re listening, and it was you and I can’t remember who it was, but he talked about that it takes a village. The construct at the very beginning was referring to, or at least meant to take into account, peer relationships, so that the important role of peers in children’s up, children growing up and and and I can see how that fits with with social learning theory, for example. So I guess, attachment theory what is it about attachment theory that has influenced your, your career since that introduction?

Ben: 14:24

I want to come back to what you were just saying about peers, community, trusted adult and then lead that into the conversation about attachment and how that influences my work. So I think that you know Dr Daniel Segal and Tina Penny Bryson have this brilliant expression of I think it comes from them the four A’s, sorry, the four S’s. So it’s to be secure, safe, seen and soothed. And the idea is that for children to flourish they need to have those four S’s. If a child has them at home with the family, that’s really important, particularly for early development, uh, early childhood development, to set that secure base and safe haven. We know that early experiences we don’t remember things that happened to us before the age of two, but they are disproportionately and massively influential on the way we see the world for the rest of our life and for the opportunities that we will have and the constraints that we will have.

Ben: 15:32

So that’s really important in the family.Ben: 15:34

But if a child is not safe, seen, soothed and secure in the family, then if they have the four S’s in school, that can help to some extent to heal and prevent them going on a trajectory that is driven by trauma and toxic stress and help them to build relationships and so on.

Ben: 15:58

That’s why the teacher was so important to me by reverse, if children are safe, seen, secure and suited at home and then they go to a rough school, that resilience that they get from the forest is at home will protect them from the trauma of the school or a war zone or a gang infested neighborhood. So family is the primary buffer um in that when family is not um able to provide that buffer, school is the next best option. Certainly it’s the community um. But the idea, the ideal world is you want to have all three of those things family, school, community, committed to, intentional about ensuring that every child is secure, safe, safe, seen and soothed. And what’s really important in relation to my work is that we are the first generation in history that can ensure that every parent is able to give the child, the four S’s, and that every school is able to do that too, and we know that that can be achieved for a fraction of what is lost by not doing it. That’s how it influences my work, yeah.

Colby: 17:12

Awesome. I understand from your work you have a powerful belief that we can end child maltreatment. Tell us a little bit more about why you think that to be the case.

Ben: 17:27

Let me tell you another story that brings me back to this. In 1980, and I talk about this in the book in 1980, in University of Birmingham in the UK, an American public health professional delivered a paper in which he argued that we could I think 14 or 15 million children die every year from preventable disease that if we could just do four things if we could vaccinate every child globally, if we could provide oral rehydration salts to treat diarrheal diseases which can be deadly, if we could monitor the growth of children and if we could promote breastfeeding, then we could dramatically reduce that. Unicef and WHO got hold of that paper and had a really complex internal conversation with many people against the idea, but some of them championed the idea of making this a reality. And over the next 10 years they mobilized a coalition of royals, of heads of state, of community organizations, of religious leaders all around the world and they increased vaccine coverage, for example, from 15% of the world’s children to around 85% of the world’s children and in the decade that followed, child mortality under five mortality reduced by 61%. Everybody thought they were crazy in the beginning. Everybody thought that this was insurmountable, but they did it. And if you look back on every single um global achievement, whether it’s a massive expansion of education, whether it’s massive expansion of availability to um, to to clean water, or prevention of child labor or child marriage. There has been a really audacious drive to do that.

Ben: 19:21

Um, child maltreatment is something that is a problem everywhere. It’s not just in the global south, it’s a problem everywhere. But we now know that with three or four, similarly, with three or four simple interventions, we could dramatically reduce child trauma, child maltreatment, risk of trauma, toxic stress, all of that. Things like universal access to evidence-based parenting programs, a minimum package of parenting programs that we now know, through systematic review, can improve child outcomes, reduce risk and maltreatment and even improve parental mental health outcomes. Secondly, parental leave making parental leave a universal norm, dramatically increasing parental leave, recognising it as a public good. Thirdly, ensuring that children from the age of three in preschool are in schools where they are safe and secure and seen and soothed.

Ben: 20:22

And fourthly, making people aware. If you think about it, people are aware of influenza or the common cold or how to manage a knee injury. Right, they know this stuff. It’s part of family conversation, it’s something that’s common knowledge. Really, child maltreatment, trauma and all of that is no more complex than the transmission of influenza. It’s not more complex. It is shrouded in taboo and stigma and shame and myth. But we can break all of those myths. We can break all of those constraints and make it something where everybody’s aware of the basics to underpin those changes.

Ben: 21:01

With those interventions, I believe we could dramatically reduce child maltreatment. I also think that child maltreatment is something that drives a number of social costs, right From addiction to poor mental health, to risk of being a perpetrator or victim of all kinds of violence, from gang violence to political violence to domestic violence. It puts us at risk of poor health and poor learning outcomes. And all of that, according to the special representative of the Secretary General of the UN on violence against children, says it costs us up to 12% of GDP, but the interventions that I’m suggesting we make globally available will be less than 1% of GDP. So we lose trillions by not addressing problems before they occur at scale, and that’s something I think we’re the first generation to be able to do that, and I think, because of that, we must be the last generation to see violence against children, maltreatment and trauma as being insurmountable social problems.

Colby: 22:09

Yeah, yeah, that’s terrific. While you were speaking there, my mind was going to what the universal parental education would look like, what the intervention into schools might look like. I wonder if you would comment on each of those things.

Ben: 22:39

Sure. So in terms of the parental parenting programs, they can be delivered in a number of ways In some countries because they already are available in about 25% of countries targeted not universal Right and what? The most common format is a home visit. That home visit often it’s bundled with a health visit, and so a home visitor comes and talks to you about health things like vaccines and nutrition, but also talks to you about play, engagement, positive discipline and all of that, and often a minimum package of that. A few visits in early childhood and then, like booster sessions, critical milestones like before adolescence can make all the difference. You know as an attachment expert that Bowlby and Ainsworth said that when a parent is able to either process their own insecure attachment or come up with a strategy for parenting, they’re much less likely to transmit it. And who and oxford university and unicef and others have done a vast systematic review with um hundreds of random I think 460 randomized controlled trials all over the world and found that parenting programs really make a difference. So there should be a minimum package of visits, but then progressive, in the sense that those that need more support can get more visits. This can also be backed up by things like group sessions. In South Africa, for example, they have group sessions for parents, but also grandparents, to talk about how they can ensure the best outcomes for their children. Also, apps are beginning to show real breakthroughs. There are some apps. I think there’s an app in India that reaches 20 million people. Unicef has an app called Bebo. There are many different apps which are actually really helpful for parents who are trying to access evidence based information. So I think you can have an ecosystem that has all of these things, with quality control supported by organizations like UNICEF, who and others.

Ben: 25:11

In terms of parental leave, I think every country in the world should be having a very minimum WHO standard of six months for the birth parent and four months for the other parent, but it could be all foster parents as well, or adoptive parents. I think it should be much more. The Scandinavian countries are showing a really good model for that um. I think that’s really important. Then, having family-friendly workplaces attached to that is also a part of that, that package.

Ben: 25:29

And then schools really having um systems in place where teachers would create a system where where where children are seen and safe and secure, and where teachers are aware of trauma. They’re aware of the prevalence of trauma, because in an average classroom of 30 kids, half of the kids have experienced an adverse childhood experience, a risk factor for trauma and toxic stress. So you know, this idea from the past that you know it’s one or two kids in a class that are in touch with the social work system that are the really vulnerable kids is wrong, recognising that it is across the board and what we need to do is make sure that kids have a strong sense of belonging and uh, um and you know uh, connection with a teacher and, as you mentioned earlier, peers.

Colby: 26:28

the peers thing is really important in adolescence because, of course, in adolescence, it’s peer relationships that are the most important thing for children yeah, yeah, thank you, and um, have you had an opportunity to observe or otherwise get a sense of what the uptake of these measures might be across Western and non-Western countries, jurisdictions, western and non-Western?

Ben: 27:01

countries, jurisdictions. Yeah, I think there’s a lot of enthusiasm, very little resistance to parenting programs, which is interesting because a parenting program often is like going into the house, going into the home, but there’s a lot of hunger for parenting skills. You know, I think increasingly the world is talking about the fact that many of us grow up with intergenerational issues of trauma or or neglect at home. Um, and then even people that haven’t got that want to know what’s the best way of securing the best future for their kid. So I see a lot of um support and interest and very little resistance. I I speak to people that I interview, people in the book that are receiving parenting programmes, people that deliver them, for example, and there’s a lot of interest and I think it’s just a question of making it a normal thing, normal part of childhood, a normal part of parenting, the way that vaccines is or the way that schools are.

Colby: 28:02

Yeah, sometimes I talk about how birds don’t have bird parenting experts that teach them how to raise their birds, and neither do wolves or, you know, even the other great apes. So there is that view that parental advice and guidance is really not necessary, that we are meant to be the most sophisticated, uh, of at least of the great apes, if not of the whole entire animal kingdom, on this. How, why, why can’t, why do we need parenting experts? We, we’ve, you know, we’ve been parented ourselves. We’ve learned from the things that our parents do well and the things that our parents don’t do so well. Um, and we, we must have a, an inbred instinct, just like other members of the animal kingdom. Do what? What would you say to that?

Ben: 29:14

well, they do research on rats I think it’s. My community does research on rats and what they do is they see the same patterns of poor attachment in other animals and they see that those that are licked and groomed by their parent have much better outcomes, are much more likely to go out into the world and be a success by rat standards, right, and so it’s the same as humans. You know it’s the same as humans. We know that humans that don’t grow up with a strong sense of being safe and loved are more likely to have poorer interpersonal relationships, are more likely to do poorly in school, to be addicted, to have all of these problems.

Ben: 30:03

You know the Center for Disease Control in the United States, the major public health institution, has an index of 40 different well-being indicators, from suicide to osteoporosis to addiction, everything, everything, and there’s almost a step increase every risk of negative outcome for every adverse childhood experience a person has had. So somebody that has been suffered emotional neglect emotional via verbal violence, for example, and physical violence and witness domestic violence, for example these are four things quite common, all of them very common is multiple times more likely to have a poor outcome across all of those 40 well-being indicators. So that’s why really I think we do have an instinct, that’s why really I think we do have an instinct, but for maybe at least 40% of us, that instinct is driven by intergenerational trauma, toxic stress, neglect and violence.

Colby: 31:18

And we, now that we know because we didn’t know throughout history, now that we we know, we should be able to stop that cycle and make people you know, ensure that people can flourish yeah, it put me in mind of when you were talking about the rats, because when I’m delivering training, I’ll uh, I will talk also about another group of rats, the rats that were in skinner’s operant conditioning experiments. And people go oh, aren’t you supposed to be an attachment person rather than a behavioural person, when, in actual fact, there should be a lot. In my view, and this is what Bowlby did there should be a lot more cross-fertilisation of ideas and theories and knowledge, rather than siloing of ideas and theories and knowledge, rather than siloing Skinner with his rat experiments and the operant conditioning paradigm. It was really quite interesting because, though he didn’t go down that path at least not that I’m aware of there is a group of rats and pigeons in his research that are very much like our children, who’ve experienced grossly inadequate care, and they’re the rats and pigeons who are in an inconsistent reinforcement paradigm. They got their needs met inconsistently in response to a gesture, and the gesture was to either peck a button or push down on a lever, and the operant conditionings paradigm teaches us a lot about learning and adjustment in those circumstances. So and I also, while you were talking, I was thinking about a conversation I had with a previous guest. It may actually have been a YouTube video, I’m not sure which.

Colby: 33:07

But talking about these now, I’m hoping I’m not going to butcher it, but I think they were mosquitoes. You can put mosquitoes into a jar and they try to get out of the jar. You put all these, but if you, and if you so, they kind of go up and down in the jar. Now, if you put some clear film halfway up the jar, that prevents them going all the way to the top and and getting out after a while, you can take the clear film away and they’ll never try and jump out of the jar. They just go up and down, and that’s really interesting, I guess, until and you think, well, you know, they’ve just learnt that that’s as high as they can go.

Colby: 33:58

Well, this is where it gets really interesting, which is that their offspring also only jump as high. So their offspring don’t go out of the, notwithstanding that there’s no longer a clear film to stop them from getting out. They only go as high as their parents do, and I think that’s. You’ve spoken a little bit about the cost of child maltreatment, but that seems to bear quite significantly. Uh as well. Uh, on that, that issue, that, um. You know, what are we transmitting down through the generations?

Ben: 34:39

the, the positive psychologists, I think, would describe what you’ve just described as learned helplessness, seligman would. That’s what happens. I think that happens often with communities already beaten down. Yeah, I think that. Yeah, I guess that it’s obvious now from psychology, from neuroscience, from population level data, that a lot of these things are intergenerational, that you know they are acquired characteristics from you know that are transmitted through the culture of families.

Ben: 35:28

And, of course, resmei Mannequin, who’s a leading scholar on mental health and race in the United States, says it really well. He says that you know that people respond. He’s talking often about racism and slavery in the United States, but people respond. He’s talking often about racism and slavery in the United States, but people respond they maladapt to a context that’s passed on through generations. The context is forgotten and it becomes the culture, and I think that’s something that is often seen in communities that have been oppressed and affected by collective trauma, if they don’t have the, the holocaust and slavery and also the situation of the native American Indians and the boarding schools, which would have a lot in common with um, with with the um, aboriginal, uh and Torres Strait Islander community in Australia I hope I’m saying that correctly in Australia, um, I think, I think there’s a there’s also. We think, as well as thinking about individual, um trauma, we also need to think about communal trauma.

Colby: 36:48

Yeah, yeah, and I think the the other thing that was, I guess. Well, the thing that was going through my mind as well in relation to the, the mosquito story is I is that we can’t do nothing If we do nothing. It just gets, as you say, transmitted, transmitted through the generations. But if we can but it might be too simplistic to say this but if you can change the course or the trajectory of one generation, then you end up with perhaps a multi-generational change of trajectory. So when you talk about we had the opportunity to end child maltreatment, and the impact of doing that and the importance of that endeavour really is not just for those children and young people who otherwise would have had quite an adverse experience growing up, but you’re changing the trajectory for their life partners, their children and their grandchildren. So yeah.

Ben: 38:06

So if you look at an issue like crime, if you go to most juvenile justice facilities, the young people that are involved in crime continuously, and serious crime, over 90% have four or more adverse childhood experiences.

Ben: 38:29

If you could, um prevent adverse childhood experiences before they occur, um, from what we can see, it would have a dramatic increase on propensity to commit crime, to be involved in violence, to take risk, because risk is related to the adolescent brain.

Ben: 38:49

You know it’s adolescent brain development, right? So you have. If you have this toxic combination of poor attachment and trauma in early childhood crashing against the really complex process of adolescent brain development, you have this really high risk and almost all children at very serious risk of being exploited or being involved in crime or violence are coming from those kind of backgrounds. If you speak to people that dealt with the Epstein case the girls that were targeted or if you look at radicalisation, or look at the kind of people that end up in far right groups or people that end up addicted or victims of grooming, almost exclusively coming from very high ace backgrounds, if you could eradicate most forms of adversity by ensuring that children have the four S’s in both the family and school and community early on, then you’re going to completely transform all of those risks across society, making society a much better place for the future and for future generations.

Colby: 40:08

Yes, yeah, and one of my earlier guests was Graeme Kerridge, who has had perhaps a not dissimilar career history, as you have, except in other organisations, but he was very interesting. We’ve had a number of people who have an economics background on this on this podcast, who, um, who moved into the, this social care, uh, into the social care arena and but anyway he, graham carriage, was very interested in human capital as part of his economic background and again, this really ties in with what we’re talking about. This idea of human capital is the human capital gains of reducing or eliminating the prevalence of adverse childhood experiences is significant. Yeah, yeah, you’ve mentioned your book. Well, I mentioned it first, but then you mentioned your book a few times Trauma proof, and let me read the healing attachment and the science of prevention. And let me read the Healing Attachment and the Science of Prevention.

Colby: 41:33

I think I’ve butchered it every single time. I’ve tried to say it. But tell us about your book. Tell us. You’ve mentioned stories. I’m getting really excited about reading it now. So there you go. I haven’t read it yet, but I only just recently learned that it was already out, so I’m looking forward to it. But tell us a bit about your book and who you think it would be of most interest and usefulness to.

Ben: 42:07

Well, the first thing is I probably need a new title if it doesn’t slip off the tongue so easily, because it won’t get that kind of contagion, don’t worry about it.

Colby: 42:18

It’s not unusual for me to struggle with verbal fluency. It’s pretty, it’s a bit embarrassing being both verbose and not particularly verbally fluent.

Ben: 42:34

Oh, you’re doing fine, yeah. So I wanted to write a book that would present this argument that you could end child maltreatment, and you bring all the data together, the economics of it and all of that and all the science. So I talk about the history of attachment theory and, and, uh, the evolution of aces and our understanding of toxic stress, um, some of the economic arguments about return on investment. That comes from james james heckman at university of chicago. Loads and loads of science, but I also do lots of storytelling. Um, when I went to the agent and the publisher and said I want to do a book about how you end child maltreatment, they said that’s great, but you need to include something else as well, which is you’ve got something to say about how people heal, right, how you healed and how others heal. So it has to be about healing and prevention and attachment. So the book, in addition to putting forward the idea that we can end child maltreatment, it also argues the case that we can heal at any age. Almost everybody can go through some kind of healing process and, as a result of that um have a much better quality of life. So every chapter tells a story of somebody and the stories are from all over the world, um. So the first part of the book is really focused on kind of the, the, the, the prevalence of uh, child maltreatment, the parameters of it, what we know about it. The second part is really focused on parenting and talks about parenting programs and parental leave, but through stories. So, for example, the one on parental leave. I do a comparison between two different families, one in Alabama in the United States, where they have really harsh policies on parental leave, and one in Estonia where they have the most progressive policies in the world, and looks at what happened to the parents through both different processes. Then there’s a part about schools and community and crime. And then there’s a part about collective trauma, societal issues like myth and stigma and taboo. And the final part is really my call to action on what we should be doing about all of this. And it tells something of my own story as well.

Ben: 45:06

My own story about intergenerational the issue of healing and intergenerational trauma is kind of this you know, I lived most of my life as an outwardly successful person who was really not having um. You know the quality of life I would have because of the way that I felt inside, which is completely normal if you grow up without parents. You know, viol, the quality of life I would have because of the way that I felt inside, which is completely normal if you grow up without parents. You know Viola Davis says you grow up with this sense that you’re wrong Not that you’ve done something wrong, but that you are wrong and living with that inside me the whole time, while being outwardly successful and doing well and suppressing it. You know, it was something that I kind of thought was normal and then, when I realized that I lived with all of that trauma inside of me, um, I went through a transformation, through healing, uh, seeing a therapist and changing my life. It felt like the world went from black and white to color, and then when to colour. And then when I got married and we had our son, I held my son in my arms and I just instinctively knew or felt that what happened to me as a child was completely unimaginable to myself. The cycle had just broken. I got what you experts would call an insecure attachment, like I would walk to the end of the earth to protect, love, nurture my son. And that’s something that I thought very consciously of because I’d had to go through a lot of work to become, to become the kind of person that could instinctively feel that um.

Ben: 46:56

So that’s my healing journey, but I talk about lots of other people’s healing journeys as well. There’s a guy that was a gang member in Glasgow who was in prison and went through a process of change. There was a, a woman here from new york that was born into um to a crack affected family. Her parents died, which is very young, um, and she had a teacher that helped her and now she’s a big-time campaigner in washington dc for disadvantaged kids.

Ben: 47:23

All these amazing people, scottish member of parliament, um, who had post-natal depression, who talks publicly about it. All these different, amazing people. I got to interview them also on the Holocaust and slavery and other things, all of that. There’s a famous saying by the writer James Baldwin and I can’t quote it exactly, I’ll probably butt-tread. But you think your suffering and pain is personal, pervasive, pervasive, permanent, personal to you. But then you read dostoevsky or tolstoy and you realize that a couple of hundred years ago elsewhere in the world, people going through the same thing and like putting together these different stories of healing and trauma from all around the world, completely different cultures, but people going through broadly the same thing, I think was really cathartic for me and I think for the people I interviewed as well, and hopefully it’s uplifting for people that would read it.

