Understanding psychological theories within the SECURE STAIRS Framework for Integrated Care: An evaluation of training on attachment and developmental trauma within a secure children’s home

Abstract

The SECURE STAIRS Framework for Integrated Care was developed by NHS England as a way to promote a trauma-informed, evidence-based and whole system approach to children and young people accommodated in the Secure Estate. A pilot ‘Attachment and Developmental Trauma’ training module was developed by the Atkinson Secure Children’s Home in conjunction with members of the SECURE STAIRS Professional Collaboration Network (PCN). Fifty-six staff members working within a Secure Children’s Home in the North East of England completed the 2 day training. A pre and post evaluation method was utilised to analyse the results.The data indicated increased staff knowledge, understanding and confidence in attachment theory, developmental trauma, brain development and working with guilt and shame. The data also demonstrated the importance of safety and containment in the training environment in fostering opportunities to learn and grow. The need for ongoing training, supervision and reflective practice within the SECURE STAIRS Framework for Integrated Care is considered in order to consolidate knowledge and implement learning into practice.