Outcome 3: Recovery
Measure of Recovery
At SACCS we believe abused children who have suffered harm to their personhood, bodies, innocence, childhood, emotional health and spiritual wellbeing should still have a right to grow up in a family. This harm; often so profound that it affects both the external and internal worlds of the child, requires a treatment programme that is capable of dealing with both of these needs simultaneously.
The SACCS Recovery programme was developed to include an assessment of the internalised world of the child whilst working on the observable external behaviours concurrently within a contained and safe therapeutic environment.
The programme is based on 24 outcomes that are contained within 6 development areas under the following headings: Learning; Physical development; Emotional development; Attachment; Identity; Social and Communicative development. These outcomes have been reconciled to the 5 Every Child Matters Outcomes and & 7 Core Aims (see Fig 1 The Recovery Matrix) and are conducive to the requirements of the Individual Placement Agreement (IPA) contained within the National Contract.
The Recovery Programme for each child is achieved through a truly integrated service that involves therapeutic parenting, therapy and life story work. Each of these services is explained in detail on this website.
The professionals needed to deliver each component of the SACCS Care service are all employees; there is a 'no agency' staff policy at SACCS. Between each of these professionals they hold and provide firstly containment, secondly development and thirdly recovery of the child's inner and outer worlds, their past, their present and most importantly, their future.
This group of people is the Recovery Team whose purpose is to plan, deliver, measure and review the recovery process. Each person working directly with the child plays a vital role as a member of the Recovery Team. Each team is supported by additional professionals in Education, Administration, IT, Estates Management, Accounts, Customer Services and Consultants, including Psychologists, Psychoanalysts and Psychiatrists.
Fig. 1 The Recovery Matrix
The SACCS Recovery Programme 6 Areas of Development |
The SACCS Recovery Programme 24 Outcomes |
The Every Child Matters & National Contract 5 Outcomes |
The 7 Core Aims of Wales |
1. Learning The child is unable to process and understand new experiences and information, or hold onto these experiences and make appropriate choices in the employment of what has been learned. There is concern with both academic and social learning |
5. Is able to make use of opportunities (4), (2,6)* 8. Is able to make academic progress (4,5), (2,6) 9. Is able to take responsibility (1,2,3), (1,2,3,4,6,7) 14. Has developed cause and effect thinking (4), (2,4,6) 15. Understands sequencing (3,4), (2,4,6) |
1. Be Healthy 2. Stay Safe 3. Enjoy and Achieve 4. Make Positive Contribution 5. Achieve Economic Well-Being |
1. Health 2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentation 7. Self-Care Skills |
2. Physical Development The child has difficulties in a wide range of areas and issues, encompassing daily routines and aspects of fine and gross motor skill development. Construction of a holistic profile of the child’s progress and functioning is required |
13. Has completed important developmental tasks (4), (2,6) 16. Has developed motor skills (1,3,4,5), (2,6) 18. Has improved physical health (1,2), (1,3,5,7) 19. Has normal sleeping habits (1,4), (1,4,6) 20. Has normal personal hygiene (1,2), (1,3,6,7) 21. Has normal eating behaviours (1,3), (1,4,6) |
1. Be Healthy 2. Stay Safe 3. Enjoy and Achieve 4. Make Positive Contribution 5. Achieve Economic Well-Being |
1. Health 2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentation 7. Self-Care Skills |
3. Emotional Development The child has little or no capacity to cope with, express and to understand emotions, both in themselves and in others |
4. Has developed internal controls (4), (2,6) 6. Is able to make appropriate choices (2,3,4), (1,2,6,5,7) 12. Is developing insights (4), (5,6) 17. Has developed abstract thinking (1,2), (1,3,7) |
1. Be Healthy 2. Stay Safe 3. Enjoy and Achieve 4. Make Positive Contribution |
1. Health 2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentation |
4. Attachment The abused and neglected child is at risk of developing mental representations of caregivers as dangerous or not-to-be-trusted. The Child does not have the capacity to form mutually satisfying relationships. |
7. Is able to make appropriate adult and peer relationships (2,3,5), (3,4,5,6) 10. Has developed conscience (2,3), (3,4) 11. Is no longer hurting themselves or others (2), (3,4,6) |
2. Stay Safe 3. Enjoy and Achieve 5. Achieve Economic Well-Being |
2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentation |
5. Identity The child has a lack of acknowledgement of their history and how they evaluate themselves. How they perceive themselves in a range of contexts. The child needs to acknowledge who he is and his history |
1. Has a sense of self – who they are and where they have been (1), (1,2,4,5) 2. Has an understanding of their past history and experiences (2), (3,4,5) 23. Has normal self-image (2,4), (3,4,5,6) |
1. Be Healthy 2. Stay Safe 4. Make Positive Contribution |
1. Health 2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentation |
6. Social & Communicative Development Children who lack an understanding of the integration of social and emotional skills |
3. Is able to show appropriate reactions (3), (2,3,4) 22. Has normal body language (4,5), (3,5,6) 24. Is able to make positive contributions (4,5), (2,3,6) |
3. Enjoy and Achieve 4. Make Positive Contribution 5. Achieve Economic Well-Being |
2. Learning & Education 3. Family & Social Relationships 4. Emotional & Behavioural Development 5. Identity 6. Social Presentatio |
* Each number in brackets relates to one of the 5 Every Child Matters Outcomes, each number in brackets and italics relates to one of the 7 Core Aims.
The method used to deliver the SACCS Recovery programme is the Individual Recovery Plan (IRP). This dynamic document, linked to the outcomes of the IPA and the Children's Care Plan holds the complete process of transition of the child's recovery. The Plan is reviewed every 3 months and altered accordingly. As internal and external behavioural changes manifest, they are recorded and acted upon by the Recovery Team. The whole process, takes up to 3.5 years on average to complete at the end of which the child has moved from a place where they had no understanding of the consequences of their actions, to where they are able to understand these consequences and act appropriately (fig 2 The Treatment Levels). At this point they are ready to move to a new family.
Fig 2 The Treatment Process
| Level | |
| Treatment Level 1 = | The child is not able to... |
| Treatment Level 2 = | The child can sometimes with prompt... |
| Treatment Level 3 = | The child can most of the time... |
| Treatment Level 4 = | The child can transfer to different environments... |