Colby: 48:21

Awesome. Where can you get a copy most easily?

Ben: 48:26

Well, you know, it’s on uh. It’s on uh kindle audible audio and a hard copy. It’s available, I think, through most good bookshops where you are in australia. I get feedback from people that read in australia and in most places there is a different version in North America because there’s a different publisher. There’s a different audible audiobook in North America and the one in North America went through a second round of editing, came out a bit later, so it’s slightly different, but they’re probably the same thing. So it’s available everywhere, I think.

Colby: 49:07

I hope yeah, if it’s not, let me know you haven’t gone on done what I did. I mean, not long after my first book came out, I was on the internet to look where it was coming out and what people were saying about it.

Ben: 49:20

Yeah, yeah, I do do that. You know it generally had good reviews so far. This has been a very busy year in my regular job with the UN. You know the UN’s gone through a lot of changes and so I haven’t had as much time as I wish to promote it. But I’m going to be doing a bit more of that now. I hope it just came out at the beginning of this year. It came out in April in North America, so it’s relatively new, yeah, yeah terrific.

Colby: 49:51

It’s been awesome to have you on and have a chat to you, Ben, about your life and work. I’ve asked you a lot of questions. Is there anything you’d like to ask me before we wrap up?

Ben: 50:03

What do you think about? You’re an attachment expert. What do you think about the idea that we could be the first generation to end child maltreatment if we have a public health approach to it?

Colby: 50:18

I think, in considering my response, I think we live in slightly different worlds, and what I mean by that by saying that, is that I think where I live and work and I’m not talking about here in Adelaide, south Australia, I’m talking about the level of where I sit in terms of exposure to child maltreatment I think it can be really hard for people to think and believe or even consider that what we’re dealing with every day, what we’re seeing, what we’re immersed in, I would say, can be ended or at least significantly reduced in some way. I think we all believe that if that happened and that happened and that happened, you know we’ve all got ideas about how you could end it. I think the benefit of the argument that you’re making is that it’s a bit like the difference between thinking and metacognition. So thinking is just thinking, as we always do, the thoughts that come into our head, and those thoughts are very much linked to what’s happening, you know, to our experience of ourselves, of our surroundings, of our life, that our thoughts are very much linked to emotion. Metacognition is thinking, about thinking, and it’s that higher order thinking where we’re noticing what we’re thinking, where we’re noticing what we’re experiencing, and at that level, we are less emotionally attached to what we’re noticing as such, and this is the foundation of certain therapeutic traditions that exist now, the foundation of certain therapeutic traditions that that exist now. And so I think the benefit of what you are advocating and talking about is perhaps, um, you’ve had, you you’ve had direct personal experience and I think direct parent personal experiences is very important but you’re able, you, you’ve risen above in a way. You’ve risen above and been able to take that more, that meta view, um, and I think so, I think probably a lot of people in who work in it, in this, in those systems, I think if they had time to be able to go to a metacognitive place, to be able to, and maybe your book will help, maybe your book will be a source of tremendous comfort and inspiration for the workers on the ground.

Colby: 53:32

That’s who I’m really referring to and who I count myself one amongst, is the workers on the ground. I think the book, as you describe it, perhaps will present some hope that there are things that can be done at a systems level or a government level, a country level, an international level, that can make a meaningful impact on child protection. So that’s how I would say it is that I think. I think it’s. It’s probably hard for the people at the coalface to, but uh, but necessary for them to feel like something can be done, because when you’re at the coalface you just think, oh, it’s very hard, yeah that’s a brilliant point.

Ben: 54:31

I gave a talk recently at oxford and do a lot of practitioners there and I was describing this public health approach that I’m promoting. They said, well, what about the family that doesn’t respond to parenting? Or what about this? You know this or that, and they won’t get it? And I think it’s not.

Ben: 54:49

I think what you’re doing with the public health approach is a long-term process. Yes, right, like you, you started off in like 1980 where people thought it was normal, insurmountable, that millions of children died and then, gradually, as pieces were built on the audacity of saying that we can end this, there was a whole system, a public health system in place. Uh, that could protect you, I think. I think it’s like that. I think that you’re, you’re gonna, you know you’re gonna have, with a kind of really public health approach, you can have improvements across the board over time, but you’re always going to have those hard to reach kind of parts of the community that need more work. And I think it’s a long-term process where you change the whole culture of society around the issue over a generation. Yeah, I think that’s the approach, but we have to start the work.

Colby: 55:41

Yeah, look, and I think that in my own jurisdiction here and many jurisdictions, people at the coalface who are on the ground doing child protection work all the time. Morale is often compromised and there is a risk of people becoming quite cynical about the work, and I think it’s and that’s a shame. It’s a shame for them, but it’s also a shame for the people who come into contact with them and you know the families that are struggling, the children who can’t, for a period of time, be safely cared for at home, and I think everyone gets involved in this, wanting to make a difference. We all want it, but sometimes there’s a risk that it can seem like it will never end and there’s a degree of hopelessness.

Colby: 56:49

I think one of the power, powerful thing, messages of what you’re talking about is we’ve done it, we’ve done it before, we’ve done it in other, in other ways, in another, in other areas.

Colby: 57:02

Of course, we haven’t reduced it to zero, we haven’t eradicated all diseases, but we have had a. We have had a good and sustained crack at a number of things and seen a global, a significant global reduction, if not elimination, of um certain ills that that beset us in this life and why not? Child protection as well. And the other thing I think about that message and I often ask guests this later in the podcast I’ve avoided asking you any questions that might come hard up against your role in the UN and not wanting to be seen as speaking on behalf of the UN and not wanting to be seen as speaking on behalf of the UN. But I think a book like yours should be inspirational at multiple levels of the work and in particular, I would say, at the level of the policymakers, the level of government, the level of the policy makers, the level of government. So I think, hope, hope in a direction to get us out of, away from and towards a better future for our children, their children and grandchildren as well.

Ben: 58:27

Thank you very much and, on the back of what you just said, can I just end by saying massive gratitude to all the people that work in the child protection workforce, both in Australia and all around the world. Yeah, terrific.

Colby: 58:43

Thanks, ben, and hope to speak to you again at another time.

Ben: 58:49

Absolutely Thank you. It’s been a real pleasure. Thank you very much, Colby.

From Winnicott’s Piano to Adolescent Minds: Peter Wilson’s Journey

Uncertainty as Strength: Why Not Knowing Matters

Peter Wilson’s journey into the world of child and adolescent psychotherapy is a testament to the power of serendipity and openness to unexpected opportunities. From his initial degree in industrial economics to becoming a founder of Young Minds and working with some of the most influential figures in psychoanalysis, Peter’s career trajectory defies conventional planning and instead follows a path of meaningful coincidences.

What stands out most prominently in Peter’s narrative is his formative experience training at the Anna Freud Centre in London during the 1960s. This period represented something of a golden age for psychoanalytic thinking, with Anna Freud herself still actively involved in the training program. The immersive four-year experience provided Peter with a thorough grounding in psychoanalytic theory, requiring him to deeply engage with Freud’s concepts and apply them in clinical practice with children and adolescents. This foundation shaped his entire professional identity, giving him a lens through which to understand the complexity of human experience and emotional development.

Peter’s reflections on his time at the Pepper Harrow therapeutic community offer a fascinating glimpse into an approach to working with deeply troubled young people that would be nearly impossible to replicate in today’s safeguarding-conscious environment. The therapeutic community model, with its emphasis on communal living, shared responsibility, and psychological understanding, provided a holding environment for young people whose emotional lives were profoundly disrupted. The fact that staff would physically prevent young people from running away—something unthinkable in today’s practice—speaks to how dramatically the landscape of child welfare has shifted over the decades.

Perhaps most thought-provoking is Peter’s upcoming book with its intriguing title, “The Adolescent and the Psychotherapist: Why I Don’t Know Matters.” His celebration of uncertainty represents a powerful counterpoint to the current evidence-based practice paradigm that dominates mental health services. Peter argues persuasively that the adolescent’s “I don’t know” response in therapy is not merely resistance but a genuine reflection of uncertainty that deserves respect rather than frustration. Similarly, he challenges the certainty with which cognitive behavioral therapy is promoted as the treatment of choice, suggesting that such confidence is not justified by the evidence and may in fact represent a dishonesty about the limitations of our knowledge.

Peter’s critique of current mental health service delivery models cuts to the heart of contemporary debates about efficiency, evidence, and effectiveness. His concerns about the Improving Access to Psychological Therapies (IAPT) program and the Health and Social Care Act of 2012 reflect a broader disquiet about how market-based thinking has fragmented services and created competition rather than collaboration between different professional disciplines. Most poignantly, he suggests that young people themselves don’t respond well to CBT, preferring the relational, play-oriented approaches that take longer but may address their needs more effectively.

As Peter reflects on his career, his wish that he had been more assertive and authoritative as a younger man reveals a fascinating tension. While he values the humility of “not knowing” as a therapeutic stance, he also recognizes that sometimes more forceful advocacy is needed to challenge dominant narratives and protect valuable approaches to understanding human distress. This balancing act between openness to uncertainty and confidence in one’s perspective represents a profound challenge for all who work in the helping professions.

You can listen to the podcast here:

You can watch here:

About Peter:

Peter Wilson is a Consultant Child and Adolescent Psychotherapist. He qualified in 1971, having completed his training with Anna Freud in her Centre. Since then, he has worked in a variety of organisations, holding senior positions in all of them. These included three Child Guidance Clinics ( now known as CAMHS), two walk- in Centres for young people, a therapeutic community ( the Peper Harow Community) and the Institute of Psychiatry. Peter founded a national charity, called YoungMinds, the purpose of which was to raise public awareness of children’s mental health and to improve multi- discipline services. Peter later became Clinical Adviser at ThePlace2Be, a national organisation providing counselling services in schools. Peter has maintained a small private child and adolescent psychotherapy practice, and now teaches and provides supervision. He is publishing a book in the autumn, entitled ‘ The Adolescent and the Psychotherapist: why ‘ I don’t’ know’ matters’.

Related Podcast Episodes:

Coming soon.

Transcript:

Colby: 0:00

Welcome to the Secure Start podcast.

Peter: 0:04

Life is really a bunch of serendipities. It really is. And I went where I was wanted and I spent three extraordinary years working as an unattached youth worker walking around the streets of the city that I was in, getting to know young people At that time. Psychoanalysis was kosher. Psychoanalysis was the way you thought Winnicott and I was doing a social work training at the London School of Economics, but he was just mesmerizing. So we come back to England and I then do the four-year course at the Anna Freud Center in London, which was, if you like, like the kind of turning point of my life, because it was a thorough psychoanalytic training and a Freud was still alive and it was in a kind of heyday, really, by saying I don’t know. That opens up our dialogue. People don’t believe in psychoanalysis by and large they don’t. They believe in what’s obvious, what’s said on top. We’re always looking underneath what’s really going on, and I play piano and I played his piano, but I was good, I played Willie Goldspierre.

Colby: 1:28

Welcome to the Secure Start podcast. I’m Colby Pearce, and joining me for this episode is a founder and trailblazer in children’s mental health. Before I introduce my guest, I’d like to acknowledge the traditional custodians of the land that I’m meeting on, the Kaurna people of the Adelaide Plains, and acknowledge the continuing connection the living Kaurna people feel to land, waters, culture and community. I’d also like to pay my respects to their elders, past, present and emerging. My guest this episode is Peter Wilson.

Colby: 2:07

Peter is a consultant child and adolescent psychotherapist. He qualified in 1971, having completed his training with Anna Freud in her centre. Since then, he has worked in a variety of organisations, holding senior positions in all of them. These include three child guidance clinics, now known as CAMHS, two walk-in centres for young people, a therapeutic community, the Pepper Harrow Community, and the Institute of Psychiatry. Peter founded a national charity called Young Minds, the purpose of which was to raise public awareness of children’s mental health and to improve multidiscipline services. Peter later became clinical advisor at the Place to Be, a national organisation providing counselling services in schools. Peter has maintained a small, private child and adolescent psychotherapy practice and now teaches and provides supervision. He is publishing a book in the autumn for him, spring for Me, entitled the Adolescent and the Psychotherapist, why I Don’t Know Matters, welcome Peter.

Peter: 3:33

Hello, thank you very much.

Colby: 3:38

And I should just say at the outset that you’re being a very good sport, not only being on the podcast, but continuing the podcast today, me having made the cardinal error of not sending you the questions beforehand, or at least beforehand long enough for you to consider them. Anyway, hopefully it won’t be too harrowing an experience for you. And I usually just ask my guests is there anything else? Is there anything that you would like to add to that short bio that I’ve just read?

Peter: 4:19

well, I think it covers pretty well much of my life. I think I think it covers pretty well much of my life. I think We’ll have to see. Perhaps at the end I’ll find there’s something I want to say which I haven’t said I have no idea what’s going to happen. So let’s see what happens.

Colby: 4:35

Well, yeah, let’s see Excellent. So, peter, you’ve had a long and very varied career in young people’s mental health and also with the Pepper Harrow community, with therapeutic communities. So I guess my first question to you is how did you get into this line of work? That has been your life’s work.

Peter: 5:06

Oh, completely by accident, I mean pure, pure accident. I mean I knew nothing about psychoanalysis until I was about, I suppose, 20, 21. Um, and I had no aspirations in this direction at all. I mean, I really was quite ignorant. Um, and I had no aspirations in this direction at all. I mean, I really was quite ignorant.

Peter: 5:28

And I went to university and I had my degree in industrial economics, you’ll be pleased to know, of which I knew very little and of which I know very little now. But I did it because I had some kind of ambition to be rich and to be in industry and to be a very grown-up sort of person, as it were. In fact, my life at university was not supremely glorious academically. I spent a lot of time in the drama society. I acted in about 10 different plays, so I was goofing around and very fortunate because in my day only about 5% of the population, general population, went to university. So I was very, very privileged to be there at all. And this was in the when was I that? 1957 to 1960, so you know it’s a long, long time ago. And I, the facilities were extraordinarily, uh, abundant really for me as a young person. So you know, I danced about I, I had fun, I enjoyed myself and all the rest of it and um, and met my future wife. Can you believe, such a young and delicate age that I was so there? I was a minute.

Peter: 6:50

I came out of university and I applied for jobs in industry and can you believe it? I got nowhere at all. Nobody wanted me at all, and my wife suggested I apply for a job as an unattached youth worker in the youth service. I applied for that and can you believe I was unanimously accepted. So there was a complete change of direction and I went where I was wanted and I spent three extraordinary years working as an unattached youth worker, walking around the streets of the city that I was in, getting to know young people and all the rest of it, and I made use of my enjoyment and skill, I think in the theatre. So I formed a group amongst all these kids who were not. The point of the whole enterprise was why aren’t more young people going to youth clubs? And, of course, more interesting young people didn’t go to youth clubs or the delinquent ones, and so I formed a group where I got to know this bunch of kids by just lolling around, and then we formed a youth group and it was very successful and we, we won prizes and and I was enjoying myself carrying on being in the theater and so on.

Peter: 8:11

So there I am, 21 ish, no, 24, something with my twenties and still not a clue. And then I did. Then again, I’m very much influenced by wife in those days. I mean, my wife told me, advised me to go for this job, and I never would have done otherwise. And then she went off to do a postgraduate diploma in the london school of economics and I followed suit and did a comparable course of study of diploma and applied social studies, I think it was. And there, can you believe, I encountered Winnicott. Winnicott was one of the teachers and a lovely man called oh goodness name, name’s gone now. Anyway, there were psychoanalytic, esteemed people on this course which complete will absolute news to me, finish that.

Peter: 9:08

And then we have two next, and the true story it’s not probably the formal story is that I needed to find Holly Golighty. In other words, I needed to find Audrey Hepburn, who was in Breakfast in Tiflis with all those yellow cabs and all that beautiful. And I had a thing Having been brought up on American movies, I had to go to America to find Holly Golightly. She was a total fantasy. My wife has a different story, but that’s my story.

Peter: 9:46

And so we went to New York and my brother-in-law happened to live in New York for one reason or another, so we stayed with him and then I just looked up the Yellow Pages, basically to find jobs. Looked up the Yellow Pages and looked at all of these various jobs and the usual sort of hustle and this and the other, but managed to get a job with the jewish board of guardians, which is a big, major kind of social service facility in new york, you know, and they ran a residential treatment center, yeah, upstate New York, for crazy kids, and they just had a strike and so they’d lost quite a few of their staff. And so there I was, merrily coming along and they took me on. They took me on, so it was pure pure luck, and that was an amazing job because it was working with very disturbed kids. They had about 200 of these kids on a big campus in different cottages up there in in upstate new york. And it was at that time. Psychoanalysis was kosher.

Peter: 10:58

Psychoanalysis was the way you thought this was before its demise. This, this would be what in the 1963 to 64, I think something like that. And so they were great people and I and they had training in their central office in Manhattan and I learned psychoanalysis. I was introduced to this whole new thing. Here I am, whatever I am, in the middle of my twenties, discovering psychoanalysis. I was introduced to this whole new thing. Here I am, whatever I am, in the middle of my 20s, discovering psychoanalysis really.

Peter: 11:29

And then there was a man there, a man called Fred Evans. He was a psychiatrist and he said why don’t you apply to Anna Freud for her training? And I said well, that sounds a good idea. Turns out Anna Freud’s training was in London, not in New York, and I got interviewed. And I got interviewed by two eminent child psychotherapists, augusta Alpert and Mariana Chris, in New York. I was interviewed in New York and they thought I was married at my time and our first child was there. We went back to London. My wife wanted to get back to England because of the culture. The American culture was very different. So we came back with one child and I got married when I was 21. He, he, long, long time time. I’m 21. Can you believe that? I didn’t know what on earth I was doing, but she was beautiful, so there we go I wasn’t much older, peter there we go and I’m still married to the same woman.

Peter: 12:39

can you believe that? Yeah, 64 years 64 years Congratulations.

Peter: 12:45

Yeah, married in 1960. And went on to university. So we come back to England and I then do the four-year course at the Anna Freud Center in London, which was, if you like, the kind of turning point of my life, because it was a thorough psychoanalytic training. Anna Freud was still alive and it was in a kind of heyday really, and there were about eight of us who were in that year and I’ve most of them were American. So then then, so here I am now a psycho and I’m a child and adolescent psychoanalyst, and I qualified in 1971, as you put, and then I waded off into the world. So that’s how I came to be what I am. Actually. I mean, it’s a total hit and miss story, but they’re the best stories really.

Peter: 13:42

I mean, some people the age of five say I’m going to be an accountant or I’m going to be a lawyer I had no idea what I was going to be, but that’s what I became and have became and have become ever since yes, yes over 50 years in this business.

Colby: 13:58

Wow, that’s there you go yeah that’s an extraordinary story and in fact, uh fact, peter, not uncommon amongst my guests on this podcast. So they will say something very similar about accidents, getting into it by accidents and economics as well, extraordinary. I think there’s been at least a couple of people who’ve talked about who’ve come in from a more an economics background into this space. One of my guests was a fellow by the name of Graham Kerridge and he was interested in he’d also studied economics, was interested in human capital and got a job at the Cotswold community. Yeah, and he’s an Australian. He has moved backwards and forwards. In fact he’s eventually ended up in health management and has worked all across the world in that area. But, yeah, up in health management and has worked all across the world in that area. But, but, yeah, but economics. I’m trying to think if john whitwell, who also was from the cotwell cotswold community, might have mentioned economics yeah, yeah yeah, so there you go.

Colby: 15:16

It’s all these maths. People get into psychotherapy yeah, it’s extraordinary.

Peter: 15:22

Yeah good, never have been any good at economics, but there we go.

Colby: 15:28

Yeah, and Richard Rowlandson from the Mulberry Bush. He also talked about, well, his father. He talked about maths. We had some interesting little backwards and forwards about maths on his conversation. But anyway, you’re in the group of. You are good company in both having something of a maths background and also describing how you got into the work as if by accident.

