At the present time in Australia, there is much discussion about attachment and trauma-informed therapeutic residential care (TRC) programmes. The discussion includes a continuing reference to the high cost of this form of care by comparison to foster family care. This comparison assumes that both services serve the same population which this paper disputes. The emergence of TRC as one option in the continuum of care also raises issues about how a residential care (RC) workforce might be educated and trained for these programmes. This is particularly important given the mental health and behavioural difficulties the population of young people referred to TRC programmes, frequently display.

This article gives a brief overview of the Spiral to Recovery practice framework as it is being used at Catalyst child and family services in far north Queensland. The Spiral is an evidence informed framework for therapeutic residential care (TRC), designed for children and young people with complex and extreme emotional and behavioural difficulties who reside in out-of-home care (OOHC) placements. The Spiral is a stage-based framework where the initial aim is to establish actual and felt safety before young people meet the challenges of healing and growth. The framework rests on a theoretical base of trauma, attachment and socialisation theories. The article also describes how the Spiral framework has been implemented at Catalyst, demonstrating the need for congruence between organisational and practice frameworks.

The Lighthouse Foundation provides long-term accommodation to young people aged 15–25 at risk of homelessness, through a therapeutic model of care. This paper will explore its application to young people with histories in the out-of-home care system and those who are leaving care, by focusing on a four-stage process of recovery and the unique experiences it raises for this population based on their history. Drawing on themes identified through our practice with vulnerable young people, it is proposed that key elements of the programme and process hold particular relevance to the long-term recovery of this population, including the provision of stable and consistent therapeutic residential workers, an integrated care team, and the capacity to work with the young person beyond his or her eighteenth birthday. (Please note, no specific examples of young people are provided, rather the article will present observed themes at the various stages of the Therapeutic Family Model of Care.)

Therapeutic Residential Care (TRC) has attracted increasing interest in Australia, as a specialised out-of-home care option for children with complex needs. Extending beyond the limitations of traditional residential programmes, TRC aims to address the impact of trauma and promote positive development and wellbeing. The Lighthouse Foundation is a not-for-profit organisation based in Melbourne, providing a long-term programme of TRC to young people aged 15 to 22 at intake. The organisation has developed an attachment and trauma-informed therapeutic community approach, embodied in the Therapeutic Family Model of Care. This discussion paper explores how the therapeutic community approach taken by Lighthouse provides a different experience of the cultural ‘sites’ in which early traumatic experiences occur – including the home environment, experiences of family, and the wider community. In doing so, we propose that an important dimension of TRC is the capacity to challenge traumatic relational blueprints of abuse and neglect. This, in turn, supports children to form and sustain positive and reciprocal relationships, and to live inter-dependently in the community.