Therapeutic residential care services in Australia

A description of current service characteristics
CFCA Paper No. 52 – August 2019

Appendix B: Survey questions and response options

Table: Survey questions and response answers
Survey question Response option
1. What is the name of your organisation? Text response
2. Is your agency funded to provide therapeutic residential care? 1. Yes 

2. No

3. Does your agency provide therapeutic residential care? 1. Yes 

2. No

4. Which of the following best describes your role in the agency? 1. CEO/Area manager 

2. Service manager

3. Staff supervisor

4. Quality manager

5. Frontline worker

6. Therapeutic specialist

  If your position does not match one of the above options, please provide your role in the box below. Text response
5. Your organisation may provide services in more than one state or territory. 

We would like you to provide information for one state or territory per survey.

Which state or territory are you providing information about?

1. Australian Capital Territory 

2. New South Wales

3. Northern Territory

4. Queensland

5. South Australia

6. Tasmania

7. Victoria

8. Western Australia

6. How many therapeutic residential care homes does your service run in this state/territory? Numeric entry
7. Can you estimate how many young people in total your service provides care for in this state/territory? (Estimate the total number of young people in all your residential homes combined.) Numeric entry
8. Can you estimate the average number of young people you would have in any one residential home? (Provide a comment, if needed.) Text response
9. How is your service funded? (e.g. block funding, individual packages) Text response
10. What are the most common care arrangements for young people in the homes run by your service? Please number each box in order of preference from 1 to 5 

1. Voluntary care orders

2. Other person guardianships

3. Temporary/assessment orders

4. Young people with mixed care arrangements

5. Guardianships to age 18

  If your service uses any other common care arrangements, please describe them in the box below. Text response
11. What are the most common characteristics and/or primary support needs of the young people in the homes run by your service? Please select at most 5 answers 

Please number each box in order of preference

1. Disability

2. Sibling group

3. ATSI

4. CALD

5. Intellectual disability

6. High risk/offending

7. Children under 12

8. Males only

9. Females only

10. Mixed gender home

  If the young people in the homes run by your service have any other common characteristics and/or primary support needs, please describe them in the box below. Text response
12. What are the main therapeutic aims of your service? What is the main purpose for which a young person is placed in your service? Please select at most 5 answers 

Please number each box in order of preference

1. Intensive mental health treatment

2. Providing a permanent home until age 18

3. Emergency care

4. Short-term care; with aim to place in foster home

5. Short-term care; with aim to reunify with family

6. Recovery from trauma

7. Daily care/containment

8. Re-connection with education

9. Re-connection with family

10. Transitioning to independent living

11. Transitioning from secure care (e.g. bail housing)

12. Supportive placement of family group

13. Needed placement following foster placement breakdown

  If there are any other main therapeutic aims of your service, please describe them in the box below. Text response
13. How many homes run by your service are located in the following areas? Please provide numbers for each type. 

Please answer only for the state or territory that you are providing information about.

a. Metro?

b. Regional?

c. Rural?

Numeric entry
14. Some residential care services are delivered in small co-located groups of homes (clusters); some in larger free-standing facilities and some in smaller homes located in the community. For each of the configurations listed, please indicate how many homes your service has. 

Please answer only for the state or territory that you are providing information about.

a. Home clusters?

b. Free-standing facilities (campus-style larger facility)?

c. Free-standing homes?

Numeric entry
15. Please provide any further details on the set-up of the homes run by your service if required. Text response
16. What is your staffing model and your typical staffing configuration? 

If your service uses more than one staffing model, please select the most common model.

1. Live in-house parents 

2. House parents and staff support

3. Rostered staff model

4. Other

5. Don't know

  If your service uses a staffing model not listed above, please describe your staffing model in the box below. Text response
  If you are unsure, please provide what information you can about your staffing model in the box below. Text response
17. What shift rostering model do you use? 

If your service uses more than one shift rostering model, please select the most common model.

1. 8 hour 

2. 24 hour

3. Active

4. Passive

5. Other

6. Don't know

  If your service uses a rostering model not listed above, please describe your rostering model in the box below. Text response
  If you are unsure, please provide what information you can about your rostering model in the box below. Text response
18. What overnight staffing model do you use? 