Peter: 15:58

Yeah, I would add that I was a child, adolescent, in the 50s, the 1950s, and actually people have all kinds of views about that period. But in fact in England following the war there were major changes and the establishment of an education system and health service and so on was phenomenal age and I benefited wildly from it. I mean I happened to do well at school. My own, my background is pretty modest. My father was a tailor and I was pretty modest, you know, but I did well, for some reason or other, with my A levels and then got, but only five percent of us got into university. I mean, if we I was just lucky, frankly, the politics of the time, if I were to set out now I’d probably get lost very, very early. But in those days, I mean, I did prosper very much from a very ordinary background. I mean there was nothing privileged about my life at all. I feel very grateful for all of that and I sometimes think, oh my God, you know I mean everybody’s so critical of the past, but that was a good period.

Peter: 17:14

A lovely man called a politician, called can’t remember his name Anyway, he wrote a book called the Age of Hope, the Age of Hope. Anyway, he wrote a book called the Age of Hope, the Age of Hope, and I don’t think we could say the age that we’re living in is of hope at all.

Colby: 17:34

Yeah, quite the opposite, quite the opposite. Unfortunately, you’ve mentioned a couple of names too. So Donald Winnicott is, you know, obviously still quite influential in our thinking, in child protection circles, and you met him. He was a teacher while you were doing your second part of your education. And, of course, anna Freud is a giant of the psychotherapy world.

Peter: 18:05

Winnicott and I was doing a social work training at the London School of Economics but he was just mesmerizing. I mean I was totally ignorant and this man comes on and doesn’t talk in a particularly eloquent way, but he drew a diagram of two circles and called one a bad breast and another one a good breast and he talked about these circles on the board and I really didn’t know what he was on about. But also the little bit I like to say that he and his wife Claire invited our students to his home in the Rottlosh part part of London and I played piano and I played his piano. I thought I was good. I played Willy Holtz’s piano.

Peter: 18:54

I wasn’t very good in those days but he thought he was very nice about it anyway. So you know I didn’t quite know him and I well he’s been such a presence in my life in all kinds of ways and you know he writes so well, although at times you haven’t got a clue what he’s on about, but at times I was right very well, and those phrases like the good enough mother and the transitional space and um, psychotherapy is two people playing with each other, I mean all those kind of ideas just resonate. It was a remarkable man, frankly, and we lack anybody of that significance these days, I’m afraid yeah, his ideas have definitely stood the test of time.

Colby: 19:44

I just thought of a title for your next book, peter.

Peter: 19:48

Yes.

Colby: 19:50

Winnicott’s Piano.

Peter: 19:52

Yeah, that would be nice, wouldn’t it? Yeah?

Colby: 19:59

I had these moments of inspiration, and then, yeah, and then you spent four years at Anna Freud Centre and she was still alive at that time.

Peter: 20:07

Tell us a little bit about that experience okay, well, I need to say that I was green, young and very beautiful in those days and she was where. She was not a pompous woman, she was not a Melanie Klein. Frankly, she was very different from a client, rather modest woman, but I looked upon her with in awe really and uh, uh and well, I, I, just I. It was such a thorough training in psychoanalysis. I mean, we, we were required to read Freud and it was a theory, the theory group, and it was all looking at Freud in some detail and which I still benefit from, actually the stuff I learned when you’re reading forward. We all, we all took concepts. I took the concept of resistance, I took the concepts of identification and you read Freud all through on those concepts. That was terrific.

Peter: 21:10

Anna Freud’s meta psychological profile, meaning a profile of a diagnostic profile which looks at all the various aspects of a child’s personality. That was part of the breathing. It was called the diagnostic group and we would do, I mean, looking at the complexity of a child’s growth. That was what she was on about and she’s written it in the book called Normality and Pathology in Childhood and it’s there if you want to find out about it. And then I actually became a consultant, which is a rather absurd term, but I was called the consultant of the nursery school because in the center there was a nursery school as part of the center and it was financed for socioeconomically deprived backgrounds. So there was a nursery school and Anna Freud loved the nursery school. She just loved children. She just was a very modest person really and I was somehow the consultant and I used to go down there and be part of the scene.

Peter: 22:21

Every Thursday afternoon two o’clock there was a beer meeting to discuss the children and that was very, that was very, just, very, because we all knew the children and they were. Some were very problematic and some who were very flourishing at such a young age, and Americans who had come to these meetings and the americans love to come and sit at the feet of anna freud and there’s some funny stories about that, but I won’t go into those anyway. So so, and then we had three cases. Five times a week I saw, uh, an adolescent and a latency child, the under five. I didn’t really hit it off with and I don’t think the child or the mother understood what on earth I was doing. That didn’t work out very well. I’m not very good at that, but the other two children and we would write weekly reports of what had happened and that would be reviewed and discussed and so on.

Peter: 23:26

So it was a phenomenal training. It was not the most perfect training. It was not, you know, I could. There were. There were things that didn’t not happen, but by and large it was a psychoanalytic training and it was my turning point. Really it just sort of shaped me. I was now a child and adolescent psychotherapist for the an analyst, but psychotherapy and that’s what I was, and.

Peter: 23:56

I sailed off into the world being one and have been one. Can you believe all my life? Yeah, yeah, yeah it’s very.

Colby: 24:04

It’s definitely a vocation, I think, being one myself. Yeah, if I heard you correctly, you said five times a week you were seeing the young people yeah yeah, five times yeah, that would make you over what sort of period, peter like, how long would you see them at that frequency?

Peter: 24:23

Three years two to three years.

Colby: 24:25

Yeah, and how were endings managed when you’ve had such a significant amount of involvement in a young person’s life?

Peter: 24:39

Yeah, that’s a naughty question because I don’t think endings are ever properly discussed really. I mean there is what you’re supposed to do is to acknowledge what has been done, acknowledge achievements and knowledge limits have happened, and understand the hurt and the anger of something important being terminated. I mean you ought to all do all of that. Truth is probably didn’t do it as well as I should have done really. I mean I was being, I mean all these cases of being supervised and they were very. There was an extraordinary woman called bianca gordon who wasn’t terribly popular but she was a very um particular, looked at detail, was very thorough, and so I did do reasonably well, I think, with the child, the adolescent. I was supervised by a lovely bloke called max goldblatt and I don’t think that was probably handled as strongly as it should have been really. I think I mean, given that I mean I’m not sure, really well, I don’t think. I just know, actually you can’t expect children these days to come five times a week.

Peter: 26:06

It’s just not part of the rush of our society. I think the Anna Freud was still deep in its own history really. It certainly couldn’t be applied now. The psychoanalytic trainings that exist now have three times a week, but very rarely anything more than that.

Peter: 26:26

I think the Institute of Psychoanalysis sees adults maybe four times a week, but anyway but and I think actually, I think, looking back, I think maybe maybe I could have made more of that, we could have made more of that. Maybe it was almost too much, maybe there wasn’t enough analytic scrutiny of what was going on. You get into a kind of lull, you know if it’s every time all the time. So I look back with some kind of reservations about it and I mean I know that Peter Fonagy and his I forgot her name, I forgot it anyway he and his co-worker looked in detail at the work that we had done, all the cases, all the weekly reports, and I think he could see that there were limitations.

Peter: 27:31

I think we did well with the neurotic children, but with the more borderline and the more delinquent I’m not sure we did as well as we might and I think it left Carnegie with a certain sort of questioning about that kind of training, that kind of and of course he has gone ahead now and and spearheaded uh, training which is virtually non-athletic, as I can see anyway, we won’t go into that. But um yeah, but for me it was an extraordinary experience, it really was apologies for the question.

Colby: 28:10

I. I think endings. Endings come into my work quite a lot as well and, um, you can probably tell from oh no, it’s that way from the book title just next to my shoulder. I mean, I’m very interested in bolby’s attachment theory and work very much in consideration of that.

Colby: 28:32

I don’t see children more than once a week but I have seen some children weekly, probably more ordinarily fortnightly, working in a context with young people who come from relational trauma backgrounds and relational disadvantage, and working with them for a long time and I think we become significant parts of their life growing up. And so the question of endings, and therapeutic endings is is quite a vexed one well.

Peter: 29:12

Do you know of any relationship that ends well?

Colby: 29:17

that’s a. That’s actually a very, yeah, a very important point, I think I often think that. So, for example, I observe couples. I don’t work with couples who divorce, but I’ve observed people in my circle who have divorced and observed that they considered that their life would be better away from their partner. Their life would be better away from their, their partner, who and even in circumstances where they they were, they disliked their, their spouse quite a lot. I’ve observed their life. They go through it, definitely go through a period of struggle, and things do go downhill after that because, even if you don’t like someone, there’s still been a significant part of your life, a significant connection. So, yeah, I think you’re right ending well, isn’t it really?

Peter: 30:12

yeah good ending people talk about and I wonder where it is yeah, maybe that’s a another book I don’t mind writing books either.

Colby: 30:23

Actually, I haven’t written one for a while. I I’ve been thinking of.

Peter: 30:26

How many have you written? I mean, that’s really quite something.

Colby: 30:30

I’ve only written these two, but the attachment book. I refer to that as two books because it’s two editions and when I came to update the first edition I liked it so little that I attempted to rewrite it completely and it is very different from the first edition. But my publisher asked me to put respectfully put stuff back in from the first book. So, yeah, so that’s what happened, and I haven’t written anything now for a decade. I should write something again. I’ve got lots of ideas and little time.

Peter: 31:11

yeah it’s not easy writing it’s not easy is it.

Peter: 31:15

Well, I don’t find it easy at all. The only consolation is that people think that I’m easy to read, that I’m you know and that that pleases me. But trying to get it to be like I mean I can only write stuff that I’m you know and that pleases me. But trying to get it to be like I mean I can only write stuff that I understand myself, you know. A lot of stuff I read I don’t understand. I don’t know what they’re talking about. I’m not sure they know what they’re talking about.

Colby: 31:39

I went through a Nietzsche stage reading Nietzsche’s books.

Colby: 31:43

You did I did and you know, and I took a nugget out of, oh, I took a few nuggets out of them, each of them, and and yeah, when you’re reading Nietzsche from my well, when I was reading Nietzsche, I I think, yeah, I probably understood about five percent, particularly as it went on, I think, the last of his books that he well, very close to the end he wrote, thus spake zarathustra, and I loved that book, but he was actually quite unwell when he wrote that book and uh, yeah, so it was quite, it’s quite a challenging book, but so is dostoevsky as well, and notes from the underground. You know, very short book, only about 70 or so pages, but, goodness gracious, is that hard to read. Yeah, what was that?

Peter: 32:29

what was that?

Colby: 32:31

it’s just the field or dossier’s book. Uh, notes from the underground, yeah, yeah, I similarly have a reputation for being easy to read and, um, I just say to people well, I’m just a simple man with a simple message. I don’t like over and, like you, if I don’t understand it, I won’t write it.

Peter: 32:55

No, exactly, exactly Same as me, absolutely.

Colby: 32:58

Yeah.

Peter: 32:59

I mean, I’ve read quite a lot of Freud and he’s not at all easy to read sometimes he isn’t yeah. So yeah, I tried to read.

Colby: 33:09

Interpreting Dreams a few years ago, did you really? And I gave up. Much to my chagrin, I confess, I gave up. I’ll have another go, another time.

Peter: 33:21

It’s 600 pages. That’s an awful lot.

Colby: 33:30

Peter, yeah, like I said there’s this earlier, there’s loads I could speak to you about. I you founded the, the um you founded young minds in in the uk there, um, I I knew about young minds, I think because I I had come across it at a time when there had been some reviews of probably the first edition of my attachment book that was associated in some ways with the young minds, with young minds activities. But tell us a little bit about young minds and how you came to found found it and what. What was its work?

Peter: 34:04

well, it happened in the middle of my life. I think I was in my very early 50s when I got involved with it. Well, you know, it was quite a leading light, and what can I say about it? I mean, I had been practising in the health service and very aware of, uh, poor resources and and people didn’t really understand what it was all about. And um, and there was a. There was a. It was called the interclinic conferences. Um, in england at that time, where are we now? We’re in my 40s. I can’t remember where I’d be now.

Peter: 34:51

There was a lot of concern about child guidance clinics and them being properly managed and who was managing them. Was it the psychiatrists? Who were the managers, or was it other people? But the bottom line was that there was really very inadequate resources and very limited knowledge of what they did, and so a group of us thought you know, something needs to be done, we need to make more of an effort. And at that time I belonged to a funny little group called the Child Guidance Trust and it was spearheaded by a lovely lady called Robina Addis, who was a rather posh lady, who, in the 20s, with her friends I think they were called the Mayflower ladies, and they went over to America and Adler Alfred Adler, who was one of Freud’s early departures had set up child guidance clinics over there and they learned that and they brought it back and so they started the child guidance movement in the 20s and 30s. Then the war came, but then in the 50s and the 60s they really blossomed and I think there was something like 300 or so child guidance clinics in the country and so and that was the body that was coming, that kept coming together and saying we need to have more influence than we do.

Peter: 36:13

So a long, long, long story. A couple of us did it. We started to approach the department of health and, um, and then it’s, it’s just, and then it’s just. Life is really a bunch of serendipities, it really is, for some extraordinary reason.

Peter: 36:37

I got to know the man in the Department of Health whose responsibility was to oversee expenditure or something like that, and he turned out to be an interesting man. Um, who, who, who, was in analysis himself I mean, can you believe, civil servant in analysis and he, he lived in the suburbs and he came into every time he came to London. He was looking at all these young people and an awful lot of them looked pretty hopeless and miserable and disheveled and unhappy and he said what is the department doing about these people? There are a lot of people looking after people with dyslexia, but what about these people, these emotionally? So he became well, he and I got on for some extraordinary reason, and the extraordinary, extraordinary reason was he liked horse racing, as indeed I did at that time it wasn’t the economics connection that was pretty bad economics.

Peter: 37:40

I can do that, but anyway, he he was. So we got on very well and, uh, he managed to be. It’s a long, long story, but he managed to. At that time I was running the Brandon Center, which was a walk-in center for adolescents and so on, and he managed to find some money that was not being properly spent and gave us a grant which was like magic. It was like pure magic, and so we got on with that.

Peter: 38:07

And then he was in the Department of Health and he was used to going to very impressive people. So he wanted to get in touch with a man called Louis Blom Cooper who was a barrister of high repute and sat on various child abuse inquiries. He was a rather dignified man and he got in touch. He tried to get in touch with Louis Blanc-Cooper, but Louis Blanc-Cooper was in the bath. But his wife answered the phone and I happen to know his wife rather well and she said you don’t want to talk to Louis, you want to talk to Peter Wilson.

Peter: 38:50

And that’s how this chap and I got on with each other and that was that pure piece of utter serendipity. It’s just ridiculous. And then on the back he said well, it’s all very well, you’re running this center in the middle of London, but what about all these young people? What are we going to do with that? So with his support his support he managed to get some money together to actually fund the beginning of Young Minds Enough money to pay for my salary, an information officer and a PA for me £150000 pounds or something. And because of that that’s how Young Minds happened and I became the director and it was a really important course. Two things raise awareness of children’s mental health and improve multidisciplinary services for them throughout the lab. They were the two main things, because at that time if you talked about children’s mental health, people thought what are you saying? They’re all crazy, they’re all schizophrenic. What the hell are you talking about? So we had to define what we meant by mental health and then so I built the organization up and I was there for I don’t know, 10 or 11 years or something like that in my 50s and we built it up and we had a budget of about 2 million, I think by the end of

Peter: 40:20

it and we we organized a consultancy service that went across different parts of the country and looked at the way different departments are organizing comprehensive services. Children’s mental health was not just the business of psychiatry or psychotherapists. It was the business of everybody in the voluntary sector and there were some very good reports. It was a good period. This was in the 90s, in the early part of this century, so that’s how that happened and it was going very well indeed. But then there was this whatever it was a bank crisis or something. Suddenly everything was in crisis because of all these dodgy loans in America or whatever. It was a bank crisis or something. Suddenly everything was in crisis because of all these dodgy loans in america, or whatever it was. Yeah, and everything tightened up. Everything tightened up and, as a result of that, things have not gone very well since. I can talk about that later on.

Peter: 41:21

But that’s what young minds was and it was very alive and I had about 30 staff and it was. It was terrific, actually it was very, but it took a hell of a lot out of me, I must say. You know, I worked long hours. I worried about money all the time. Get to christmas and the financial year is march and you can see an almost deficit where you’re going to get the money from. I mean, it was, and I went all over the country talking and this and the other.

Peter: 41:48

I did work terribly hard, um, and it was, it was good and actually, and we ran a parent information service and people, parents, ringing up about their kids, and that was very well in. It was. It was going very well. I was very with it. But then I got to 65, 65 or coming up to it, and I really I thought I’d done enough and I was pretty exhausted, pretty exhausted, and I was ready to retire, you know, carpet slippers in front of the fire, dozing off forever and ever. But then an extraordinary woman called Benita Refsson, who ran an organization called the Place to Be that puts counselling into schools nationally, came and said would I be a clinical advisor to her organization? And I couldn’t resist it really, and so I did that for several years afterwards. But everything is all by chance really. It really is one chance. Yeah, I feel very proud of it. I’m rather sad that I think all of his efforts have pretty well come to nothing as a result of recent political events in this country.

Colby: 43:04

But we’ll come to that later on, if so be yeah, and you were a consultant, I think, at pepper harrow too, or you were you’re involved in paper harrow.

Peter: 43:15

Yes, there was one frenetic period in my life and I’m not entirely sure I’m proud of it. I was working in six different places during the course of every week omnipotence madness, but that’s. I was working in six different places during the course of every week, omnipotence madness. That’s what I was doing. And Pepper Harrow was another extraordinary thing. It’s a therapeutic community in a big house in the country with, about when I first it was 50 kids first of all, now it’s 30 kids and a staff of about 30 or something of that kind, and that was an amazing experience. I mean, really, really disturbed crazy kids, very delinquent, some borderline and uh, and it was a therapeutic community. So you know, every morning there would be a community meeting, everybody, all the staff, all the kids, come together in informed community and and so the staff operated both as teachers and as as therapists.

Peter: 44:35

It was a whole kind of integrated idea yeah and it was amazing place and the man who ran it had a certain kind of extraordinary charisma as a little guy but very, very determined and and he led it with a kind of passion very strong.

Peter: 44:53

And the dining room was was designed so that all the tables were breast like in shape and the children had a delicious, every lovely field that they wanted. I mean it was an amazing place. It closed because and I was the consultant my basic job was being a consultant to the staff to help deal with the pressure at all, but of course I was in the community and I was known and so on.

Peter: 45:22

So that was incredible and I was known and so on. So that was uh incredible that was Pepa Haro. Yeah, that was Pepa Haro. It was amazing and I’m not sure I was. I mean we’re trying to. I mean I loved them.

Peter: 45:34

I always remember he was determined to try and understand the, the psychopathology of these kids and what was in them and he had, and I think he hoped that I really would be able to get there and tell him, and I don’t think I did. I think I was reasonably useful to staff, but to understand the extremity of their misery and their acting out was was just wild. But it was a wonderful place and it couldn’t exist. It couldn’t exist now because you know, for example, for example, if a kid ran away, staff would run after them and bring them back. Can you imagine? And physically bring them back, physically touching them, safeguarding, and what do you mean? Kids have a right to their right to go off.

Peter: 46:21

We had a scandal in this country where men have been exploiting young girls who’ve been run away from their children’s homes, sexually exploiting them. These kids have been allowed to run out and nobody’s come and found them. They do that because you know to find them, them to bring them back physically, is safeguarding, and so it was a great place and it had passion and commitment and care.

Peter: 46:56

it wasn’t just a child minding place, it was a therapeutic place and some of the kids did remarkably well and some of the kids did remarkably hopeless. I mean, it got nowhere, yeah. So there we go. So I’ve been incredibly lucky, frankly, in having that experience, and that’s simply because I happen to know the founder of the place, a play called Melvin Mose, and for some reason he thought I was very good, so I took the job and it was well paid, so I did it.

Colby: 47:25

So I took the job and it was well paid, so I did it. Peter, I want to pick up on something that you said there as a bit of a segue into your soon-to-be-released book, because you were saying how the chap that was running the place really hoped you could answer the questions that he had about what was going on for the young people, and you’ve got this book coming out with a rather intriguing title to it the Adolescent and the Psychotherapist. Why, I Don’t Know Matters, and I wondered if there was just anything that you could, you felt able to share with us about the book and maybe even a little bit about that title yeah, well, it’s going to be published, apparently in December or over the next year.

