Therapeutic Support
Our therapeutic support is offered through a trauma and attachment-informed lens and delivered using an holistic approach.
Our therapeutic approach aims to provide a selection of services that offer short and long-term support to young people and the adults around them.
Therapeutic intervention is offered to children and young people (aged 0-17) in care, across Derbyshire and Derby City.*
Referrals are clinically considered and recommendations made as a 'Medium Term' or 'Complex Case' piece of work. Typically, a minimum intervention of 12 months is offered to all case types.
- Medium Term work offers a trauma and attachment-based intervention involving children and young people, their carers and the professional networks supporting them.
- Complex Case recognises where risk/need is high and circumstances are unstable involving children and young people, their carers and the professional networks supporting them.
* Please note, we are continuing to accept Derbyshire referrals for direct work. Unfortunately, due to funding restrictions, from Sept 2024, we now have a much smaller capacity for Derbyshire children in care.
Out of Area (OOA) referrals for young people placed within the Derbyshire border from outside local authorities are accepted but subject to funding agreement - please contact us for further information.
Therapeutic Approaches
Whilst trauma and attachment are at the heart of our approach, The DECC team uses a range of therapeutic modalities to best support the needs of each young person accessing our service.
Our practitioners and psychologists are trained in a variety of therapeutic models and practice, that enable us to provide an holistic and child-centred approach towards each referral.
Take a look below for more information around some of our key modalities within the team.
Dyadic Developmental Psychotherapy (DDP)
Dan Hughes, a clinical psychologist, developed DDP as a therapeutic approach for families with adopted or foster children, who have faced neglect and abuse.
DDP integrates attachment theory, our understanding of developmental trauma, the neurobiology of trauma, attachment and caregiving, intersubjectivity theory, and child development.
Children with troubled backgrounds may have experienced numerous changes in caregivers, leading to difficulties in trusting adults. They might view parents as unsafe and may struggle to seek comfort or help from them. This can result in insecure attachments and efforts to prevent emotional closeness with their foster/adoptive parents.
Dan recognised the essential role that adoptive parents, foster parents, relatives and residential caregivers play as attachment figures for children who have experienced early trauma and loss, making it challenging to trust adults.
He discovered that traditional parenting methods often fell short in helping these children, prompting him to create a therapeutic model that introduces a new approach to everyday parenting based on the principles of PACE - Playfulness, Acceptance, Curiosity and Empathy.
Theraplay
Theraplay is a dyadic therapy for children and families, recognised by the Association of Play Therapy as one of seven foundational psychotherapies for children. Theraplay is designed to support healthy attachment development between caregiver and child.
In sessions, the practitioner guides the parent and child through playful, fun games, developmentally challenging activities, and tender, nurturing activities. Engaging with each other in this manner, supports the parent to regulate the child's behaviour and communicate love, joy and safety. This interaction helps the child to feel cared for, secure, connected and worthy.
Filial Play Therapy
Filial Play is a play-based intervention designed to enhance and build-upon the relationships between caregivers, and their children. In this approach, a therapist observes and guides parents/caregivers in using play to foster a more positive connection with their child.
Filial Play trains foster parents to provide therapeutic play sessions at home with the children in their care, making it especially beneficial for children who may not be ready to engage directly with a therapist. Similarly to Theraplay, it emphasises the power of play in building secure and nurturing relationships.
Family Systems Therapy
Systemic family therapy, is a form of psychotherapy that emphasises the dynamics between family members and their interactions with the outside world.
In this approach, a therapist collaborates with family members to:
- Explore challenging thoughts and emotions
- Recognise and appreciate each other's needs
- Build on the family's strengths
- Understand how relational patterns develop and persist
- Encourage proactive steps towards change
Play Therapy
Play therapy is a therapeutic approach that utilises play and art materials as primary tools for self-expression. This method is especially beneficial for children who may struggle to articulate their feelings or experiences verbally.
In play therapy, children can creatively explore their thoughts and emotions in a dynamic and non-verbal way. During sessions, they engage with various mediums, such as drawing, painting, water, clay, sand trays, miniatures, guided imagery, relaxation techniques, drama, puppetry, poetry, movement and music. This process allows them to express themselves feely and gain therapeutic support in a safe environment.
Drama Therapy
Drama therapy is the purposeful use of drama and theatre techniques to achieve therapeutic objectives. This active and experiential practice allows participants to share their stories, set goals, solve problems, express emotions, and experience catharsis.
Dramatherapy uses a broad array of dramatic techniques, using both verbal and non-verbal methods. While storytelling and dialogue are important components, therapy does not rely solely on spoken language. Movement and embodiment play crucial roles, enabling children and young people to address and explore their feelings and challenges in a dynamic way.
