How can we build on BERRI to deliver Psychologically Informed Care?

We see BERRI as one component of improving the quality of placements. As a stand alone tool it can help inform those caring for a particular child, and give useful data to service managers, commissioners and inspectors.

However, it can also enhance the efficacy of existing interventions, or be one component in an evidence based, psychologically-informed care pathway.

One example of how we have used BERRI is alongside staff training and regular consultations with a psychologist. We call this model PRIME. The acronym stands for:

  • Psychological assessment
  • Regular outcome measurement
  • Individualised care-planning targets
  • Multi-faceted formulations
  • Evidence-based interventions

Where these five factors are in place, we believe the network can work together to provide effective individualised care.

BERRI Flow Chart

What else can we offer? We think a little bit of psychology can go a long way. We can also provide wider psychological services:

  • Training for carers and professional networks around the child to understand attachment, the impact of trauma, basic neuroscience and effective strategies for reparative care
  • Working with organisations to bring in clinical governance and effective universal care pathways for Looked After Children in their placements
  • Evidence-based psychological therapies
  • Liaison with other agencies to ensure access to appropriate services for specialist needs and providing psychology input to panels

 

What needs to change in residential care?

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  • We need to assess the children we care for methodically
  • Gather information about their story
  • Individualise their care based on this information
  • Have high quality care plan documents
  • Use evidence to decide who needs therapy, what form and who will provide this
  • Monitor how children are progressing
  • Address issues with behaviour, mental health and attachment
  • Improve outcomes (with measurements to demonstrate this)