Peter: 48:17

It’s going to be published being through all the business contract, more than I say. And well, I wanted to call it, I wanted to call it, I don’t know. That’s what, that’s all I wanted to be, I don’t know. But their editors routledge, um, they said I’m not already happy about that, would they put the book what? What section of the bookshop or the library? And I can see their point of view. Um, but I had a thing about, I don’t know anyway, one.

Peter: 48:48

I went, we went barmy, trying to think of a title. The adolescent, the psychotherapist is not a bad title, but in the end I kept it in. Why, I don’t know matters. And the book basically is a collection of papers that I’ve written in the past. I’ve written about 40 or 50 papers or chapters that have been here and there and I’ve got 10 in there and I think that they’re quite pleased with what they’re giving off, I think, and I think it meets the title of the therapist and the adolescent.

Peter: 49:26

But I don’t know how I had a thing about, and there’s two main reasons. The first is clinical. You tell me anybody who sat down done psychotherapy with adolescents and they are confronted with I don’t know, I don’t know. What do you feel, what do you feel? What do you feel? I don’t know, I don’t know. And I think as therapists we’ve become rather cross. I’m here to know and you’re saying you don’t know. That’s resistance, resistance, whereas in fact it’s much more than that. It’s much more uncertainty about what they feel.

Peter: 50:00

Anyway, they’re not sure whether they should say or not say are they being disloyal to their parents? To talk about this? I mean, there are all kinds of reasons. Be it, I don’t know. And so I think it matters that we respect I don’t know. Also, the other thing is political. There’s far too much certainty that having an influence on policy and it’s my crack and the scientists.

Peter: 50:29

Now, I’m not anti-science or all the rest, wonderful things, but the science of psychotherapy not so good, not so good, not so conclusive as they make it out to be, so that they think cbt is the treatment of choice. This is what evidence suggests. The evidence is not good. It’s not good, it’s a lie. They’re lying about it, in my view, and so they are not saying I don’t know If they said I don’t know, but so far this looks as if CBT can be helpful with certain patients, for a certain type of plan maybe, but they don’t it’s either. They know, and they’ve set up a whole kind of service delivery now which is based on we know, and we will do it this way.

Peter: 51:22

So do it this way, so I, I don’t know matters, and I. A great virtue If I, if you and I. I mean the paradox is I’m telling you what I think I know, but you know if, if we leave it and I say I know everything, then you haven’t got a question to answer because I’ve known it all by saying I don’t know. That opens up our dialogue for for something, and so I think there’s a, there is a, there is a virtue, virtue not knowing. And through not knowing we discover. If you say no, you’re not opening your mind. That’s right. So that’s what that book’s all about.

Colby: 52:12

I was hoping that you would say something along those lines. I remember John Whitwell talking about using I don’t know as a way of opening up reflective thinking about things, and I was also thinking with teenagers that I don’t know. Is there a way sometimes of setting some boundaries around themselves? And if that is possibly what they’re doing, then that’s something we should respect rather than get frustrated with yeah, yeah, no, that’s wonderful.

Peter: 52:58

Talking about Australia, I did a series of seminars organised by Peter Blake, who you presumably know no, I don’t, you don’t, no, really. Organised by Peter Blake, who you presumably know no, I don’t, you don’t, no, really. He’s in Sydney and he’s written an enormous book on child psychotherapy, peter Blake. Anyway, at these seminars, people will present me with these impossible cases and I will say I don’t know and I’m worried that actually that wasn’t the right approach. People want you to have omnipotent answers and I just don’t see it.

Peter: 53:34

I think we have to live with the uncertainty in order to find out a bit more.

Colby: 53:42

So there we are is there any advice that you would give your younger self as a, as a early career psychotherapist, um, from from the position that you’re, you’re in now, or that you would give, indeed, to other, uh, early career um psychotherapists? Child and adolescent psychotherapists?

Peter: 54:05

very. It’s a very, very good question and therefore a very difficult question. Yes, I have been thinking about that. I’m going to give an answer, thinking about myself and maybe particularly psychotherapies. The advice I would give young Peter Wilson is to do something to enable him to be more assertive and confident in what he, uh was doing, and you could say my analysis should have done that, but it didn’t. I mean to speak with more authority, to to be more, um, to be less inclined to let things pass, to basically recognize the wrongness of what other people are talking about and to express my disagreement.

Peter: 55:10

I think, I’m not putting this very well, but I wish I’d had more authority to some deeper sense of authority within myself that I think I have now, which I’ve gleaned from my my life’s experience. But as a young person I don’t think, and I think it’s something about psychoanalytic training, um, that it makes you reflective and thoughtful and all the rest of it, but doesn’t really engineer you to to speak up. I had a farcical experience a long, long time ago, uh, with a man called wallace hamilton and we were involved in um trying to establish a salary structure in the national health service for child psychotherapists, which in fact, we did an amazing piece of work. But as part of that, we were involved with a trade union I forget what it was called now the trade union and they organized some training sessions in how to negotiate.

Peter: 56:24

And we had an ex coal miner I think it was a unionist coma and he was a rough truss sort of bloke and we were videoed in in negotiating relationships. We were pathetic we were. We were leaning back, saying, oh, yes, yes, yes, yes, and just leaning further back, almost a disappearance, whereas we should have been much more assertive, confrontational, authoritative and so on, and I really I would. And I say I mean I don’t have too much to do now with young child psychotherapy, but I encounter them every day and they’re very nice young men but they’ve got no balls, if I can put it that way. They need a bit of punch and they’re also understanding.

Peter: 57:15

It’s that balance between understanding and assertion. And so and I think we do ourselves it’s that balance between understanding and assertion and I think we do ourselves a great disservice as a child psychotherapy profession. The psychiatrists have sort of bred with it. They are the people who know about mental health, they know about mental illness and the psychologists are very, very pushy and very uptight and so on, but the psychotherapists, I think, are a pushover. Frankly, I wish I’d had greater authority as a young man, even at Young Minds, when I was pushing for child mental health. I found my psychoanalytic background. Psychoanalytic understanding was too understanding. People don’t believe in psychoanalysis background.

Peter: 57:59

Psychoanalytic understanding was to understanding people don’t believe in psychoanalysis by and large they don’t. They believe in what’s obvious, what’s said on top. We all looking underneath what’s what’s what’s really going on, but they don’t get there. You need to operate at that kind of level, yeah it is, I is hard it’s the worst of my life. I think I wished I would like that would be something. I mean it’s a good answer, I think, to a good question really, because it’s an honest one, and I do feel I rue that I didn’t have more of that in my life.

Colby: 58:34

But there’s also a wisdom in humility in a sense. I know that sounds a wisdom in humility. I know humility. I know that sounds a bit corny, but it’s as we were talking about in relation to, I don’t know, maintaining a stance of curiosity, yeah. Yeah, not jumping in with the answer straight away. Yeah, maintaining an open space of inquiry, which I think is very much. I don’t describe myself as a psychoanalyst in the same way that you do, but I think that’s really a cornerstone of psychoanalytic work is that it creates space for inquiry and exploration.

Peter: 59:31

Some people just assume that they are to be heard and I don’t think I’ve had that assumption. I mean not that I’ve been effective. I mean you’ve highlighted a conundrum. Frankly, you know that I do believe in not knowing and humility and so on. At the same time, I wish I had been something other than what I’ve been. Not that I’ve been lacking in any assertion, but I could have made more of a difference. I could have made more of a noise.

Peter: 1:00:03

People make an awful lot of noise and people sort of keel over under the weight of the noise.

Colby: 1:00:10

There’s a proverb, isn’t it the rusty? What is it? The rusty gate gets the oil, or something like that. Though, what would you say, peter, if you were sitting in front of the health secretary, and what would you say to them now about child and adolescent mental health and what needs to happen?

Peter: 1:00:34

Well, it’s a bit in my head at the moment because there’s a very good article in the latest edition of the Journal of child psychotherapy and this chap’s written what the state of affairs is in the for a child psychotherapist and basically what he’s actually saying is that two major developments have occurred in the running of mental health services in this country. The one was a the introduction of something called IAPT introduce introduce improving access to psychological therapies.

Colby: 1:01:12

Yeah.

Peter: 1:01:13

And the other one was the children health and social care act of 2012. And he highlights these two things and the two strains which are so important. In the first, in IAPT, it’s all about improving access and apparently improving treatment. Uh, improving access and apparently improving treatment, but it bases the, the, the therapy, on what is called nice, the national institute of clinical excellence. Look at very thoroughly at the end and the evidence from that suggests probably more powerfully, points to cognitive behavioral therapy and that that is the therapy that should be offered for all in all in all, child and adolescent mental health services should be CBT, which is the predominant offer, and that is reinforced by this power of evidence that it works. They’re interested in outcomes. And there’s a whole history about IAPT. It was basically introduced by the Minister of Economics, funnily enough.

Colby: 1:02:35

Again.

Peter: 1:02:39

Again, he was very concerned that so many men were not going to work because they were depressed. So let’s bring in a treatment which apparently works with depression. Get these poor buggers to work. That was the raison d’etre. And it happened to be he had a close relationship with a cbt specialist in the mausoleum hospital and so cbt was presented and now it put it pervades everything.

Peter: 1:03:07

So as a child psychotherapist working in a health service, by and large in the camps, you won’t be if you won’t see a referral out there. As it comes in cbt, be offered it Maybe three or four attempts before it’s given to a child psychotherapist, and that’s absolutely wrong. And the thing about all this evidence is that it doesn’t really take into account the complexity of people’s problems and it’s just it purports to deal with mild to moderate problems. Anybody can do that. Really, you know, to deal with the kind of real problems that we have in in our society you need much more. So IAPT has entered into the realm. The the other thing is this Health and Social Care Act, which actually is coming from a political view that people, we should be in businesses, we should be in competition with each other, we should be efficient, do outcomes and we should compete with each other.

Peter: 1:04:20

We should, and I’m putting that broad as a broad political view, um, but now being applied to that simply means everything is division, everything’s divided. Yeah, people are fragmented. I have a kid. I’m working with a kid and somebody says, well, this kid’s got a neurodevelopmental problem or something. So therefore the kids should go to that service, not be part of the service I’m doing and anyway.

Peter: 1:04:52

So it’s a long, long story and I’m full of it at the moment because it really pretty well renders irrelevant to all the work I do at Young Marts. I mean, they, they they’re very impressed that everybody has more awareness of child mental health, possibly, but I’m not sure that people understand what mental health is. And, um, as far as my whole attempt to bring together the disciplines to provide a comprehensive service, that every discipline is in competition with each other, yeah, being more competitive, and it just is. And we hear people demoralized and their skills devalued. And so what would I say to the health secretary? Abolish the lot. Yes, a weakness is, cbt is attractive because it’s quick, short term and ding, ding, ding, whereas our psychotherapy is longer, it has to take longer, it has to. And the overwhelming thing is the resources for CAMHS for children’s mental health has been reduced. I mean, posts are not being re-advertised. It’s just an appalling situation.

Peter: 1:06:16

Now I feel for the Secretary, the Health Secretary, a man called Wes, something or other, montgomery. I feel for him because the National Health Service is really in a terribly difficult state and I don’t think child mental health is going to be high up on its priorities. And what would I propose instead? Because it is a factor that there’s an enormous need, an enormous demand, and what can people do effectively to deal with it? I understand all that, but the bottom line is people are getting disillusioned. All the CBT doesn’t work for most of these people and everybody becomes disillusioned and I think it does a major disservice in the long run. But what I would advise I’m moaning more than what I would advise but I would advise not to be so reliant on these two policies, to think about other ways of meeting a need. It’s a very, really serious problem really, and families anyway.

Colby: 1:07:23

So I was just going to say you know as much. If it’s worth anything, what 30 years of delivering psychotherapy to children and young people has taught me is that they don’t like CBT.

Peter: 1:07:37

No, they don’t.

Colby: 1:07:39

They much prefer relational, play-oriented psychotherapy.

Peter: 1:07:46

Yeah, absolutely, they much prefer it, yeah.

Colby: 1:07:49

And I remember when I was training. I remember there was and that’s over 30 years ago now, but I remember a relatively recently retired clinical psychologist here in my home state. I remember her addressing our class and saying that all the CBT practitioners in our professions you know there’s all these people that advocate for CBT and say that CBT is the answer, but when they themselves need a therapeutic service, they find someone who is much more person-centred. Analytical Absolutely yeah, I’ve never forgotten that. Analytical, yeah, absolutely yeah, I’ve never forgotten that. Anyway, yeah absolutely.

Colby: 1:08:45

Peter, yeah, we’ve had a wonderful chat and there’s so much more. I’ve really enjoyed it and there’s so much more I can speak to you about. I wondered if there was any question that you’d like to ask me before we wrap up. I’ve asked you a lot of questions.

Peter: 1:09:01

Yeah, you got me there. On the last one. What would you like me to ask? I think maybe. What do I mean by psychoanalysis, Because I always go on about it and I, yeah, yeah, I think that’s what am I talking about. I think I’m a psychoanalyst you’re asking me well, it’s a question you should ask me, but you can ask yourself.

Peter: 1:09:35

It’s a question you could ask me and I would have liked that would have been a difficult question for me, because there’s two question what you could ask me and I would have liked that would have been a difficult question for me, because there’s a. There are two ways of thinking about that. The Institute of psychoanalysis is basically the, the interpretation of the transference of the unconscious, and it’s on the couch, and you hold your position. For me, I psychoanalysis is much more on a live business, looking at the sheer conflict and struggle and yearning and desires and frustrations and what it does to you and how it affects your mood, and it’s everywhere. It’s everywhere, it’s not just on a couch, and that’s what I mean by psychoanalysis yeah, it’s almost like a science in and of itself.

Colby: 1:10:22

It’s the science of the human condition, the scientific inquiry or you don’t even have to use the word scientific, but it’s the inquiry into the human condition really, and it’s not boundaried in the ways that other approaches or conceptualisations are, it’s not limited. It’s because, you know, probably going right back to free association, it’s about an unboundaried exploration of each human life that you come into contact with.

Peter: 1:11:01

Absolutely absolutely.

Colby: 1:11:03

Peter.

Peter: 1:11:05

Was your question. Do I have a question of you?

Colby: 1:11:10

Yeah, well, I often I say to all the I don’t ask a lot of questions in the way I do therapy with children and young people, but if I do find myself asking them a lot, I’ll say to them well, I’ve asked you a lot of questions in the way I do therapy with children and young people. But if I, if I do find myself asking them a lot, I’ll say to them well, I’ve asked you a lot of questions. Is there a question you’d like to ask me?

Colby: 1:11:27

hey, that’s right yeah, and, and usually I can almost predict. I don’t want to say this with any certainty, but I can almost predict what they’ll ask. The first things they ask is how old I am, and they’re not satisfied with as old as my tongue and a little bit older than my teeth, which is what my grandmother used to always say. For a long time I got away with telling them how old I was in months, and then a couple of kids started to work that out, so now I just do it in doggies. I am in doggies good question.

Peter: 1:12:06

My question would be what are you, what are you learning from these interesting podcasts? What are you going to distill from it? Maybe it’s too soon, but that would be. It’s such an interesting project you’ve got going here Aye, aye. What are you going to learn from it? You don’t have to answer my question.

Colby: 1:12:26

I will say one thing. I’ll say a couple of things. One of those things is that I am learning a lot about a whole range of aspects of practice in um, the in. I call the podcast really a podcast about child protection out of home care and related endeavors. So I’m I’m learning things about you know, for, like you know how to run a good child protection organisation, I’m picking up ideas because I’m speaking to people who’ve run them.

Colby: 1:13:08

But the thing that I would really, that is really coming through for me is is the person reflecting on the person in the role? Because I think for a lot of my career I’ve been really trying to understand the person in front of me and what. And I think and I think part of this is because psychoanalysis is less popular in Australia than it is in the UK and Europe. It still has standing there and I’ve interviewed a lot of people from the UK and some from Europe but what I’m getting out of it that I probably knew but didn’t consider enough, was the person in the role, if I can put it that way.

Peter: 1:14:13

Very good. Yeah, I like that yeah.

Colby: 1:14:18

Well, we’ll finish on that point. As I said, Peter, thank you very much for agreeing to come on and also for being a good sport about my faux pas of not giving you more prior notice about what questions I might ask. But yeah, thank you again and good luck with the book, and I really hope that there might be an opportunity for us to speak again.

Peter: 1:14:45

I hope so. It’s been very good meeting you. Thank you for this podcast.

Colby: 1:14:51

Thank you you.

Relentless Kindness: The Foundation of Therapeutic Care, with Adela Holmes

Trauma-Informed Care: The Power of Relentless Kindness in Therapeutic Residential Settings

In the challenging landscape of therapeutic residential care for traumatised children, a profound approach has been quietly transforming lives for nearly two decades at Hurstbridge Farm in Victoria, Australia. This revolutionary model, developed by Adela Holmes, has consistently demonstrated that relationship-based care grounded in neurobiology can heal even the most severely traumatised children.

What makes this approach stand out from other care models is what Holmes describes as “relentless kindness.” This isn’t just being nice—it’s a deliberate, consistent therapeutic stance that prioritises relationship over traditional behavioural management techniques. The model recognises that traumatised children operate from lower brain functions and cannot access higher cognitive abilities until they feel safe and valued.

Traditional approaches to managing challenging behaviour in out-of-home care settings often rely heavily on cognitive behavioural models—star charts, points systems, and rewards for good behaviour. However, Adela’s experience at Hurstbridge Farm demonstrates why these approaches frequently fail with severely traumatised children. These children typically haven’t developed the capacity to regulate their emotions or delay gratification. They don’t expect adults to follow through on promises, leading them to either demand immediate rewards or sabotage the process entirely.

Adela shares a powerful story about a young boy who requested a star chart upon arrival at Hurstbridge Farm. Rather than implementing the chart, she simply gave him the CD he wanted, explaining: “I want you to have the enjoyment of listening to that person singing on the CD and I want you to feel good about having it.” This approach demonstrated worthiness and deservedness—core experiences these children often lack.

The Hurstbridge model was built on solid foundations, drawing from decades of successful therapeutic residential care approaches. Adela studied established models like the Mulberry Bush School in the UK, Villa Santa Maria in New Mexico, and Chaddock near Chicago. All shared a common thread: relationships as the primary vehicle for healing.

One striking feature of the Hurstbridge approach was the constant presence of caring adults. Children were never left alone except for personal privacy. This consistent presence created a containing environment that allowed for co-regulation—adults helping children manage their emotions until they could develop this capacity themselves. One young boy who initially resisted this approach was later found frantically seeking an adult when he woke up alone, demonstrating how quickly children can adapt to and need this consistent care.

The neurobiology of trauma informs every aspect of this approach. As Bruce Perry, a leading authority on childhood trauma, explains: “Traumatized children tend to have overactive stress responses… Before they can make any lasting change at all in their behaviour, they need to feel safe and loved.” The Hurstbridge model follows Perry’s principle of “going to the lowest part of the brain implicated” to create change, providing countless repetitions of corrective experiences.

Despite its success, implementing this model isn’t easy. Adela describes the doubt she often felt and the criticism she received from colleagues who believed the approach lacked sufficient boundaries. However, the long-term outcomes speak for themselves—many of the children who experienced the Hurstbridge model have gone on to lead stable, fulfilling lives, with many maintaining connections with staff members years later.

In a field often dominated by quick-fix solutions and compliance-based approaches, the Hurstbridge Farm model stands as a testament to the power of relationships, neuroscience, and what Adela beautifully describes as “relentless kindness.” For anyone working with traumatised children, the message is clear: start with relationship, understand the brain, and never underestimate the healing power of consistent, compassionate care.

You can listen to the podcast here:

You can watch here:

About Adela

Adela has a career spanning 52-years, during which she has worked in the child protection, child & family welfare & out of home care fields for both the Victorian state government and the non-government sector. Adela has a well-established track record in designing, developing and delivering complex trauma grounded therapeutic care services for the most complex and challenging children and adolescents, and an expertise for working successfully with and supporting others to work with these children and adolescents.

During her career Adela has designed and been involved in the ‘start up’ leadership and management of significant therapeutic service initiatives funded by the Victorian state government. These include the ‘Take Two” Intensive Therapeutic Service and the Victorian government’s successful pilot therapeutic residential care program, Hurstbridge Farm. 12 other pilot programs were developed using the same model and, in 2011, all 13 were evaluated as being highly effective in producing positive life outcomes.