Music Therapy
Music therapists harness the inherent qualities of music to support individuals of all ages. At the heart of music therapy is the therapeutic relationship built through live musical interaction and play between the therapist and young person. A variety of musical styles and instruments, including the voice, are employed, often with an emphasis on improvisation. This approach helps young people to develop their own unique musical language, facilitating exploration, self-expression, and connection with the world around them.
As with other creative therapies, music therapy does not rely on verbal communication, rendering it particularly effective for individuals who struggle to communicate verbally.
Children who have been removed from their families and potentially experienced multiple placement breakdowns often have fragmented life histories, which can leave them feeling lost and lacking a sense of belonging. This can hugely impact upon their well-being and increase their vulnerability.
Therapeutic Life Story Work provides these children with an opportunity to explore, question, and understand past events in their lives. It creates a safe space for them to express and process their emotions, helping them make sense of their experiences and how these relate to their current thoughts, feelings, and behaviours.
"Therapeutic life story work can help children identify and understand the ghosts of the past, freeing them from being haunted by those experiences" (Richard Rose, 2012).
N.B - Please note that we do not offer Life Story Work as a direct therapeutic intervention, however, can provide support via consultation request, see below for more information on bookable consultations.
So... What might direct therapeutic support look like?
After your case is allocated to one of our therapists, your Therapeutic Parenting Team will spend time meeting with us to discuss the young person's background history, needs, strengths and interests. This will form part of the assessment stage and help us to create an Initial Needs Assessment and think about next steps.
We aim to complete our assessment period over approx. 6-8 weeks, where a Therapeutic Plan will be formed to determine what support is needed and which modalities may be supportive.
Our holistic approach means that therapeutic support is likely to vary depending on the specific needs of each young person. Generally, however, sessions are expected to occur weekly (where possible) and may include:
- 1:1 sessions between child/YP and therapist
- Dyadic sessions; carers, child/YP and therapist
- Sessions between carers and therapist
Regular network meetings are offered to provide further systemic support, with potentially additional meetings to support with education, if required.
One-off Consultations
Bookable one-off consultation sessions can be requested by any professional within the child's network (SW consent required), and are intended to provide therapeutic advice and recommendations to key adults supporting the young person or child (aka Therapeutic Parenting Team).
The consultation provides a 90-minute online session for the network, to meet with a Lead Therapeutic Practitioner or Clinical Psychologist. The consult will aim to discuss any concerns you might have about a Child in Care or Care Leaver (YP consent required, over 18).
Harmful Sexual Behaviour (HSB) Consultations
One-off consultations to discuss HSBs or concerns are consulted by a Clinical Forensic Psychologist and facilitated through The DECC.
The HSB Pathway Service page for Derbyshire children, can be accessed for further information.
Consultation Series
Multiple consultations for a network may be requested or later recommended, following an initial one-off consultation. Additional consultations may prove helpful to discuss a specific identified need or difficulty (e.g., encopresis) or support around education, managing Family Time or delivering Narrative or Life Story Work.
We are continuing to accept referrals across Derby City and Derbyshire for one-off consultations. Please note that consultations for SGOs and consults for the Adoption and Special Guardian Support Fund (ASGSF) are limited to Derby City children.
We offer therapeutic group support for foster carers, through our 'Attachment Group'. The intervention provides a further option for carers to meet and connect within a small group, to discuss and explore the complex emotional needs of the children and young people within their care.
Foster carers will be supported to contribute to group discussions and reflect on their own experiences of parenting. Facilitators will create a safe and confidential space to support participants to reflect upon the underlying needs of the children in their care and how these may be displayed in their presentation.
The group sessions can help carers to explore some obstacles to them feeling connected to their children and consider new ways to build connection.
“We felt lost going around in circles, but now we’ve been given the map we need. We still have to walk the walk, but now we’re going in the right direction”.
Please note that, due to funding restrictions, from Sept 2024, we are no longer able to offer the Attachment Group to SGOs. Please click here, for our enhanced signposting support.
Find out more about the Attachment Group and upcoming dates below or click here to access the referral form.
Supporting Care Leavers
The Staying close project is about helping those that are transitioning out of care and moving into independent living. It is not just about practical needs but also the mental and emotional needs of young people when going through this transition.
The hope for staying close is for the young person to feel supported to begin to create interdependence through the support of the staying close worker who also works alongside a therapeutic practitioner, working closely with their support network, helping young people stay close and connected to those that they wish to be near too.
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