New Pathways Residential Treatment Services
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Transcript New Pathways Residential Treatment Services
For Young People who have
Sexually Abused
Leah Berry- Clinical Manager
Cass Herring- Cluster Manager
Only
OOHC Service Provider in Australia
responding to the needs of adolescent
males aged 13-17 years who have
sexually problematic behaviours AND
high & complex needs.
Funded
by the NSW Department of
Community Services (DoCS) for 6
placements.
Multiple &/or traumatic
placement breakdowns
Poor impulse control &/or
stress intolerance
Educational difficulties
including inability to
attend mainstream schools
Attachment difficulties
Poor self image
Self harming behaviours
History of Inappropriate
Sexual Behaviours
Verbal & Physical
Aggression (that may
result in property damage)
Low level criminal
behaviours (eg property
damage, theft etc)
Intellectual Disabilities
(mild-moderate)
Poor communication &
social skills
Crisis
= Opportunity
Underlying Theoretical Frameworks:
Good
Way Model (Ayland & West 2004)
Sanctuary Model (Abramovitz & Bloom 2003)
Circle of Courage (Brendtro, Brokenleg & Bockern 2002)
Positive Peer Culture (Vorrath & Brendtro 1984)
Offence Specific/ Relapse Prevention (Ayland & West
2004; Cahn 2001)
Cognitive
Behavioural Therapy
Psycho-educational Treatment
Parallel process “traumatized people are
frequently misdiagnosed and mistreated
in the …system… Because of their
characteristic difficulties with close
relationships, they are vulnerable to
become re-victimized by caregivers. They
may become engaged in ongoing,
destructive interactions, in which
the…system replicates the behaviour of
the abusive family” (Herman 1992)
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Adolescents who sexually abuse almost
universally have some form of trauma
in their histories ( McMackin et al,
2002).
Neurological Impact – structural and
functional differences (Teicher et al,
2002)
Responding to a young person’s needs
not reacting to their problems.
Understanding Vicarious Trauma of the
staff team.
Percentage Reported at Referral
0.70%
Neglect
62%
85%
54%
Sexual abuse by
adults
Physical abuse by
adults
Sexual absue by
peers
Safety – physical and emotional, sanctuary,
consistency, predictability, honesty,
transparency, reliability, availability, continuity
Emotion management – tools to assist with
reflection, awareness, labelling of emotion,
negotiation - to promote a more
rational/cognitive style of problem solving
Loss – empathy and support around the ‘pain’ of
multiple losses (family, home, friends,
community etc)
Future – generation of hope, belief, competence
SAFETY
is the fundamental motivational
drive
Bowlby – safety is the function of
attachment behaviours
Maslow – safety is the most fundamental
of human needs
Erickson – trust based on safety and
comfort is the first psychosocial stage of
development
Treatment Milieu- 24 hour roster; primary focus
on “life space” intervention not just individual
counselling.
Specialist Youth Workers are vital to process
significant issues & behaviours whilst still
relevant to the young person.
CSOCAS & ANZATSA accredited staff.
ALL staff are trained in ALL training models to
ensure staff consistency and safety and security
for the young people.
TCI, RAP, LSCI, Trauma Sensitive YW, Sex Offence
Specific, Adolescent Mental Health, Good Way
training, “in House” Induction
Demanding
Greatness (not expecting
perfection & not expecting obedience)
No
Punishment (Natural & Logical
Consequences)
Reversal
of Responsibility: Young people
are not responsible for creating their
problems but they are responsible for how
they respond to them!
Under the Care of the Minister until 18
Previous Diagnoses:
Severe Oppositional Defiant Disorder
Severe Conduct Disorder
Borderline Intellectual Disorder
Language Delay/ Disability
Previous Exposure to:
Parental Neglect & Alleged Physical Abuse
Drug & Alcohol Issues
Alleged Sexual Abuse (from numerous male
adults)
Entry
into New Pathways due to:
Alleged Sibling sexual abuse
Active involvement in a Paedophile ring
Recruiting a young person for Paedophiles
Public Masturbation
Approaching young children and asking them
for sex
Frottage
Alleged sexual acts with animals
Threats
of violence towards staff and other
residents
Threats of sexual harm towards staff & their
family members
Inappropriate touching
Extreme sexualised language and gestures
Repeated attempts to shock and scare staff
Self-harming
Intimidation; Physical aggression & abuse
Manipulation
High impulsivity
Originally
developed for the Well Stop
Program in New Zealand, by Ayland & West
(2006).
Based on Narrative therapy, positive
psychology, trauma theory and special
education - helping our young people
externalise their behaviours
The Islands of progress
The Gang of Three and Wise Men
Incorporating relapse prevention planning
When
growth
needs are met;
Youth have
positive outcomes.
When
growth
needs are
frustrated; Youth
show problems.
Belonging:
Craig believes that only his Mum
loves him; and that he is not sure where he
fits in with his family.
Minimising his involvement with paedophiles
and minimising what they did to him.
Mastery:
Came to New Pathways with a long
list of things that he couldn’t do! (eg unable
to make friends, can’t live with other
people, won’t be able to learn to read or
write etc)
Independence:
Craig struggles with
recognising that he is capable of making his
own decisions. Craig entered New Pathways
convinced he only had deficits to his
personaility.
Generosity:
Inappropriate social skills;
wanting to be liked and make friends
however unsure how to do this (often
resorting to bribes or grooming behaviours).
Highly
structured environment (including a
daily treatment schedule mapping out all
activities and timeframes throughout day)
Consistent
“SAFE” messages from all staff to
all sexualised & aggressive behaviours (eg
“You’re safe here mate, we’re not going to
hurt you, you don’t have to act/ speak that
way anymore because you’re safe”)
Strength-based
responses - constantly
reframing to positives
Within
two months of entering New
Pathways :
A significant decline in sexualised language
and behaviours was observed.
Within three months:
When escalated Craig was able to refrain
from using sexualised language.
Craig was demonstrating an ability to plan
rather than react impulsively
Made a commitment to want to change his
sexually abusive behaviours!
Contact details:
Leah Berry:
[email protected]
Cass Herring:
[email protected]