Adela has been specialising as a trainer in the utilisation of complex trauma frameworks since 2000 and during this time has consolidated an extensive knowledge base and expertise in trauma & attachment informed therapeutic practice, both as a practitioner and a trainer of these skills. Adela also specialises in the facilitation of Reflective Practice Groups and, in her consultancy work, Adela delivers to such groups as a visiting consultant on a regular basis.

In October 2024 Adela was awarded the inaugural Centre for Excellence in Child & Family Welfare Industry Lifetime Achievement Award for Services to Out of Home Care.

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Jenna Bollinger

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Transcript:

Colby: 0:00

Welcome to the Secure Start podcast.

Adela: 0:04

But don’t give up and don’t change, because it’s kind of in the hardness that gets success and that requires really strong leadership and what I call relentless kindness towards children. He talks quite clearly about the importance of children learning how to like themselves. One of the experiences that I’ve found quite important in moving into developing a model was the experience that I’d had of observing a model that very clearly did not work. If you’re going to develop a model of care for any group of children, it’s actually got to fit the children for whom you’re providing it. We relentlessly were nice and good and we didn’t try to achieve things with him that he couldn’t possibly achieve being able to use relationships to build safety and trust. Here’s something else that I wonder if you know, but that if you do run off, we run away with you.

Colby: 1:31

Welcome to the Secure Start podcast. I’m Colby Pearce, and returning for this episode is a highly respected figure in residential childcare here in Australia. Child care here in Australia, adela Holmes. Before we begin our conversation, I’d just like to acknowledge the traditional custodians of the lands that we come to you from. For Adela, it is the Wurundjeri people of the Kulin nation and for me, it is the Kaurna people of the Adelaide Plains and I’d like to acknowledge the continuing connection the living Kaurna and Wurundjeri people feel to land, waters, culture and community and pay our respects to their elders past, present and emerging Now. I saw Adela out for a return to the podcast after reading a social media post of hers about trauma-informed, relationship-oriented and neurobiology-informed practices and was keen to talk to her further about this. Welcome, adela.

Adela: 2:39

Thank you. Lovely to be here, Colby.

Colby: 2:42

So, as we just were talking about, and I mentioned in the little intro, what captured my attention was a post on LinkedIn in which you presented some reflections really about trauma-informed practice and relationship-oriented practice in the out-of-home care space and where neurobiology, and I guess in particular, the neurobiology of trauma, sits, with current trends. So that’s what I love to pick your brains about and and I’m sure that people who listen to this podcast will also be very interested to hear your thoughts.

Adela: 3:28

So, in terms of sort of preparing my mind for talking about that today, if I can just reflect what drove me to write that post, on LinkedIn, I’d seen a few posts that worried me in terms of perhaps a growing tendency to shrink from some of the practices that we have been quite successfully using in working with the young people in residential out-of-home care. Because it is fair to acknowledge and I think I’m going to acknowledge that quite a bit during what I’ve got to say today but doing this work in that way, in what I would call the correct way for the client group, is hard work and I would not be surprised by people feeling tired or somewhat daunted by it.

Adela: 4:35

But the role, I think, of people like myself and yourself and others who lead the way in therapeutic residential childcare is to actually keep the motivation up and to encourage and support those who feel like faltering by the wayside by actually acknowledging yes, it is hard, it is really hard, actually acknowledging, yes, it is hard, it is really hard, but don’t give up and don’t change, because it’s kind of in the hardness that gets success and that requires really strong leadership and what I call relentless kindness towards the children and the word relentless tends to have often a negative edge to it, but I’m not talking about any negative edges. I’m talking about an absolutely relentless knowledge of how important it is that we maintain our internal state and our external state as a consequence. So one of the things I thought I’d talk about today is the lead-up and the preparation that I did when I was writing the proposal which later, you know, then morphed into the model for Hurstbridge Farm Therapeutic Residential Care Pilot, which was requested by the Victorian government.

Colby: 6:18

Yep.

Adela: 6:19

And I was already working at Take Two, the intensive therapeutic service that had been secured by Berry Street. I was working with Berry Street in Take Two when they wanted to move to the second recommendation of a report that they had commissioned in the late 90s, which was to initiate a therapeutic residential care pilot where an approach could be trialled to see how successful it would be. And of course that came to me in the role I was in at Take Two to write at the time, and so I thought I’d talk a little bit about that and where my relentlessness came from, and then sort of see where that takes us, if that’s okay with you, Colby.

Colby: 7:18

That sounds awesome. Interestingly, when you talk about that relentlessness, a number of my guests have talked about the importance of stickability. Yeah, I don’t know if they as such and perhaps in the foster care context more so. But stickability, yes, and the other thing that just a question I have, and the other thing, that just a question I have, and perhaps you’ll cover it, but if not, I’d be interested to hear what you think are some of the reasons why it is so hard the work.

Adela: 7:56

Yeah, look, it’ll probably become apparent as I’m talking, but if you don’t think I’ve articulated it clearly enough, ask away. Yeah, sure, but when I was first approached at Tag2 to write this proposal for the pilot, I was very mindful of prior experiences, because I guess my natural inclination had always been somewhat similar in terms of the use of relationship, because that’s something that I learnt when, I think, I talked about starting out in the institutions when I did my last podcast. That was something that I learnt in those settings that, even if you were very limited in what you could achieve because of the environment, you could still demonstrate to those young women what it meant to be there for them, present in the true sense of the word, and to demonstrate that you liked them.

Adela: 9:21

And I had not read Bruce Perry yet, right but, I’m going to read a short paragraph from Bruce Perry during this, because he talks quite clearly about the importance of children learning how to like themselves, and that was something that I did develop when I was working, you know, right at the beginning of my career in the institutions.

Adela: 9:48

But what I also understood was that it wasn’t enough. Right, it was important and it was great, but it wasn’t enough to actually achieve the change that was required, and I don’t know that I understood that completely fully until I’d done all the reading that I’ll talk about in a sec. In terms of putting together the model for Take Two Sorry for Hurstbridge when I was at Take Two, for Take Two sorry for Hurstbridge when I was at Take Two, one of the experiences that I found quite important in moving into developing a model was the experience that I’d had of observing a model that very clearly did not work for young people. Observing a model that very clearly did not work for young people. This was something that the department I think had tried to initiate in I’m just trying to think of the year. It was around 2003, 2004, I think and they wanted to develop a house that they had in the community to work with four young people.

Adela: 11:13

Now I’m not going to use any names but, the person who developed that model selected a very cognitive approach which involved points and things you could gain and lose, and you know it was quite complicated and it didn’t work. And it very clearly didn’t work because there was quite a level of interest in understanding why it didn’t work and that fell to me to explore in my role at take two, in the role that I was in at the time, because that was what I was focusing on, and one of the things that became very, very clear in terms of why that model hadn’t worked was because it was exceptionally cognitive and so for me that was quite important to hold in my mind. And then the more reading that I did, and certainly the more reading of Bruce Perry that I did, I completely understood why that model had not actually worked. And I suppose my starting point then that I developed was if you’re going to develop a model of care for any group of children, it’s actually got to fit the children for whom you’re providing it. Yes, it’s got to fit with their needs.

Adela: 12:50

And of course, the problem with that one was it didn’t fit with their needs, because we were talking about the child protection client group of children who really don’t like themselves and their starting point is lower down in their brains, if you like, and reading the work of Bruce Perry and others really helped to cement that in my mind, so I knew where I had to start. Looking was not in the range of cognitive models that exist out there. Now I’m not saying that cognitive models don’t work at all. I’m just saying that they’re not a good fit for the client group that I was mainly looking at writing a model and developing a model for.

Colby: 13:42

Yes, and if I can just jump in for a moment and just for our listeners as well, when you’re talking about a cognitive model in my parlance, I’m wondering whether you’re talking about a cognitive behavioural model, because you referred to points, and so I’m imagining that the model would require the young people to reflect on themselves and their approach to life in the home particularly, and regulate themselves in consideration of a set of expectations that could achieve them points towards a positive outcome.

Adela: 14:30

And for rewards right. Yes so there’s an implicit belief within that that A they can regulate themselves which you know we’ll talk about a bit more but that they can regulate themselves and that they can do that in a thinking reflective way to achieve a certain outcome, neither of which is actually possible for very traumatised, possible for very traumatised young people who are really not operating from that part of their brains effectively.

Colby: 15:13

No, and nor do they expect adults to follow through on promises. You know, on agreement, I often say where such an approach is tried, the young person I’ve found observed, the young person will go. Well, if you were going to give me that, you can give it to me now.

Adela: 15:34

Yeah.

Colby: 15:34

And if you don’t give it to me now, you are never going to give it to me Exactly, or they’ll sabotage. Yes, yes, because they don’t like uncertainty, so they hate uncertainty, in fact, and so they’ll go. Well, I’m never going to achieve it. You are never going to give it to me, so I might as well just blow it up.

Adela: 15:56

Well, it’s interesting. You make me think about a child who first, once we had the Hurstbridge Farm going. In the very first weeks of coming to the farm, this young man, who was about 13 and a half, said to me in his, I think, first or second week. He said to me can I have a points chart, a star chart? And I said oh, have you had one of those before? He said yes. I said why is it that you want one? He said because I want a CD of CD, and he mentioned some artist. I want a CD at the end of the week and that’s how I’ll get it.

Adela: 16:52

And I said have you always been able to get, you know, the thing you want at the end of the week with a star chart? And he said oh, oh, not always. And I said how many times do you think you might have been successful? He couldn’t really remember. Anyway, I said to him look, we don’t actually do star charts here. But I said let me say right now you can have your CD at the end of the week, no star chart. And let me tell you why I don’t want you to have a star chart. I don’t want you to have a star chart, because I want you to have the CD, because I want you to have the enjoyment of listening to that person singing on the CD and I want you to feel good about having it and listening to it. I said I don’t like setting people up to fail and I don’t know whether you can do it or not, but I really don’t want to start you being here with that experience.

Adela: 18:10

So you can have the CD and we’ll organise for you to go and buy it. You don’t have to wait till the end of the week. You can have it now. Now, what was I demonstrating to him?

Colby: 18:24

His worthiness, his deservedness, All of those things and that he would. He was with people for whom his interests were important.

Adela: 18:37

Yeah, and that I wanted him to feel good and I wanted him to have something that was enjoyable to him, which I would say is probably a thirst, and I wanted him to have something that was enjoyable to him, which I would say is probably a thirst. But that’s no, I’m not saying that he miraculously changed overnight, because of course he didn’t.

Colby: 18:56

That would have been quite inconsistent with his model of relationships and he’s likely to have, yeah, tried to sabotage that approach.

Adela: 19:02

Absolutely, and he did many times. But we relentlessly were nice and good and we didn’t try to achieve things with him that he couldn’t possibly achieve. And, interestingly, he is quite a challenging young person to work with all through the about two and a half years that he was in the program. But, strangely, changes were happening. That became evident when he moved on to the placement that he went to next, evident when he moved on to the placement that he went to next, which was a sort of lead tenant model, because he was by that stage, you know, I think, just over 16 and he could move into that and he’d been in that new program for about six weeks. We got a phone call from the people who ran it and they said, goodness, you know, I don’t know what you did with him out there, but you know we had his whole history and we read his history and he’s just been fantastic here and I was going phew, because I honestly had not thought that we had achieved what I’d hoped we could, but we did.

Colby: 20:32

That’s an important thing. I think that’s a very important experience to have in this area of work. It’s part of the reason why I think it’s really important that we reflect on young people’s journey through our involvement with them, because the changes are often small and gradual.

Adela: 20:54

Indeed.

Colby: 20:55

But I’ve always found that they undoubtedly occur. They just take a while. And also the other thing is that sometimes we’re just not even around to see the full realisation.

Colby: 21:11

And then I also reflect on and this was something that came from an earlier podcast with Graham Kerridge which I might have mentioned to you. In the previous time we chatted about the human capital element and and also the intergeneration you know, like impacts of of turning a life in a in a slightly or largely different direction, and and the impact that has on partners, children, grandchildren yeah well, um yeah.

Adela: 21:41

Well, this young man that I just referred to has just recently got married, and one of the lovely elements of the work that we all did at Hurstbridge Farm is that in almost every case, every case, the various young people have maintained a connection with one or other of the people who worked there throughout the years. So, you know, I only became aware that he’d got married recently because I think he had sent something from Facebook to one of the workers who he had really worked well with, because obviously he wanted us to know that he’d got married and that he was happy. And indeed we were happy that he was happy, and I think I said, you know, at the start of our first podcast, what was I aiming for? People used to ask what was I aiming for?

Colby: 22:55

A great aspiration, an ordinary life? Yeah, you’re reading my mind, adela. I was just about to remind you of that.

Adela: 23:02

Yeah, and he’s got an ordinary life. He’s just got married, you know, his adult life is beginning in another direction and for me that’s enough. That’s actually more than enough, really to see a product and an outcome, which I think is, you know, really it’s really important to be able to say, well, I achieved, or we achieved, that outcome, and that outcome has a tangibility in the real world. And it doesn’t have to be flat. It can be very, very mundane, because ordinary life is pretty mundane, but to be able to be comfortable and happy in it is really important. Yeah, yeah. So you know, it was a nice outcome to hear of.

Adela: 23:57

And I’ve, over the years, heard, you know, some people have struggled more than others, of course, you know some people have struggled more than others, of course, but in terms of their struggle, they have struggled with less dramatic issues than they otherwise, I say, would have. Some people might say might have. I say would have, because we all know, you know, what outcomes can be if interventions don’t succeed. So when I was, you know, asked to write this proposal for a model, where did I go? I went to look at models that worked, yes, look at models that worked, yes. So I think sometimes we in Australia can get a bit sort of startled and stargazy by models from overseas because they’re from overseas.

Colby: 24:57

Mm-hmm.

Adela: 24:58

But because they’re from overseas doesn’t mean anything actually.

Colby: 25:03

That happens overseas as well, when I work overseas as well, does it?

Adela: 25:06

That’s interesting.

Colby: 25:07

Yeah, I’ve never been more highly regarded in my work than in other countries.

Adela: 25:13

There you are. Yeah, I don’t know what that’s about exactly, but it must be something to do with some kind of self-talk that makes us regard people whose work perhaps we don’t know as well more highly or differently, but it is actually something that I think can really get in the way of good work and developing models that work for our culture, in our environment and in a society with our ways of seeing the world, and Australian values are quite different to values in other parts of the world. But our kids, you know that’s the circumstances in which they’re reared. So at the time of course we’re talking about 2005 was when I was asked to put together this proposal and we were all leaning towards, very strongly towards the work of Dr Bruce Perry, bessel, van der Kolk, dan Hughes, the people who really strongly espoused understandings of complex trauma, and lucky that we were, because this was the client group that we were actually designing a model for. We were designing something that had to work for children and young people who had experienced complex trauma, because they don’t cross all the thresholds to come into any sort of out-of-home care. Unless that is the case, they have to cross all the legislative thresholds, all of which imply quite significant harm. So again, you know that’s what I had in my head that we had to actually match the model with the actual needs of the children for whom I was trying to design it.

Adela: 27:35

Now I want to read a paragraph. I often read this paragraph when I’m doing training. You’ll be familiar with it. Anyone who’s familiar with Bruce Perry will be familiar with it. It’s very short.

Colby: 27:46

Go ahead. I’m not monetized, so I don’t think you two can demonetize this.

Adela: 27:54

This is out of the boy who was raised as a dog.

Colby: 27:58

Yeah.

Adela: 27:59

Traumatized children tend to have overactive stress responses and, as we’ve seen, these can make them aggressive, impulsive and needy. These children are difficult. They are easy to upset and hard to calm. They may overreact to the slightest novelty or change and they often don’t know how to think before they act. Hence why star charts don’t work.

Adela: 28:28

Before they can make any kind of lasting change at all in their behaviour, they need to feel safe and loved. Unfortunately, however, many of the treatment programs and other interventions aimed at them get it backwards. So that was a very clear message to me don’t get it backwards. They take a punitive approach and they hope to lure children into good behaviour by restoring love and safety only if the children first start acting better. While such an approach may temporarily threaten children into doing what adults want, they can’t provide the long-term internal motivation that will ultimately help them control themselves better and become more loving towards others. So now I’m just going to share a little bit about what it was like developing a model that had that as its foundational thinking, because it was alien to many people to operate in that way. More services than not hoped to, as Bruce Perry says, lure children into good behaviour. Hence the star chart comment from the book.

Colby: 29:51

Yeah, with rewards as the lure.

Adela: 29:55

And there were times when we had started Hurstbridge Farm, when I used to drive home it was an hour’s drive from Hurstbridge to where I lived at the time and I would sit in my car driving and you know, mulling over the day and what we’d done and I’d be thinking do I know what I’m talking about? Am I bonkers? You know? Am I leading things in the right direction? What are we achieving?

Adela: 30:34

And I had to be brutally honest, I lost good collegiate friendships during that time because people would say really hurtful things to me about how misguided I was and how we were not setting enough limits for the children, and many, many things that demonstrated that people did not understand. And sometimes I’d get home and I’d run in the door and read that paragraph to myself because I wanted to remind myself of what I was doing and what we were doing as a group of carers together in that therapeutic milieu and remind myself that it was okay and we were on the right track. But there were comments made to me that were really hurtful and from colleagues who I’d really valued in the past, and so I suppose that’s part of what I was talking about at the start, about the hardness of doing this work.

Colby: 31:43

Yes and doubt is common. Self-doubt is common as mud.

Adela: 31:55

And the actual, sometimes quite hurtful responses that people would say as if I had no idea what I was doing. But thankfully, I’m a Cancerian, and one of the qualities of a Cancerian is tenacity, and I do possess quite a bit of that, and one of the qualities of a Cancerian is tenacity, and I do possess quite a bit of that. So I kept reminding myself, and I also kept reminding myself of the other work that I’d done and the reading that I’d done in putting the model together, because I didn’t only draw from the work of Bruce Perry, vandenhek and Hughes. I also drew from this amazing book, which was based on the work that had been done in the UK for decades.

Colby: 32:42

Yes.

Adela: 32:43

You know, people like Adrian Ward, who was one of the editors of that book and who I later met, people who ran the Mulberry Bush School, people who had been operating in a similar way to what we were doing at Hurstbridge and what we proposed to do, because that was source documentation that I was drawing from for sometimes 70 or 80 years, yes, grounded in the work of people like Winnicott and….

Colby: 33:19

Dr Drysdale.

Adela: 33:20

Dr Drysdale, all of those really good thinkers who put together longstanding and reliable months of books. So they’re the two main source documents. When I was putting it together I drew from Plus a couple of places that were very strongly grounded in trauma and attachment understandings in America. One was a place called Villa Santa Maria, which was in New Mexico, and another place called Chaddock, which was near Chicago, and again there were lots of their approaches that were brought together and sort of dovetailed in with Bruce Perry’s work.

Adela: 34:10

So when we talk about Hurstbridge Farm, I wanted to mention those, because I think sometimes people say oh, you know, adela just wrote that sort of off the top of her head. Well, I didn’t, no, I didn’t because I wouldn’t, because you can’t do that. If you’re going to produce something and devise something that is really going to have some gravitas, it’s got to have been based on something else that has had longevity and been tried and tested, because what kind of an idiot would I be, you know, to just dream something up and put it into action. So very important, I think, for anybody who’s drawing together and writing a model of new, a new model of care, to actually base it on the work that has gone before. Yeah, because otherwise that’s a fairly egotistical approach which you know doesn’t fit and doesn’t fit the needs of kids.

Colby: 35:27

I think we live in times where every agency wants to develop their own model. You’re right, yeah, and we also live in a time where evidence-based practice is reified. Yes, and that does get me thinking sometimes that when people kind of go it alone and look on, a lot of the question, a lot of the evidence is ethnographic in this. It’s so hard to do research in this area. You talked about the kind of people who do their own thing, but most you talk about Hughes, you talk about Perry Van der Kolk. You talk about Hughes, you talk about Perry Van der Kolk. I mean, they worked in this space for a very long time.

Adela: 36:14

A long time.

