Assessment & Therapy
Five Rivers has drawn on well-developed theories underpinning our work. Our therapeutic services provide direct consultations and training for staff and carers in areas of Transactional Analysis, Attachment Theory, behaviour modification, Trauma & Dissociation, Child Psychology Psychodynamic principles and therapeutic communication amongst others.
Of even greater importance is our understanding of how to put theory into practice. Within each service, practitioners are selected to deliver targeted interventions, therapeutic communication and emotional competence through authentic warmth within authoritative parenting style which predicts child well-being across a wide spectrum of services.
Depending on the severity of these difficulties, these children can often ‘bounce’ from placement to placement. Each move adds to their sense of rejection, and can escalate their behavioural difficulties.
At Five Rivers, we will make appropriate assessments of the child’s emotional, social, behavioural and educational needs.
Assessment will then play an important part throughout the child’s journey through Five Rivers ensuring that the placement and the work being done remain appropriate to his or her needs. Having assessed the needs of the child, and recommended the appropriate placement package, we will then provide specialised on-going training.
Assessment and Therapy, Case Study: Jamal
Jamal was referred to our assessment centre by one of our group homes in London where he was three weeks into a six week planned placement. He had been initially removed from his home in London because he had been terrorising his father and his neighbourhood after several support packages being put into the family home.
Jamal’s need to control and lack of boundaries meant that violence between him and his father had reached the stage where one of them was liable to become seriously injured. This behaviour continued in London causing the other established residents to feel unsafe to the degree that they wished to move if he stayed he was able to roam London at will.
Assessment and Therapy Services were needed by Five Rivers, Following our risk assessment of his extremely high level of need we offered a clinical assessment in the first instance of 28 days. Jamal was seen by our retained Chartered Psychologist and agreed that he had a severe attachment disorder and virtually no impulse control
Intergrated Care Planning
We were able to provide a slow integrated move back into education, starting with in house tutoring, educational excursions and sports to formal education in a class room setting. In consultation with a Psychologist the team were able to work with his aggression and violence, showing a consistent and clear message about consequences of such behaviour and giving differing options of how these emotions can be handled, this led to a significant drop in the young person’s violence.
Jamal’s self-esteem has improved through daily work by the clinical and education team together we have devised a independent living skills programme that aimed at his strengths allowed him to achieve at tasks and develop his ability in looking after himself for the future.
Within our Assessment and Therapy framework we were able to begin work on his impulse control resulting in Jamal being able to wait for short periods, for attention, without committing criminal damage or assaulting anyone. We presented a detailed Assessment of Need and recommendations to the placing authority and a very comprehensive handover to the next placement.
The above depicts real Five Rivers case studies names have been changed and actors used in the films to protect the identities of the children and young people involved.