The SECURE STAIRS framework: Innovation for Young People and Whole Systems in Secure Children’s Homes (SCHs)

Abstract

Purpose: This paper presents innovative, multi-agency developments from ongoing implementation of the SECURE STAIRS framework at two Secure Children’s Homes (SCHs). The Kolvin Service is an adolescent forensic mental health service that provides services for young people at Aycliffe Secure Centre (ASC) and Kyloe House SCHs. The Kolvin Service also collaboratively leads on implementation of the SECURE STAIRS framework within both SCHs.

Background: The Secure Stairs framework is a whole system approach to integrated care within the Children and Young People’s Secure Estate. It draws from trauma systems therapy, Enabling Environments (EE) initiatives and Psychologically Informed Planned Environments (PIPEs). The Secure Stairs framework represents a shift in focus, from interventions focussed solely at young people, to interventions focussed on the whole system.

Methods: This paper presents ongoing SECURE STAIRS developments in both SCHs and preliminary implementation findings.

Conclusions: Since the introduction of the SECURE STAIRS framework, ongoing developments include young people contributing to staff training, increasing young person involvement, and working towards embedding comprehensive formulation across the settings.

Since April 2018, across both SCHs, there have been 50 formulation meetings and 440 attendances. Staff identify “better understanding” and “more involvement of the young people” in their care as a result. The paper will present preliminary pre- and post-formulation findings in the domains of; (i) knowledge, (ii) confidence; (iii) motivation; (iv understanding; and (v) satisfaction with treatment plan. ASC is the first SCH to routinely invite young people to their formulation meetings, and this paper will also present thematic findings on young people’s attendance. Overall, preliminary feedback on SECURE STAIRS has identified that young people and staff value working together, and that young people feel more involved in their care. Future directions will be presented.

Full text

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What is SECURE
STAIRS?
SECURE STAIRS is a
national project delivered
by the NHS, DfE, YJB,
HMPPS and the MoJ. The
project aims to develop how
teams work collaboratively
to provide the best quality
care to young people.
SECURE is an acronym
describing a whole system
approach, where all staff can
access supervision and
support.
#"
STAIRS is an acronym
describing individually
tailored care promoting
understanding of young
people’s difficulties and how to
best support them.

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+">
=+>*.++
.,.+
•$.+:
?+@
•:*">
A+
B
•$'"
"/+
,*+
","
"5+

•$.*
.
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"

•$,"
*+


6
•2C2'.*
+"D
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2/225(+
'*2(+
'*(2/('(25D
•).++
/DDE78897838783F1%+788F
78371783G17833783H10
)783H5D

*#"
•+*#*++
+"*"".+.
+>+/%5++2*2D
•+"*."*+
"">*++,
2+7! 2%"
&2 '8
•+%!#4#&'*!%"8
•+*+".++.%
+""".+"
*"+"D
•+.),.+$"
+">D
•+,"*
+*.)!#4#*!
%"8

*#"

#"35
"
"

"#5

""
9#
##


#" "#" "
.#

.#

7,7839
7,7839
Formulation Developments
Formulation Developments

#" "#" "
.#

.#

7,7839
7,7839
("
-C'-
-C'-

#" "#" "
.#

.#

7,7839
7,7839
Young Person Involvement
Young Person Involvement

")!!"


"
+#
!
"
!
4
+#
"
5
"
69
(
#
6
!
"

#" "#" "
.#

.#

7,7839
7,7839
Understanding My Story Understanding My Story

"
: 
+;
:%
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"!;
: 

;
")!!

)"
•Young people complete Understanding My Story in
advance of meeting
•Invited to attend and explore key people in life to
attend
•Some young people read out story, others speak
freely, others would like us to read out their
contributions
•Develop collaborative formulation and their Aycliffe
Plan
•Young people complete Understanding My Story in
advance of meeting
•Invited to attend and explore key people in life to
attend
•Some young people read out story, others speak
freely, others would like us to read out their
contributions
•Develop collaborative formulation and their Aycliffe
Plan

<#
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3

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!"
4
+#
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 6
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"


4)=("#!

""5*!
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6
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
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B. B, BA BC
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!#4 *!

"$"

#" "#" "
.#

.#

7,7839
7,7839
Understanding My Story
Practice Examples
Understanding My Story
Practice Examples


4&'
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#D#7&'
7&'
"
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+&'
""#

"=


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"#
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*""#

"#5
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"

7"#5
+#"
"
B""E

("G
("
")!!
(776
"
+!#""##"
H#+#
""7""
6+"7
"7")7""
"

:.*+
!
B""I

8)#*J8"88)#*J8"8