Colby: 36:21

And they operationalised their thoughts into an approach, and likely also in some ways, based on those who’d gone before them. So you, know Dan. Hughes, I would imagine, was heavily influenced by the work of Bowlby, for example.

Adela: 36:32

Oh, absolutely yes.

Colby: 36:35

My concern is there is such a plethora of agencies wanting to present their own model, and part of that, I think, is because we have competitive tendering environments.

Adela: 36:48

Yes, I agree.

Colby: 36:50

So agencies are trying to present a point of difference to their competitive tenderers. So, rather than, as you would say, drawing on everyone, drawing on the work that is tried and tested which I think they probably do to a certain extent, but they’re also wanting to bring something different. I think is what you’re saying and, if I understand you correctly, that concerns you from the point of view of departing from established knowledge and approaches that work.

Adela: 37:35

Yes, well, I can’t see other than what you’ve just referred to. I can’t see a good reason to not apply principles and tactics that have worked for 80 years in some settings again.

Colby: 37:57

And the Mulberry Bush School. Mulberry Bush would be probably one of the best examples of that.

Adela: 38:03

One of the best. And I must say, when I was in the UK I did go and see a few places and when I saw those places I could see coming to life why they worked. And people may or may not be familiar with a documentary that was made about the Mulberry Bush School in well, it was released in 2007,. I think it was called Hold Me Tight, let Me Go, and I presume it’s available still or perhaps you can see it on YouTube. But basically they had a documentary crew come and spend substantial amounts of time at the school and obviously take film of a lot of interactions and situations that they were dealing with and then presumably sit down and edit that into a watchable format. The documentary itself goes for, I think, almost two hours. It’s quite a lengthy piece of work. But when I had first started Hurstbridge, it was shown at the Melbourne International Film Festival here, was shown at the Melbourne International Film Festival here, and my daughter, who was actually working on the film festival, said oh, you have to come and see this documentary about a place in England because it’s what you’re doing. It’s what you’re doing at the Hurst Bridge. So I went to see it and I thought, well, thank you to my daughter because it felt so you could see its effectiveness. It was just fantastic to watch.

Adela: 39:59

And then I went there when I was in the UK a year later a bit more than a year and actually saw some of the children I’d seen on the documentary and how they had prospered and how far they’d come along as a result of the interventions. And I remember I was kind of constrained because they said you just have to sit quietly, can’t say anything or be involved in anything, just sit in the corner and be an observer. And I watched one of the children who in the documentary had been very troubled and he was leading the discussion about how they were going to do the end of the year nativity play and he was so calm and grounded and centered. It was palpably different to the way that he had been. And I remember I had just had tears running down my face because of the change in that time.

Adela: 41:04

And you know they were doing that again and again and again, reliably doing it. So people could send. You know people don’t send children to the Mulberry Book School for no reason. They send them there because they reliably have a model that works. And now I sit back and I think about those early days at Hurstbridge and how well terrifying which is probably the best how terrifying it was to know that I had actually taken that step and gathered together a group of people with an intent to undo harm and help children to heal. And I can now sit back and think, yeah, well, we did it, and they’re still doing it, because Hurstbridge Farm is still operating 18 years later.

Adela: 42:11

Well, we did it and they’re still doing it because Hurstbridge Farm is still operating 18 years later and it’s been reviewed twice with no changes substantial changes made to the model of care and it’s still working to produce those outcomes. So that’s quite exciting. It’s the possibly the only thing that actually makes me feel okay about the trauma of those drives, those long drives home, having had to process people’s criticisms and running in and reading that paragraph which, to be honest, I could probably almost recite.

Colby: 42:53

Yeah as a mantra.

Adela: 42:57

But again I think it goes to the importance of being able to use relationships to build safety and trust and do it in a very thoughtful and predictable way and have some confidence that it is actually going to produce the results that we wanted. I mean, one of the things that I drew from the model at Chaddock in the place near Chicago was that they had an approach which was very strongly attachment-focused and they were working a lot with Dan Hughes, working a lot with Dan Hughes. The way that they promoted attachment was that the children did not spend time on their own. They were actively engaged with during their waking hours.

Adela: 44:06

The only time they spent time alone was when, you know, they were having a shower or in the toilet, even when they were going off to sleep at night, until we felt that they could get themselves off to sleep. We followed what Chaddock talked about, which was to be with the child in a positive way, which was to be with the child in a positive way and I actually have a story to tell about that with a boy who radically altered in a very short space of time under that kind of administration of relationship relationship. He was in our second intake of kids at the beginning of 2008. And we used to meet the children hierarchically. So we wanted to very strongly deliver the message message as per all of the other models that I’d read that the adults were actually in charge and that we would take care of them.

Adela: 45:18

But I didn’t want them to meet the other children first. I wanted them to meet all the adults and feel confident and comfortable in those adult relationships. So I used to meet them first and then I would have my assistant manager go and meet them and then we’d go down through the hierarchy of the staff. So I went to meet this young man who was 10 years old, with significant attitude, and he was, you know, quite small.

Colby: 45:53

We smile because we know what you know. Other people would be like, well, he’s got an attitude problem. But you know, I mean our kids, I mean who doesn’t?

Adela: 46:04

Who doesn’t, why would they not? And why would they not? Why would they not? So he came out with his arms folded and he said this was, I think, quite a good use of a sort of pace-like response. He said first words to me were is it true, you don’t let kids out on their own up there? And so I thought now change the transaction. We don’t need to respond in like fashion.

Adela: 46:41

I said well done. I said you’ve been doing some research on us. It’s a great thing to do some research on a place you’re coming to. I’m sorry that you don’t like that bit of your research. But, yes, it is true. But do you know why we do that? No, I said well, the reason we do that is because we want you to be safe, and we want you to be safe no matter where you are and what you do. And I said I bet sometimes, when you’ve been out on your own, you’ve had a real whale of a time and, you know, done exciting things. But I bet also there are times when you’ve been in a bit of danger and a bit of trouble, and I bet those times you didn’t know what to do. Well, we don’t want you to have those experiences. So, yes, we do stay with you to make sure you’re okay.

Adela: 47:45

So he wasn’t convinced. He said, well, you won’t stop me. And I said well, we will do whatever we can to keep you safe. And I said here’s something else that I wonder if you know, but that if you do run off you’re, we run away with you. And he looked at me and he said what do you mean? I said, well, because we want you to be safe, our staff stick with you no matter what, and if you feel you’ve got to go, well, they’ll stick with you to make sure you’re safe.

Adela: 48:34

And he wasn’t in like that at all, so he sort of went oomph and walked off. And then he came back and said to me are you going back there now? And I said yes, that’s where I’m going now. He said, well, I hope you have a car accident on the way there and die. And I said, well, I hope I don’t, but I think you’re telling me that you’re a bit angry about what you’ve heard. That’s okay, we’ll work our way through that, that’s fine. And then I explained to him who was coming to meet him next and how it would all go on. Obviously, it wasn’t magic. It didn’t transfix things in that short a space of time, but it just, I think, gave him a taste that we weren’t going to be competitive.

Adela: 49:32

So that was February, beginning of February 2008. He never ran away, I might add. He only once walked up the driveway and the staff member who was working with him that day, doing you know good activities, said oh hang on a minute, mate, I’m just tying my shoelace, I’ll be with you in a tick. And he’d just turn around and walk back again. But fast forward to June. The end of June in that same year, 2008, I was driving into work one morning. It was about I don’t know half past nine, and as I got to the bottom of the driveway he was running around in his pyjamas. I mean, it was cold, you know it was June. Outside the house, adela, adela, waving his arms. So I wound down my window. I said what’s the matter? He said there’s no adult with me.

Colby: 50:43

So what did he do? He sought one out.

Adela: 50:46

So I said oh, how’s that? How come, have you just woken up? Yes, I’ve just woken up and there’s no adult with me. So we went and found out what had happened was he was fast asleep and the worker in the house had gone up to get some milk for his breakfast. So he happened to wake up at exactly that minute. Happened to wake up at exactly that minute. However, the message is clear He’d actually got to quite like having an adult who cared about him with him, and so, you know, we saw enormous changes in him, and in some ways, we hadn’t seen the extent of the change until that morning, when there wasn’t anyone with him, and we realised that he had learnt to accept being cared for.

Colby: 51:47

While I sit here and listen to you, Adela, and thinking about why I wanted you to come back onto the podcast. You’ve talked about the importance of relationships and relationship-based practice. You’ve also mentioned the importance of neurobiology and the neurobiology of trauma, thinking principally of Bruce Perry, and I think what I’m hearing you say is that it’s about the order and sequence. It’s about sequencing our work?

Colby: 52:29

Yes, it is, and that’s what the neurobiology of trauma brings. It’s about. This is actually where you start and this is where you go next, and this is where you go next, and the relationship is the containing environment yes, and you can’t substitute anything for that it you’ve actually got to go through those levels of connection.

Adela: 52:57

Now you can tag team a little bit because you know in a therapeutic milieu I can tell you how many times in a day I used to have staff come and say, oh, I need some space because it is intense. But that’s when you tag team. But if you do the building of relationships correctly you can do that, because kids are not developing only one relationship to rely on, which is what I discovered in the institution that one relationship might be great but it’s only going to work when you’re there. So what we used to really focus on at Hurstridge was developing those relationships across the board.

Adela: 53:49

That was what Chaddock talked about in their writing and also the Villa Santa Maria. Those relationships were transferable to a certain extent. I mean, obviously people are people and they have their certain quirks and you know personality, styles and they’ll actually bring the relationship to life in a slightly different way. But the underpinning of that relationship, which is the certainty of being cared for, the reliability of adults as protectors, the reliability of adults as people to like you, value, you, have fun with you, that can be shared and that can be an overarching experience.

Colby: 54:46

Yeah, a Prince William experience.

Adela: 54:48

With another boy. I won’t go into the entirety of his story but, again, very little capacity to trust adults. The day that I knew we’d actually got there with him was he’d been with us for about three and a half, four months. We used to walk everywhere with the kids. They didn’t walk anywhere on their own on the property it was 33 acres but anytime they went from one place to another they had someone walking with them, doing nice things, talking about you know what they were, but a presence, an adult, co-regulating, calming, valuing presence.

Adela: 55:37

And this particular day we were having a birthday celebration for one of the other kids and we were all on the balcony and had the barbecue fired up and this particular boy had said, had made a present for the other boy whose birthday it was. And he came up to me and he said will you walk with me up to the house because I’ve forgotten, you know the boy’s present and I want to go and get it. And when he asked me if I would walk with him, I knew that he had accepted being in the presence of a calming, co-regulating adult. Otherwise he would have just gone and I would have said hang on a minute, I’ll come with you or somebody would have. But no, he came to me and asked me to do it and I thought, hmm, okay, that’s good.

Colby: 56:39

So we hear a lot about trauma-informed practice, the importance of it, and I’d probably be well, I am one of the people who’s probably contributed to the narrative that trauma-informed practice is relationship, is the distinguishing feature of it, and developing relationship, and it is. But I think what you’re suggesting is that it’s more than that. It’s more than just the, it’s how you utilise that relationship, how you structure your work.

Colby: 57:15

Yes, and while I listen to you, I think what you’re talking about has real implications for staffing in community residential care. It also has real implications in foster care and kinship care and the ratio of adults to children.

Colby: 57:35

I’ve always had a saying, adela, when that, when I’ve been speaking to people who are starting out on their journey of having their own children, I’ll say to them never have more children than there are adults to attend to them. And then I’ll say but if you do happen to have more children than there are adults, have lots more children than you have adults so that the children have always got company, got someone to be with.

Adela: 58:06

But it’s really interesting, isn’t it you? What you say is so true, because it’s not just about what the adult says or does, but it is about the ratio as well. But it is also about the way in which you can generalize elements of those relationships so that you can tag team. And there will be times when children who have experienced such massive harm, particularly in the realms of attachment capacity, when they cannot let you go right, when they really really need you to be in the space with them to co-regulate, and sometimes, if it happens that you’re perhaps at the end of your capacity, that’s really quite hard. So that’s why a group milieu works effectively.

Colby: 59:11

Yes, I was having that very same thought. Across the podcast we’ve been talking about, there’s a couple of things One is just like.

Colby: 59:20

not every family is the same, neither is every endeavour in residential care and the residential care that works therapeutic residential care that works, therapeutic residential care that works. There’s a number of important things, components to that the opportunity for continuous relational connection through having not only other young people around, but having adults. It’s got to be staffed well, though for that. Adults it’s got to be staffed well though for that, and that’s that’s a message that that policy makers and funders really need to take on board strongly.

Colby: 59:58

Yeah, the. But the other thing I was thinking about as you were talking, was about the need for staff to have their own support in this space because, as you say, say some of the children, you’re not going to be afforded gratitude. I always think seeking gratitude is a fool’s quest from young people. Some adults will say we’re not praising you for doing well at school because that’s what we expect you to do. You know like it’s not noteworthy if you have a good day at school, if you flip it around. That’s not dissimilar to saying you know the argument against feeling like we should be validated all the time for the job we’re doing with, with our kids. No, that’s your job. Yes, that’s just actually your job to do a good job with the kids, but it’s as you said earlier, it’s hard work, it’s very hard and I think and and other other guests uh have well have also talked about.

Colby: 1:01:09

It is really important for staff to have the opportunity to feel, to reflect, to think about what they’re doing, to reflect, to reflect on their own reaction to the work and be supported in relation to that.

Adela: 1:01:25

I agree, and that is really, I think that’s incredibly hard to achieve. Some people say, or have said over the years, that Hurst Bridge Farm worked because of the farm environment. But actually I mean, yes, sure, that’s part of it, but that is not why it worked. That’s part of it, but that is not why it worked, because the work was in the relationships and how we used the relationships as vehicles for our knowledge of what needed to happen. So we know that kids, when they first came to Hurst Bridge, they could not regulate their presentation, they could not think effectively, they were not in a calm place inside their minds and they didn’t like themselves very much and we did all sorts of things. And I think one of the key elements is to not lower expectations but alter expectations. So when I used to say this many, many times in a day to the staff there times in a day to the staff there it’s not actually that I’m asking you to validate when a child is unpleasant towards you. What I’m suggesting is that if you can neutralise it neutralise it you’re better off in terms of your own response and what the child gets out of it. And that related directly to all the things that I read particularly Bruce Perry’s work about kids needing to like themselves first.

Adela: 1:03:30

I can remember an interaction that ended up with one of these erstwhile colleagues of mine ringing me because a child had been quite difficult with their visiting child protection worker and the staff, as always, had taken a decision internally not to humiliate them or shame them in the presence of that worker. So, yes, we would deal with it, but we would deal with it when they had gone and then I’d get a call from that person’s manager saying what are you doing up there? You know that he was really rude to whoever the worker’s name was and your staff member did nothing. And I said that’s right, they did nothing and let me explain why they did nothing. Went through what I, you know, just talked about and said can I tell you that right now that kid is out in a car with that worker unpacking why they got so upset when the child protection worker was there and that worker will try and go through it with them and help them unpack that until they have actually got somewhere. Even if they don’t manage to do the whole thing, they will keep going until they’ve got somewhere.

Adela: 1:05:07

And the reason they’re doing it in a car is because when you had little kids, what did you do if they wouldn’t go to sleep? You’d put them in the car seat and drive around the block a few times. We are helping that young person to regulate and to soothe. So please don’t tell me we’re doing nothing. We’re not doing nothing, but you can’t see it. And we had gone out of our way to help, you know, to visit and explain how we did what we did. But of course, until you saw it, it was impossible to know I like.

Colby: 1:05:47

I like the example of the car. I think it’s a very good example of the sequence. Yeah, I always in my own work, I always say you know, what do we do for babies? You know, we spend a lot of time thinking about their experience, responding to their experience, without them having to explain it to us Exactly. You know, thinking what’s going on for baby all the time. And then, yeah, and we didn’t expect them to regulate, we helped them regulate, and all of these kind of ideas. Some people will say, well, you’re just babying the children.

Adela: 1:06:30

But you know, I yes, I think we might have talked last time, but I’ve certainly.

Colby: 1:06:35

I can easily dispel that notion. When you think about um, what we do, a person’s needs are the same whether they’re one or 101 what they their relational care needs and their needs more generally. It just looks different in how you operationalise it. So we’re not babying the kids. What we’re doing is we’re filling in the gaps.

Adela: 1:07:00

Well, we are, and one of the things that I think that we if I said it once, you know, we must have all thought it and said it hundreds of times at Hurstbridge, which was Bruce Perry says you have to go to the lowest part of the brain implicated to create neurobiological change, and he talks really volubly about the amount of repetitions of corrective input that you have to provide. So if you think about that, that’s all we were doing that day. We were going to the lowest part of the brain implicated and we were going over it again and again and again, in a calm, non-punitive way, until even one little notch of awareness was achieved.

Colby: 1:07:56

Yeah, yeah, and we do this for years, you know, with our babies and young children and, like you were reflecting on a little bit earlier, I’ve had my doubters and the doubts rubbed off a bit.

Adela: 1:08:13

It’s always that, yeah.

Colby: 1:08:16

And it’s always been a challenge to advocate for therapeutic care for our children and young people. I think part of that has to do with other species in the animal kingdom. Don’t have experts telling them how to raise their young.

Adela: 1:08:37

We’re the only ones that have Exactly. But our young are dependent for so much longer than anyone else in the animal kingdom.

Colby: 1:08:44

And they’re capable of so much, and they’re also equally capable of a life that’s unproductive from a broader point of view. So there is complexity there that we need to acknowledge and tailor our approach to caregiving. We do that in the home anyway. Our kids aren’t all the same.

Adela: 1:09:09

Well, we do, and one of the things that I think is a really important skill for people who work in this field, with these kids who have been really impacted by complex trauma, is the skill to be able to let things wash over you. So you know when kids I don’t know how you go with expletives on your podcast do you commit them or do you blake them out?

Colby: 1:09:38

Go ahead, say what you need to say.

Adela: 1:09:41

Well, when kids say things you know to me, like oh, get fucked, or this or that or the other, if we buy into that we say goodnight really, because those are defences. We have to recognise them as defences and I have never been a person to buy into any of those kinds of expressions. And in fact I’ve got a million stories I could bore you to tears, you’d probably fall asleep. But one story I think really sticks with me we had, you know, in our first intake of young people that we had at Hurstbridge, we had probably eight of the young people who no one could work with.

Colby: 1:10:36

Yeah, they would have recorded them and sent you the most complex, troubled population of kids.

Adela: 1:10:43

We had, you know, children who’d had sometimes 42 placement breakdowns before coming to us, sometimes 42 placement breakdowns before coming to us. I said to the staff for that first year, when we were in about September, october, I said I would like let each of the kids know that I would like a Christmas list from them. I’d like a list of what I like for Christmas. And they said, yeah, right, that’s going to be easy. And I said, no, it won’t be easy because they won’t believe it. They won’t believe that we care, they won’t believe any of it. But we’ve just got to stay right and true and calm and see how we go. I still have the first list I got from the first child because it reminds me of the importance of relentless kindness, right? So, anyway, we got one or two and, to cut a very long story short, there was one in particular who’d had, you know, some pretty horrific childhood experiences, who just didn’t, wouldn’t do it, wouldn’t you know? No, I’m not going to do it.

Adela: 1:12:08

So I think about the beginning of December, I was walking out of the office building and she was leaning up against the wall and she said something like well, so when are we going to go and get this fucking Christmas present, then Now some people might have said, when you speak to me nicely, well, what would that have done, you know? So I just said now, yes, I went and got my bag and my car keys. And we got in the car and went to get it and on the way there I won’t tell the whole story because it’s very personal information, but on the way there a whole story came out about why this young person didn’t like presents and Christmas and it was an actual experience that she had. So very important not to get caught up in the. You know the niceties of nice behaviour At some point you can, but not at that point.

Colby: 1:13:35

Yeah, the importance is to avoid debate, to get involved in the behaviour and respond more meaningfully to the reasons why you’re seeing it. Adela, I could talk to you again. We could talk for hours, I’m sure maybe, maybe the next conversation we have can could be about how you I’m just thinking about this last little story how you explain to people, um, to that we it’s important to defer social niceties to another time.

Adela: 1:14:15

Yes, I think that’s actually a very good point.

