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.
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