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The SECURE STAIRS framework: preliminary evaluation of formulation developments in the Children and Young People’s Secure Estate

Lookup NU author(s): Annette McKeown, Aisling Martin, Dr Romana Farooq, Chelsea Addy

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Abstract

© 2022, Emerald Publishing Limited.Purpose: The purpose of this paper is to evaluate pre- and post-formulation findings with multi-disciplinary staff within two secure children’s homes (SCHs) in the North East of England. Design/methodology/approach: Multi-disciplinary staff teams involved in formulation across two SCHs were administered pre- and post-formulation questionnaires. The pre- and post-formulation questionnaires focused on five domains: knowledge; confidence; motivation; understanding; and satisfaction with treatment plan. Findings: A total of 338 pre- and post-formulation questionnaires were administered across 43 formulation meetings. The highest proportion of formulation attendees were: residential staff (44%); mental health staff (17%); case managers (12%); and education staff (9%). Paired samples t-tests showed significant post-formulation improvements across all domains including: knowledge [t(337) = 22.65, p < 0.001]; confidence [t(337) = 15.12, p < 0.001]; motivation [t(337) = 8.27, p < 0.001]; understanding [t(337) = 19.13, p < 0.001]; and satisfaction [t(337) = 18.81, p < 0.001]. Research limitations/implications: The SECURE STAIRS framework has supported formulation developments across the Children and Young People’s Secure Estate. Preliminary findings within two SCHs suggest multi-disciplinary staff teams find psychologically informed formulation beneficial. Future directions are considered including future evaluation of young person involvement in formulation meetings. Originality/value: There is a notable lack of existing research within the child and young people secure estate evaluating the impact of SECURE STAIRS trauma-informed care developments including the impact of team formulation. This paper adds to the evidence base.

Publication metadata

Author(s): McKeown A, Martin A, Farooq R, Wilson A, Addy C, Kennedy PJ

Publication type: Article

Publication status: Published

Journal: Mental Health Review Journal

Year: 2023

Volume: 28

Issue: 1

Pages: 73-81

Print publication date: 02/02/2023

Online publication date: 21/10/2022

Acceptance date: 02/04/2022

ISSN (print): 1361-9322

ISSN (electronic): 2042-8758

Publisher: Emerald Publishing

URL: https://doi.org/10.1108/MHRJ-02-2022-0005

DOI: 10.1108/MHRJ-02-2022-0005

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