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Despite the growing interest in trauma-informed models, there remain significant gaps in understanding how these models are translated and implemented into practice (Bendall et al., 2018). In Australia, residential OoHC represents the placement of children and young people (referred to as young people from here on) in staffed homes, with approximately 2 – 4 other young people per house (Smales et al., 2020). However, the ways in which community service organisations and child-welfare services, such as residential out-of-home care (OoHC), translate and implement trauma-informed theory, has not been understood explicitly (Henry & Perricone, 2018). Not surprisingly, trauma-informed, organisation-wide models have been developed to support organisations in addressing the complexities of the impact of trauma on the people who experience trauma and the systems and people who serve trauma survivors (Leitch, 2017).

Trauma-informed care has become increasingly used across community service organisations and child-welfare services, due to a surge of growing awareness of the impacts of trauma, including neurodevelopment, psychosocial development, physical and mental health (Becker-Blease, 2017 Putnam, 2006). Key findings indicate that when implementing, sustaining and embedding The Sanctuary Model, organisations need to become trauma-informed rather than ‘do’ trauma-informed care and organisations need to “live and breathe” The Sanctuary Model Commitments, be connected and inclusive of one another, use trauma-informed language and feel safe. Comparisons from this study and previous findings identified by executive and upper management staff (decision makers) are discussed. These barriers impacted on organisational challenges faced in residential out-of-home care including: (a) The Sanctuary Model Toolkit and (b) young people’s behaviour and engagement. These were reflected in the subthemes: (a) informal practice (b) lack of practice-based training (c) poor introduction to young people and (d) resources. A number of barriers hindering implementation were identified. These enablers influenced organisational successes in adopting: (a) the Sanctuary Commitments (b) the S.E.L.F Framework (c) Reflective Practice and Supervision and (d) Trauma Theory. Participants identified a number of enablers, presented in the subthemes: (a) social support systems and resources (b) shared trauma-informed knowledge and understanding and (c) leadership and champions. Following ethics approval, three semi-structured interviews and six focus groups were conducted with residential care staff between February and July, 2020. The aim of this study was to explore and better understand the enablers and barriers of implementation and how these impact on the organisational successes and challenges of adopting The Sanctuary Model, as perceived by residential care staff.

How to work with the same nvivo on two different computers