If your service uses more than one overnight staffing model, please select the most common model.

1. Active 

2. Passive

3. Other

4. Don't know

  If your service does not use one of the overnight staffing models listed above, please describe your overnight staffing model in the box below. Text response
  If you are unsure, please provide what information you can about your overnight staffing model in the box below. Text response
19. Does your agency have a formal policy regarding a minimum ratio of workers to children? 1. Yes 

2. No

3. Don't know

20. If answered yes to Q19 

What is the ratio?

Text response
21. If answered no to Q19 

What ratio of workers to children does your service aim for when drafting the staff roster?

Text response
22. Does your agency require a minimum level of qualification for direct care staff? 1. Yes 

2. No

3. Don't know

23. If answered yes to Q22 

What is the minimum qualification required from your staff?

Text response
24. If answered no to Q22 

What selection criteria do you use when recruiting staff? Describe your selection criteria.

Text response
25. What formal training do you require direct care staff to complete? Text response
26. Please provide comment on what your service does (if anything) to minimise staff turnover? (e.g. rostering initiatives, financial initiatives, professionalisation of the role) Text response
27. What is your service-wide therapeutic framework (if any)? 

A therapeutic framework guides staff recruitment, policies, procedures and understanding of a young person's behaviour and needs.

1. Trauma-informed care 

2. Sanctuary

3. CARE

4. Hope and Healing

5. Other

6. Don't know

7. None

  If your service uses a therapeutic framework not listed above, please describe it in the box below. Text response
  If you are unsure, please provide what information you can about your therapeutic framework in the box below. Text response
28. What therapeutic model does your service use (if any)? 

A therapeutic model guides daily interaction with young people, provides an understanding of their specific needs and shapes activity planning.

1. Teaching family model 

2. Positive peer culture

3. Attachment model

4. Behavioural/token economy

5. Developmental model

6. Social learning model

7. Other

8. Don't know

9. None

  If your service uses a therapeutic model not listed above, please describe it in the box below. Text response
  If you are unsure, please provide what information you can about your therapeutic model in the box below. Text response
29. Does your organisation have a formalised crisis intervention model? 

A crisis intervention model is what staff draw on when responding to escalating behavioural responses or reactive aggression.

(e.g. TCI = Therapeutic Crisis Intervention, NVCI = Non violence crisis intervention)

1. Yes 

2. No

3. Don't know

  Please describe your formalised crisis intervention model 

(e.g. TCI = Therapeutic Crisis Intervention, NVCI = Non violence crisis intervention)

Text response
30. What are the main staff activities you use in your programs? 

Staff activities are the staff-initiated activities and programs that are intended to support young people's development.

Please select at most 5 answers 

Please number each box in order of preference

1. Family therapy/family connection

2. Educational/vocational programming

3. Recreational programming

4. Sensory activities/programming

5. Resident meetings

6. Living skills training

7. Sporting activities/training

  If there are any other main staff activities you use in your programs, please describe them in the box below. Text response
  If you are unsure of the main staff activities used in your programs, please provide what information you can in the box below. Text response
31. What are the main activities that young people take part in as part of your program that are directed towards meeting their needs? Please select at most 5 answers 

Please number each box in order of preference

1. Mentoring

2. Educational/vocational programming

3. Group education sessions

4. Learning independent living skills

5. Community volunteering

6. Part-time work

7. Tutoring

8. Sporting activities

9. Cultural activities

  If there are any other main activities that young people take part in as part of your program, please describe them in the box below. Text response
  If you are unsure of the main activities that young people take part in as part of your program, please provide what information you can in the box below. Text response
32. In your view, which young people benefit the most from therapeutic residential care? Text response
33. In your view, which young people are not suited to therapeutic residential care as it is currently designed and funded? What kinds of changes to therapeutic residential care could make it more effective for these young people? Text response
34. How might therapeutic residential care be improved to better accommodate the needs of young people? (e.g. legislative changes, more intensive clinical models, funding models, capacity for secure care, etc.)? Text response
35. Do you have any other comments you would like to make about therapeutic residential care in Australia? Text response