Colby: 1:14:18

The reality is we don’t berate our babies for throwing up on us pooing on us weeing on us in the middle of the night when we’re trying. We don’t berate them for throwing whatever at us for spitting their food out. There’s a time to provide a corrective response, but there’s a whole lot of stuff that has to come before that.

Adela: 1:14:45

Has to come before that and it’s got its solid grounding in neurobiology because it’s go to the lowest part of the brain implicated. And I used to say that again and again and again to staff, because if you don’t go there you can’t go anywhere. You must go to that place because you’re building up from that place and you’re building up from that place with what the young person didn’t get in the first place, which is love and kindness and care. So you kind of have to say, okay, this is like a large baby walking around.

Colby: 1:15:34

People also take exception to that.

Adela: 1:15:37

Well, yes.

Colby: 1:15:38

Yeah.

Adela: 1:15:39

But this is what it is and sometimes you know, at a certain point you always, like you, can sense the point in the relationship where you can start to introduce that young person to some of the metaphor. So that same young person rang me up once, ages after leaving in a not very good state and, as we all know, anger is a couple of stages up from despair. So I did something which I thought might make them angry, but even if it did, it was probably better than despair. So I sent this young person a photograph of my hand, like that, my palm up, and the response was WTF. And then I texted back and I said can you not see it? And I knew it was provocative, but I knew the young person well enough to be able to do that.

Adela: 1:17:02

And the response was see what? And then I rang and said your hope, it’s in the palm of my hand. I’m looking after it. Until you can get it back, I’ll give it back to you. I’ll give it back to you now if you want it, if you’re ready for it, but if you’re not ready for it, I’ll look after it now, forever after. That has been a means of communication between us, so it’s kind of somewhere around Anne Hughes and Pace and metaphor as well. But in difficult situations in past times probably not so much in recent times but in times where you know things were a little bit tough I could just go and she knew exactly what that meant.

Colby: 1:17:57

Yeah, Well, Adela, again it’s been wonderful speaking to you, and if you’re going, we’ll probably have another conversation.

Adela: 1:18:07

Oh, I’m going yeah.

Colby: 1:18:09

About what I was just mentioning earlier, but thanks again.

Adela: 1:18:12

No problem, good to do it. See you, colby.

Colby: 1:18:16

Bye for now. Thank you.

The Hidden Strengths of Residential Care: Challenging the Status Quo with Dr Jenna Bollinger

Relationships: The Cornerstone of Stability in Out-of-Home Care

Dr. Jenna Bollinger’s groundbreaking research on stability in residential care challenges conventional thinking about what makes children and young people feel secure. Traditional measurements of stability in out-of-home care focus primarily on counting placements over time, suggesting that fewer moves equals greater stability. However, Jenna’s research reveals a more nuanced reality that practitioners, policymakers, and carers need to understand to create truly stable environments for vulnerable children.

The current system often defines stability as remaining in a single placement for a defined period. Yet Jenna’s research uncovers that children can remain in a placement for extended periods and still not feel stable. As she eloquently puts it, “If I was just told I have to leave my house today, I’m just told I have to get out for no reason and I don’t know where I’m going, I could be in my next house for 12 months, but I don’t know how secure I would feel.” This powerful insight reveals that stability is about much more than physical placement—it’s fundamentally about relationships.

Through extensive interviews with young people who had experienced residential care, Jenna discovered that those who formed strong connections with staff members felt a profound sense of stability, regardless of other factors. One particularly moving moment came when a young man corrected her interpretation of his experience. When she suggested that staff caring about him made a difference, he firmly stated, “No, I felt loved.” This correction highlights the depth of connection these young people need and can experience in residential care settings when relationships are prioritized.

This research challenges the commonly held belief that residential care is always inferior to other placement options. While Australia has one of the lowest rates of residential care use in the world (around 5-6% compared to Israel’s 95%), the outcomes may not necessarily be worse when considering the different starting points of children placed in various settings. Jenna points out that research rarely differentiates between care leavers from different placement types, making it difficult to accurately compare outcomes.

Another significant insight from Jenna’s work is the concept of “traumatized organizations.” When agencies responsible for caring for traumatized children become traumatized themselves, they struggle to provide effective support. Reflective practice, especially when implemented at leadership levels, can help organizations remain healthy and stable. As Jenna notes, “For an organization to work effectively, we need to start at the top and make sure that everything going on at the top is stable and healthy.”

Jenna’s “Secure House” model provides a practical framework for creating stability in residential care. The foundation is safety, the walls represent connectedness to consistent staff, the ceiling represents genuine care, and the roof encompasses training, supervision, and trauma-informed approaches. Additional elements include good matching, planned transitions, appropriate use of casual staff, and ongoing relationships with former staff members. This holistic approach recognizes that while change is inevitable, it can be managed in ways that preserve relationships and stability.

The research also highlights the importance of capturing diverse voices in understanding the out-of-home care experience. While we often hear from successful care leavers who have the language and connections to share their stories, we rarely hear from those who end up in the justice system or who didn’t even recognize they were in “residential care.” Understanding these varied experiences is crucial for developing truly effective systems of care.

You can listen to the podcast here:

You can watch here:

About Jenna:

Jenna has a Masters Degree in Forensic Psychology from the University of New South Wales, and a PhD from Monash University, where she investigated the experience of, and capacity for stability in, residential out of home care.

Jenna has worked in out of home care in different capacities since 2012 and is currently the Director of Psychology and Clinical Services for Knightlamp, which consults on assessment and implementation of therapeutic programs in out of home care across Australia.

Jenna also conducts a variety of assessments, including therapeutic assessments for out of home care, forensic assessments and parenting capacity assessments in the context of the child protection system.

Related Podcast Episodes:

Laura Steckley

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Watch here:

Bruce Henderson

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Watch here:

Transcript:

Colby: 0:00

Welcome to the Secure Start podcast.

Jenna: 0:04

If I was just told I have to leave my house today, I’m just told I have to get out for no reason and I don’t know where I’m going. I could be in my next house for 12 months, but I don’t know how secure I would feel. And so my research was trying to unpack what constitutes stability. Relationships are what makes stability. Those people spoke really highly of their time in residential care. They felt that they belonged to someone, that there was someone who cared for them, someone who loved them, someone who would protect them, someone who liked them. And I just don’t think the research bears out that residential care is as bad as what everyone makes it out to be. While the outcomes may be somewhat worse, maybe, not are, but may be somewhat worse for residential care, comparatively they may not actually be worse at all because they’re not on an even playing field at the starting point. Organisations become traumatised in and of themselves and so for an organisation to work effectively we need to start at the top and make sure that everything going on at the top is stable and healthy and therapeutic care is astonishingly difficult we need to have good staff who are trained who have really good supervision who have time together to build a connection as a team because fundamentally this all lives and dies with the staff.

Colby: 1:33

Welcome to the secure start podcast. I’m Colby Pearce, and joining me for this episode is a local, to me, expert in the design and delivery of therapeutic programs in out-of-home care here in Australia. Before I introduce my guest, I’d like to acknowledge the traditional custodians of the lands that we meet on. For me, it’s the Kaurna people of the Adelaide Plains. For my guest, it’s the Darug people. And I’d like to acknowledge the continuing connection the living Kaurna and Dharug people feel to land, waters, culture and community. I’d also like to pay my respects to their elders, past, present and emerging. My guest this episode is Dr. Jenna Bollinger. Jenna has a master’s degree in forensic psychology from the University of New South Wales. and a Doctorate of Philosophy from Monash University where she investigated the experience of and capacity for stability in residential out-of-home care. Jenna has worked in out-of-home care in different capacities since 2012 and is currently the Director of Psychology and Clinical Services for Nightland. which consults on assessment and implementation of therapeutic programs in out-of-home care across Australia. Jenna also conducts a variety of assessments, including therapeutic assessments for out-of-home care, forensic assessments, and parenting capacity assessments in the context of the child protection system. Welcome, Jenna.

Jenna: 3:24

Thanks for having me.

Colby: 3:26

Well, yeah, and thank you for coming on. And I’m really excited about doing this podcast because I think we both have done, well, you do, and I have done similar things in our work, particularly insofar as developing and implementing therapeutic approaches to care. Jenna, I’ve I just wanted to start off by asking you how you got into working in this space.

Jenna: 4:00

Yeah, look, it was by accident, actually. I was doing my master’s and I was working in hospitality and hated it. And so I applied for a bunch of jobs and I got a call back from a residential care agency and I did not know what residential care was. But I went. and went to an info session and did a bit of an interview, I think. And I got hired as a casual residential care worker. And that was where it started, really. So I worked on the floor. for about 18 months. And then I finished my master’s degree. And at that point, they happened to, you know, the stars aligned and one of the psychologists went off on maternity leave. So there was a one-year maternity leave cover as a specialist psychologist. And for whatever reason, I got it, which was amazing. And I think it was actually really fortuitous that I, it was only for one year because it didn’t actually end up that way she resigned and I got a permanent position but I felt really compelled to do as much as I could because I only had a year you know I didn’t have time to settle in and find my way and work out what to do you know it was sort of boots on the ground, full steam ahead. I only had a year to learn as much as I could. And because I’d worked on the floor, I had some sense of what happened and what didn’t work and what did work. And then I pretty much just stayed in varying capacities ever since.

Colby: 5:55

And you said… Interestingly, you talked about, you tried to learn as much as you could in that first year. I wonder who were the, what were the bodies of work or who were the people that you drew the most knowledge and or inspiration from? Look,

Jenna: 6:16

Bruce Perry was right up there for me. He was quite a remarkable inspiration for me. And I would, is… I would still say that his book, The Boy Who Was Raised as a Dog, is the most compelling and easily read and digested book about trauma that has ever been written. And I recommend it to anyone, really. I’ve got three copies of it myself. And I just think it’s a brilliant book. And I have read everything that he’s written. I’ve seen him in person regularly. And I think that the way he explains things is so readily understood and readily read. You know, you could read it like a novel. And so his work on brain development and trauma therapy were really influential for me. And since then, I have sort of expanded my reach, looking at Bessel van der Kolk. I’m a huge fan of Martin Teicher at Harvard. I don’t know if you’ve heard of him, but he is extraordinary.

Colby: 7:28

Tell me what’s extraordinary about him.

Jenna: 7:31

Well, if you ever have the opportunity to hear him speak, You’ll need to take some Ritalin first because he just speaks so fast that you’re basically, you know, you need something to help you keep up. He’s brilliant. And the work he has done on identifying the impact, you know, Bruce Perry talks a lot about type and timing of trauma, which we know, but Martin Teicher has worked on that. on being more precise. You know, in girls aged six to eight in the corpus callosum, this is some of the effects if you have this type of abuse. Like it’s extraordinary work and it’s really complicated and difficult to digest. So it’s not a beginner material, but his work is just extraordinary. So there’s been a lot of researchers that have influenced women me and the way I do things. Oh, I also really like Dave Ziegler. I think he’s fantastic too. I’ve seen him present. I’ve got a couple of his books. So, you know, it’s sort of all over the place.

Colby: 8:40

What does Dave Ziegler, what does he bring to the work?

Jenna: 8:45

Well, so he runs a facility in America called Jasper Mountain. And he has written a number of books and a number of papers as well that are also really accessible. You can read them. You can understand the impact of trauma on children. But because he runs sort of a residential facility for even young children, because it’s different over in America, I suppose. And so he’s got lots of approaches that are a bit novel. I think there’s this amazing facility and I haven’t been, I haven’t been, I wanted to go, but I think it’s in Oregon. So it’s a bit, it’s not really on the track holiday, but you know, and there’s, there’s horses and chickens and there’s, you know, a school on site, you know, it’s just, it looks like a really amazing sort of place to do really good work. And his writings are really accessible.

Colby: 9:44

Yeah. I’m getting the sense that the neurobiology, what comes really under the heading of the neurobiology of trauma is really influential in your work and your approach to the work. Are there any other kind of theory traditions or theoretical traditions that you find also of benefit toJ

enna: 10:07

you? Look, I’ve written a lot about attachment theory. I’ve read a lot about attachment theory, which is every psych student’s trauma memory. You talk to anyone who studied psychology and say attachment, they go, oh, God, no, Baldy. But I think when you look at it through the lens of trauma and development, attachment can really help as an important theory and an important way of looking at it. And I’ve had the opportunity to talk to a lot of people about about attachment and attachment theory and You know, they happily say, oh, I get it now. I get it now. I see it’s not just a strange situation. It actually applies to real life.

Colby: 11:01

I’ve written a little bit about attachment too. And it wasn’t ever a trauma memory because there may be different epochs, time epochs, but they never taught attachment theory when I was at university um i had to i got it yes people asked me when i appear on podcasts and i think how i really first started to become interested in it was part of a an assignment in my masters where we were all split up to do developmental domains researched them brought a paper on them and i got social emotional so um that’s where There were some precursors to it, but attachment theory became important then. And I agree with you. I think attachment theory also provides a very strong explanatory basis for things that… for when parental care goes seriously awry.

Jenna: 12:01

Absolutely. Couldn’t agree

Colby: 12:05

more. Yeah. And you… I mentioned when I talked about your bio a little bit earlier, you researched residential care as part of your Doctor of Philosophy project. Can you tell me, tell the people who watch and listen to this podcast all about your research and what you found?

Jenna: 12:30

Yes.

Colby: 12:31

Yeah.

Jenna: 12:31

So my PhD was looking at stability in residential care. I was just looking at it in New South Wales, but I don’t imagine that findings would be massively different around Australia, but I haven’t done that. So I was interested in looking at stability because… Well, because decisions get made about where to place children in residential care. And, you know, I believe firmly that everyone does the best that they can do with the information that they have. But from my experience, there was very little frameworks guiding how decisions are made. It’s rather just a matching template that someone’s put together and you kind of hope for the best.

Colby: 13:18

Yeah.

Jenna: 13:19

And so I thought, well, what do we do with that? What do we do with that information? And so I wanted to explore stability, this sort of broad concept. And when I started looking at the literature, I found that not only is there not much research that looks at stability, there’s virtually none… There’s very little that looks at instability. There is virtually none that looks at stability itself. But I think I found two. I think I found two papers that actually looked at stability, not instability. And they found that there was virtually no effect of stability. Instability is bad. Stability, null. And I thought, well, that doesn’t make sense. It doesn’t make sense. So what do we do with that? So then I dug a little deeper and the conclusion I came to when I was looking at this sort of broad brush of stability and instability research is that they were measuring stability in basically a placements over time form. So X number of placements in X amount of time is stable. Y amount of placements in X amount of time is unstable. Pick a timeframe, 12 months, 18 months. If you have zero or one moves in that time, you’ve got stability. If you have more than that, you have instability. Let’s look at the outcomes. And I thought, well, if I was just told I have to leave my house today, I’m just told I have to get out for no reason and I don’t know where I’m going next. I could be in my next house for 12 months, but I don’t know how secure I would feel because, well, now I know I can just get kicked out. So is not moving placements for a period of time sufficient to be considered stability? Shock? The answer is no. And so my research was trying to unpack what constitutes stability. And look, to be honest with you, it’s really basic. It’s really simple. And I genuinely worried that the PhD wouldn’t pass because it’s so straightforward. But actually, it was really, really well regarded, really well regarded. And I think that’s because while nothing I found is jaw-droppingly remarkable, it puts an academic basis to what We all essentially know to be true, even if we haven’t thought about it that way before. And so essentially the findings were that relationships are what makes stability. For the young people that have strong, profound relationships with the staff members that they live with, they feel stable. They have good outcomes. And for those that don’t, they don’t feel stable and the outcomes are potentially if you’re depending on where they may find that stability from. So obviously remaining in a placement for a prolonged period of time is a fundamental part of stability. You can’t build relationships. You can’t have anything else, but it’s just not enough. It’s not the core features, not the defining feature of stability. Does that make sense?

Colby: 17:08

Yeah, yeah. There’s two things that I wonder about listening to you speak about. The first of it is, why were you interested in stability as a topic of research interest? The second bit I was going to say was probably more an observation, but of the last little bit, which was talking about relationships and connection. I wondered whether you considered belonging, a sense of belonging in that.

Jenna: 17:39

Yes, that was actually one of the findings, yes, quite literally. So, I mean, look, my thesis is massively long. You’re welcome to read it. But absolutely belonging is, was a key thing that was part of it. You know, it’s going to take me forever if I rattle through the thesis to try and find it. But that sense of having a home, that sense of belonging to someone. So one of my favourite quotes in the whole thesis is, All of my research was I talked to a young man who had had some really solid relationships with some staff he’d worked with for a long time. And he was telling me about the relationship he had with them. And he said that he felt loved. And I said, oh, wow. So it made a difference to you that you felt like they really cared about you. And he said, no, I felt loved. And he corrected me. I had undersold it. I underplayed what he was saying to me for whatever reason. And he said, no, I felt loved. And those staff, I mean, at the time it was a good couple of years ago that I interviewed him, but at that time he said that those staff knew his children, that he still called them if he needed a hand. And I would imagine that that was still going on now. And, you know, another thing, Actually, a few of them told me that the staff knew their children after they had left and they were still in touch with them. A number of staff had referred them to me for my research, so they had strong enough relationships that they could do that. And those people spoke really highly of their time in residential care. They felt that they belonged to someone, that there was someone who cared for them, someone who loved them, someone who would protect them, someone who liked them.

Colby: 19:40

Yeah, it’s interesting, isn’t it? When you contrast that with other roles in the sector, so for example, the therapeutic role, the role of the therapist, and especially long-term therapy with young people in out-of-home care, that’s something that has been, I guess, the mainstay of my practice over the last 30 years. And As a psychologist, we have different boundaries around our work, but it is the case, though. I have had the same phone number since about 2001. So the young people still contact me that I knew. Not all of them, obviously, but quite a number of them do. And I think that that’s, yes, it stems from feeling like they mattered. Yeah. To me. And we hung around. Yeah. Yes. You know, hanging around for them. And I wonder, the other part of my question was just about what piqued your interest in stability versus what did you think was the case in relation to instability before you did your interviews? I

Jenna: 20:55

don’t know. Look, as I said, I don’t think anything came out of it that I was like, what? Oh, my goodness. That’s amazing. There were a number of moments of, wow, that’s so cool, but very little was shocking. You know, no one said, oh, actually it’s having eggs for breakfast on a Saturday, where you go, wow, okay, fair enough. You know, it all made sense. It was about feeling cared about. It was about feeling safe. It was about… the staff showed up. What was maybe a little bit surprising and unexpected was that no one really talked about co-resident stability. That was less of an issue. I don’t know that anyone really raised it. If I asked about it, they’d all kind of, not all actually, a number of them would say yes. Yeah, that matters. But that didn’t really come up. And even then it sort of felt like it was a bit more of if it’s good, that’s great. If it’s bad, it’s bad. But if it’s okay, that’s fine. That doesn’t really matter. And I thought that would have been more of a feature.

Colby: 22:24

Absolutely. I do too. I think in foster care, where you’ve got multiple young people fostered in the same home environment and one of the children moves out, then I’ve always thought and observed that that can be quite destabilising for the children who remain in that placement. Residential care. one of the things, ways in which I’ve always thought about it is that it does provide an opportunity for stability of care, for stability of relational connection that is superior to foster care. And that’s one of those things that people would be like, Don’t say that. You can’t say that. No, no, no. Residential care, bad. Option of last resort. Option of last resort. Why would you want to send any child to residential care? You only send those who cannot be placed elsewhere to residential care. But there are… And it is one of the things that I like to pursue on this podcast. There are clear… aspects of residential care where there are opportunities and superiority, where it’s superior in some respects, and there are opportunities afforded to us with residential care that are much less vexed than with foster care. For example, family contact and family reconnection, I think much easier with residential care.

Jenna: 24:03

There’s lots that’s easier in residential care, I think. And I just don’t think the research bears out that residential care is as bad as what everyone makes it out to be. In Australia, we actually have one of the lowest levels of residential care use in the world. I think we’re at about 5%, 5% to 6%, whereas over in Israel, it’s at 95% residential care. Oh, look, I’ve done a little thumbs up.

