The information in this program outline is provided by the program representative and edited by the CEBC staff. The Sanctuary Model program has been rated by the CEBC in the areas of: Higher Level of Placement and Trauma Treatment (Child & Adolescent).

• Types of Maltreatment: Does not target any specific kind of maltreatment
• Target Population: This program is not a client-specific intervention, but a full-system approach that targets the entire organization. The focus is to create a trauma-informed and trauma-sensitive environment in which specific trauma-focused interventions can be effectively implemented.

The Sanctuary Model represents a trauma-informed method for creating or changing an organizational culture in order to more effectively provide a cohesive context within which healing from psychological and social traumatic experience can be addressed. It is a whole system approach designed to facilitate the development of structures, processes, and behaviors, on the part of staff, children, and the community-as-a-whole, that can counteract the biological, affective, cognitive, social, and existential wounds suffered by the children in care.

The aims of the Sanctuary Model are to guide an organization in the development of a culture with seven dominant characteristics all of which serve goals related a sound treatment environment:

• Culture of Nonviolence - building and modeling safety skills and a commitment to higher goals.
• Culture of Emotional Intelligence - teaching and modeling affect management skills.
• Culture of Inquiry & Social Learning - building and modeling cognitive skills.
• Culture of Shared Governance - creating and modeling civic skills of self-control, self-discipline, and administration of healthy authority.
• Culture of Open Communication - overcoming barriers to healthy communication; reducing acting-out; enhancing self-protective and self-correcting skills; and teaching healthy boundaries.
• Culture of Social Responsibility - rebuilding social connection skills and establishing healthy attachment relationships.
• Culture of Growth and Change - restoring hope, meaning, and purpose.

Sanctuary Model was not designed with a child component.

Sanctuary Model was not designed with a parent/caregiver component.

Sanctuary Model was not designed to be conducted in a group setting, and has not been tested for use in a group setting.

Recommended Intensity:

This program is not a client-specific intervention, but a full-system approach that targets the entire organization. The focus is to create a trauma-informed and trauma-sensitive environment in which specific trauma-focused interventions can be effectively implemented.

Recommended Duration:

This question is not applicable for this program.

This program is typically conducted in a(n):

• Hospital
• Residential Care Facility

This program does not include a homework component.

Sanctuary Model does not have materials available in a language other than English.

The typical resources for implementing the program are:

The resources for implementation vary by organization. Organizational change can happen without direct dollars, however, a core team and leadership must spend time on process.

The minimum qualifications for an organization to participate are a fundamental readiness to change the way it does business and an enlightened leadership team that is willing and able to lead this change process.

There is not a manual that describes how to implement this program; but there is training available for this program.

Training Contact:

• Brian Farragher
  Andrus Center for Learning & Innovation

Training is obtained:

Organizations interested in the program are encouraged to attend an information session. The information session provides an in-depth firsthand view of implementation of the model. If an agency deems itself ready to commit to the full implementation, the agency is subjected to a rigorous initial assessment. The assessment includes reflections from leadership on their readiness and willingness to implement the model, and an on-site visit from a trainer to better assess the organization's culture. Commitment to implement the model is a prerequisite for training.

Training then takes place on the grounds of the Andrus Children's Center. Agencies are asked to bring a core team of individuals who will be used within the organization to implement the model. Agencies and their core team take part in a 5-day intensive training process covering all aspects of implementation of the model. Agencies are then offered two additional years of consultation.

Number of days/hours:

The training lasts 5 days and is followed by a 30-month consultation period.

Additional Resources:

There currently are additional qualified resources for training:

Sanctuary Leadership Development Institute, Andrus Children's Center, Center for Learning & Innovation

This program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

Child Welfare Outcome: Child/Family Well-Being