Abstract

ABSTRACT In the literature, there are various models of the use of CBT to support children and young people in residential settings. However, the extent of the involvement of residential staff (carers) in the implementation of CBT is unclear, and little is known about carers’ views on the use of CBT in residential care. In this exploratory study, 12 employees of a private residential care company participated in semi-structured, face-to-face interviews to give their views on a number of CBT techniques, and how carers could be supported to implement them. Thematic analysis identified three overarching themes: Difficulties of young people in residential care, Current practices to support young people in residential care, and Integration of Carer-led CBT into current practice. The study found that formal, formulation-driven CBT was not part of the carers’ current practice, however some techniques they used were broadly similar to CBT. Implications of the findings are that current practices could be expanded and enhanced through training and supervision of carers to give them more tools to support young people in residential care. Ways of integrating carer-led CBT into current practice are discussed.

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