Colby: 24:32

What

Jenna: 24:33

was that? It’s the way of doing things. out of high care, right? And all in between, UK and USA, about 13%, give or take. And so, but the research also shows that in countries with lower levels of use, those in foster care and those in residential care, they’re actually not the same at baseline. So while the outcomes may be somewhat worse, maybe, not are, but maybe somewhat worse for residential care. Comparatively, they may not actually be worse at all because they’re not on an even playing field at the starting point. But the research doesn’t necessarily suggest that residential care outcomes are worse because the leaving care research very, very rarely differentiates the groups of care leavers. So you can very rarely find outcome measures that striated for residential care, for foster care, for kinship care. So it’s very, very hard to actually identify whether the outcomes are any worse at any rate.

Colby: 25:42

Yeah, there is a serious dearth of good quality research into care leavers and I think your point about where they start is really interesting. And effectively, you would be needing to look at effect sizes, treating foster care and residential care as interventions and then looking at effect sizes to see. So you work with organisations who are delivering care. I was just wondering, Really keen to hear a little bit about your experiences of doing that. And in particular, what sort of work are you doing with those organisations?

Jenna: 26:28

So we do work with various organisations doing various things. Doesn’t that sound… suspicious. It just really depends on what they need. So, you know, sometimes we will advise on therapeutic care plans for foster kids, for whole agencies. Sometimes we deliver reflective practice to the management teams. Sometimes we work directly in the houses, you know, giving advice as to what the staff might need. And other times we do assessments of what’s happening and if it’s appropriate or whatever. So whatever is needed is kind of what we do. My boss delivers training. And so, you know, we do whatever is needed and with the various organizations who need things from us.

Colby: 27:29

Okay. You mentioned in there something piques my interest was the reflective groups with leadership.

Jenna: 27:36

Yes.

Colby: 27:36

Yeah. Tell us a little bit more about implementing reflective practice with leadership.

Jenna: 27:44

Reflective practice is a bit like attachment theory, really, and it tends to get a reaction from people until they do it. And once you do it, you tend to be relatively sold on it. It’s quite an extraordinary opportunity to reflect, but also to sort of recenter a lot of the work, you know, because we know that trauma is traumatic and working with trauma is traumatic, that organizations become traumatized in and of themselves. And so for an organization to work effectively, we need to start at the top and make sure that everything going on at the top is stable and healthy and untraumatized. And so starting at the top by doing the reflective practice, we can get everyone back on the same page. They can communicate with each other. They can reflect on what’s going well. They can reflect on what’s going not so well. They can help each other. There’s not so much of an agenda as there often is when you have those big team meetings where every minute is structured of people telling you all the things that they’re doing well. And so people have the opportunity to really talk about things. And by the end of it, you know, it feels a bit magical almost that people feel happier at the end of it. They feel more connected to each other and more positive about the work that they do.Colby: 29:18

It’s therapeutic.

Jenna: 29:20

Yeah. So we found all the hard parts.

Colby: 29:23

Well, I think, yeah, I think there’s a couple of things I would say is that, yeah, When people are able to be collectively in a leadership team a little bit vulnerable with each other to talk about the challenges, their own challenges in delivering the work. the response is often an empathic one and connection deepens. And I’ve spoken to, in various other podcasts previously, this issue of reflective supervision has been quite a significant one in terms of it being a very common theme of saying, one, it’s really good. Two, it really helps with the work. And also three, that there’s something in it for retention

Jenna: 30:22

as

Colby: 30:22

well, which relates a little bit back to what you were saying about stability and your thesis. And, you know, those relationships that those young people had in residential care, one of the factors that would impact that is the stability of the workforce. So that’s a very interesting thing. part of the work. Yeah. And traumatised organisations. I mean, every time I hear it put like that, which is not very often, I think of big organisations like our statutory child protection agencies, who are subject to a high level of scrutiny from time to time. And in some senses, they’re very large and probably unwieldy. And I often think about and turn my mind to how difficult it is working in those organisations from the top to the bottom. and how good it would be to… I think how much benefit there would be to the children to roll out reflective supervision from the top. I hate saying to the bottom, but let’s just say from the top and keep going. Yeah. Everyone has an opportunity to do it. And I have a little saying, which is… There is the old, there’s the meme saying that you see, which I’m ambivalent about, which is that the hurt people hurt people, which is kind of true, but a lot of hurt people don’t hurt people. But what I think is probably more true is that hurt people hear people. Yeah. heard people, hear people. And so when you’re in a reflective group where you feel heard and acknowledged in your experience, you are then better able to consider the experience of others.

Jenna: 32:41

Yes. I couldn’t agree more. And that was one of the things that did come out of my research was this sort of need for staff to be supported. to do their work. And exactly as you were talking about feeling heard, I think that one of the greatest challenges of the organisations is to communicate. And I think, you know, when I was talking to, you know, I talked to floor staff and they say, you know, we talk to management, we tell them we’re at capacity, we can’t take any more, we can’t handle this, this match is going to be bad. This is a bad idea. And the management say, cool, thanks for letting me know. And then they go ahead and do whatever they need to do anyway. But when you talk to the management team, it’s not that that’s not an accurate representation, but there’s so much more behind it where, you know, the funding bodies set up targets and if you don’t meet those targets you don’t get funded so if you’ve got one bed available and they’ve got a child that needs a placement fundamentally it doesn’t matter if it’s a good match necessarily you could you could push back i suppose but there’s a limit to how much pushback you can have and still get funded and so i mean i think uh some more of that backwards and forwards communication would really ease some of those relationships where the staff are feeling heard You’ve told us that you can’t handle this. And I hear you. Unfortunately, the funding rules mean that there’s nothing I can do about this. But as soon as we can do something about it, we will. What support can we give you to help you manage this, given the limits of what we can do? And I think those conversations don’t happen. And so the staff feel unheard and they feel put upon and their workloads increase because as soon as you put a new person in, it is harder. As soon as you change things, it is harder. And if the match is bad, it is harder again, right? And so they’re overwhelmed, they’re pressured. So they take leave. So then you put in casual stuff or agency stuff and then it explodes again. And we don’t have anyone feeling heard. We don’t have anyone feeling supported. When in the first instance, everyone was right. Everyone did the right thing. Everyone did the best that they could. And so some reflective practice with with everyone, with, you know, line managers and with floor staff and with whole management teams and with whole floor teams and everything in between, I think we can get somewhere a little bit more productive because, I mean, everyone has, I’m sure everyone can understand all of those limitations. You know, they’re all intelligent, competent people that I speak to and I’ve worked with and they would understand everything. those limits and we could work together better.

Colby: 35:56

If we understood each other’s experience

Jenna: 35:59

more. Yeah.

Colby: 36:00

Yeah. And I think, you know, when you were talking, I was thinking about, yeah, the floor staff and management as well. Management feel put upon by the funding bodies. Exactly. Yeah, the bodies that engage them to do it. And just all round, it is a difficult process. job and it’s a bit i think of it a little bit like this is that um across a long career talking to lots of children predominantly children recovering from a tough start to life i haven’t found that there’s many who like school

Jenna: 36:39

yeah

Colby: 36:40

but um but they have to go to school it’s the law and i think so there are always problems that cannot be solved cannot be solved But at least they can be heard about. And that’s almost as good, if not just as good, in many instances.

Jenna: 37:05

Yes.

Colby: 37:05

We can’t solve or change the situation, but feeling heard and understood and acknowledged about it is very powerful.Jenna: 37:15

Absolutely.

Colby: 37:16

Yeah. Apart from those challenges of staff and management, What else do you see as the challenges that exist in terms of delivering good residential care to children and young people? I

Jenna: 37:34

think probably one of the biggest challenges is that all organisations these days purport to being therapeutic. Trauma-informed. Trauma-informed care. We all do therapeutic care. No one says that they don’t. But therapeutic care is astonishingly difficult and it is not something that is necessarily happening all the time. And I think that helping people, helping organisations to understand what it means to be trauma-informed and what it means to have those really… considered, planned conversations with young people for everything to be considered. Every interaction is understood. Every interaction is thought through. That is astonishingly difficult for the relationship to be front and center is astonishingly difficult when we’re talking about attachment disordered young people who are not going to see your care and say, oh, gosh, thank you so much. That’s what I was after. Thank you. No.

Colby: 38:59

No.

Jenna: 38:59

They don’t. If they did, it wouldn’t be hard. But, you know, attachment trauma, I mean, sometimes manifests that way, I suppose. We probably don’t get called in to talk about those kids. But so much of the time it doesn’t. It manifests with testing and pushing and rejecting and damaging, not necessarily physically but emotionally and emotionally. To consistently show up and understand and feel hurt and cope with that is astonishingly difficult. Yeah. And I think that is the challenge for us for now, forever. I can’t really see that changing, which is why we need organisations to be less traumatised so that we can support staff better.

Colby: 39:54

And reflective… Circa vision is important in that key, really. I’m wondering if there’s anything else that you have come across that helps to detraumatize organizations. It’s a bit like a cure for tantrums in kids. If you can come up with that,

Jenna: 40:19

you

Colby: 40:20

are set. You’re like the family that invented the little umbrellas that go into the alcoholic drinks.

Jenna: 40:30

Yes. No, I mean, I don’t know. I don’t know the answer to that. I really don’t know the answer to that. I think, you know, when I did my research, I put together a model. of what I call a secure house, a stable house. And if I can find it really quickly, I’ll talk you through it. But it was, you know, this sort of this house that I designed, you know. In the end, I got it drawn up by a graphic designer because my version was done on, you know, paint, you know, with a square and a triangle on top and some, you know, handwritten and then on my iPad, you know, just writing in various things. And so, you know, sort of based on the analysis that I put together, I sort of put together this model of a home that is sort of has the key features in the, you know, the floor and the roof and the walls. And these are the key things that you need. But then, you know, you’ve got to have your roof and your windows and your front door. You know, you can’t have a house without four walls and a floor. But you don’t really have a house if there’s not a door and some windows either. So there might be slightly less room. necessary but but really necessary you know and so my house sort of takes that sort of form and so in the four main you know the floor is safety on the main walls we’ve got connectedness to staff and consistent staff on the ceiling we’ve got genuine care that’s that love that we talked about but then on the roof we’ve got training and supervision we’ve got trauma-informed care In the windows, we’ve got good matching and peer relationships. Coming out of the chimney, we’ve got pushback so that we’ve got the higher-ups pushing back against the agencies when they can and saying, this is not good, we can’t be doing this. And then you’ve got, you know, in the front door, we’ve got planned and communicated changes because change is inevitable. Staff will leave. Staff will retire. Staff will get moved to different houses. Young people will have to move for various reasons. And so that is part of life. Change is part of life. That’s why I put it on the door because it comes and goes. I thought that was quite clever.

Colby: 43:03

That is clever.

Jenna: 43:04

And then I’ve got a plant on the outside where we’ve got casual staff and ongoing staff contact, which were some of the other features. You know, casual staff are also an inevitability, but there are ways of doing it better, you know, ways of having pools of casual staff that work with various houses, that know the kids and know the staff. And so while they may not be permanent staff, they’re not randoms either. They’re known. They’re familiar. And that idea of ongoing staff contact. In this house, it doesn’t solve all the world’s problems, but I think if we put it all together, we’d probably be a little bit closer to solving those issues that are plaguing residential care. Because the staff are cared for. They’re supervised properly. They’ve got good training. We’ve got good casual. So if the staff need to take time off, it doesn’t destabilize the house for the other staff that’s left on shift or when everyone comes back from leave. You know, if we do it right, it’s just less hard for everyone all the time.

Colby: 44:15

So you’re in a meeting with the heads of the commissioning body, the funders, the policy makers. Invariably in this space, it’s the local statutory child protection agency. What are you going to tell them? What are you going to say? This is what you need to do to improve the quality of education therapeutic residential care or residential care for children and young people across our jurisdiction? What are you going to say to them?

Jenna: 44:53

Well, you need to fund it, which I think they do. I think the funding’s probably there. We need to have good staff who are trained, who have really good supervision, who have time together to build a connection as a team because fundamentally, This all lives and dies with the staff. You know, the young people, they are who they are and it is not their responsibility to make this work. You know, you can’t ask them to be anything other than who they are and to be loved as they are. So it lives and dies on the staff. So how do we get them to be as good as they can be doing this impossibly hard job? and that is that we need to support them. And, you know, the funding rules are what they are, so we can’t change that, really. We just have to support them and we need to listen, as you say, be heard.

Colby: 45:49

It’s interesting. That’s probably a piece of advice that can go all the way through their own organisation as well, looking after the staff. Yeah. Looked after staff, yeah. are more effective in their role.

Jenna: 46:09

Yeah.

Colby: 46:10

Yeah. Now, I had a question from my previous podcast guest, who was Ben Pryke and Susan Barton from the Lighthouse Foundation. I give my guest, and I’ll give the same to you, I give my guest an opportunity to ask a question for the next guest. Now, I actually, as we’ve been talking, I’ve been thinking this is probably been at least partially answered by you. I’ll read the question just so our listeners or watchers know what the question is. So the question was, how can we meaningfully integrate the voices and insights of people with lived experience into the development, delivery and evaluation of therapeutic residential care models or services, I guess?

Jenna: 47:02

Yeah. I reckon I’m going to answer this differently to how you think I’m going to.

Colby: 47:06

Well, okay. Let me tell you what I thought. Okay. Why I think there’s been a little bit of overlap is that in a way your thesis went some way along towards that. Is that how you thought I was going to answer it?

Jenna: 47:22

Yeah, probably.

Colby: 47:22

Okay. Well, you go ahead.

Jenna: 47:25

Okay.

Colby: 47:26

You go ahead.

Jenna: 47:26

All right. Okay. I don’t know. is my answer. And the reason I don’t know is because, all right, so this is a bit of a long story. So give me a minute. Let me give a bit of backstory. Through the course of other work that I do, I do a lot of forensic assessments and I interview people for upcoming court appearances. Through the course of that, I interviewed a number of people who were in residential care who didn’t know that they were in residential care. Now, you ask, I say, they hadn’t heard the term residential care. So some careful questioning, they could tell me that they’d been in a group home or a boy’s home, or they, you know, could tell me that there were staff and other kids, it wasn’t a family, but they’d never heard the term residential care. And so when we think about lived experience voices, they are crucial, but they’re The lived experience voices we usually hear are of remarkable young men and women who have done really well, who have the words, who have the language to talk about their experience, who have the connections to people who can say, hey, Jill, tell us about your experiences. Someone who wants to go to create and be a youth ambassador. Someone who wants to go into social work and psychology and do research. There’s a lot of PhD students with lived experience and they are remarkable. And those are the voices that we hear. You know whose voices we don’t hear? The young people in prison. The ones who are on the street, the ones who don’t have any connections to anyone, and the ones that didn’t even know they were in residential care, even if they saw my flyer on the side of the road saying, hey, were you in residential care? I want to talk to you. Even if they felt compelled to ring me, they didn’t know that that applied to them. So my thinking is we actually need to work out how to engage people not everyone necessarily, but a broader community of lived experience, young people, not just the ones who are doing well enough to stay connected and who can use their words. What about the ones with intellectual disabilities, the ones who have gone on into NDIS-funded accommodations? How do we hear everyone’s voices? Because I’m not sure that the voices that we hear are representative, even though they’re remarkable. And I want to hear what they have to say. I’m just not sure we’re covering everything that we need to with regards to lived experience. I’m hoping, I’m trying, I’m trying with a group of researchers at Monash to forward some research in this area. We are looking to pay attention to people whose voices have not been heard. We are looking to research. There’s been a lot of research about the pathways from out-of-home care into youth justice. There’s been remarkably little research into the pathway from out-of-home care to adult justice and the adult prison system. And there’s been a number of people that I have interviewed who have bypassed the juvenile justice system entirely. And they go straight from out-of-home care into the world and then randomly into the adult justice system. And we want to know what those pathways are. And those are voices we don’t get to hear too often. You know, what happened? What is that pathway? Is it more like the out-of-home care to juvenile justice pathway? Or is it more like… a different pathway. You know, if I ended up in prison, what is that pathway? Is it more like that? I don’t know. But there’s voices that we need to hear in order to inform our ongoing development. So Lighthouse Foundation, if you want to do some research with me, give me a call or if anyone else wants to.

Colby: 51:51

Yes, Lighthouse. Well, absolutely. And Lighthouse Foundation, I think probably themselves have captured a little bit of the picture here. I couldn’t agree with you more in what you’ve said. I think in order to capture the broader spectrum of care leavers, we need to follow them up. And the research with them is highly lacking. No one’s following them up. Our statutory child protection agencies, at least to date, there hasn’t been significant endeavour that I know of in the jurisdictions that I’m across, including my own, to really make sure we keep tabs on or have a relationship with our young people such that we can keep tabs some level of involvement with them. An organisation like Lighthouse is in a better position to track these young people transitioning to adulthood because they are a service provider and they provide services beyond 18. Another group that you mentioned, when you were mentioning the groups that we need to consider, are the care leavers who have their own children removed, which is quite, you know, which is, I’m not sure, I can’t say with any authority what proportion of care leavers that is the case, but that would represent a really significant challenge for our statutory child protection agencies that the children you raised had such poor parenting models that they were considered unsafe to raise their own children. Their parenting models, often their most dominant parenting model was the state as a parent.

Jenna: 53:57

Yes. Look, there’s a couple of brilliant researchers at Monash who have looked at early parenting in care leavers. And they might be interesting people for you to have a chat to, because I think from my conversations with them, that there’s also a whole lot of you know, oversight and intervention. And often I think they’re not even given much of an opportunity to parent. before having state intervention. So I’m happy to pass on some details to you if you’d like to have

Colby: 54:26

it. Yeah, I’d love to. I’m always open to hearing about other people I could have on the pod. And I was writing down David Ziegler’s name. I hope I spelled it correctly earlier. And listen, it’s been great to have you on. Before we finish, I tend to give my guests an opportunity to ask ask me a question without notice before we finish up. I’ve asked you a lot of questions. Is there anything you’d like me to respond to before we finish up?

Jenna: 55:05

What would you say is the biggest challenge facing residential care?

Colby: 55:14

I think that it probably is staff. Not that the staff are the problem, but in terms of how we look after the staff. And I do think that funding needs to take into account opportunities for ongoing reflective practice. See, the big challenge, I guess, in the work that we do is that We are the only species that has psychologists that tell people how to raise children. Yeah. So a lot of people are like, well… we know how to raise children. We remember being raised. We learnt as much from what our parents did well as what they did poorly. And we obviously have an instinct, just like every other species, the parents, the young has. I think part of it, part of the problem is amongst residential staff as well as kinship and foster carers is seeing the value in in being trained in therapeutic care so but also but also um i think ensuring that they’re looked after that they hang around they’ve got that stickability that that kinship carriers for example excel with you know because if they’re kin they do stick more um and that they think about what what they’re delivering. They spend more time being mindful and holding the young people in mind that they’re working with. I think those are challenges. I do think that there needs to be more money into residential care in order to support more reflective practice. I think reflective practice, my view is you need to have at least some guide a model that guides and becomes a framework for reflection, for supporting reflection and developing understandings. Which probably I could talk for a very long time about. But yeah, I think I agree with you. I think the staff is where we… should primarily be putting our focus to. And look, I would also say, as I’ve said before, I don’t intend to criticise stuff. It’s not my intention to make staff feel criticised for the job that they’re already doing. They’re doing the best they can, in my observation, the best they can with the structures and support and… funding that they have. And it’s unfair to put all residential care, residential childcare together because there’s great variability in what organisations like the Lighthouse, you know, for example, the difference between what the Lighthouse can provide, what is provided at Hurstbridge Farm and what’s provided in other residential childcare organisations. concerns. So I think getting consistency of residential care. So, you know, when we talk about research, see, this is what I mean, I could keep going. When we talk about research and we want to look at outcomes for residential care, we have to consider that not all residential care is the

Jenna: 59:16

same. For sure.

Colby: 59:16

And is that a problem? We need to perhaps be looking at um remedying that um yeah just like not all families are the same and you know foster care outcomes well how far down that rabbit hole do you want to go in terms

Jenna: 59:32

of tough research it’s really it’s why no one does it

Colby: 59:35

yeah yeah you’re undoubtedly uh onto something there

Jenna: 59:40

But

Colby: 59:41

look, as I said, thank you again for coming on and perhaps our paths will cross another time and maybe I’ll have you back again for another conversation if I

Jenna: 59:53

haven’t

Colby: 59:54

scared you off.

Jenna: 59:57

Thank you.