Trauma informed care (TIC) is a whole system organisational change process which emerged from the seminal Adverse Childhood Experiences (ACE) study, establishing a strong graded relationship between the number of childhood adversities experienced and a range of negative outcomes across multiple domains over the life course. To date, there has been no systematic review of organisation-wide implementation initiatives in the child welfare system. As part of a wider cross-system rapid evidence review of the trauma-informed implementation literature using systematic search, screening and review procedures, twenty-one papers reporting on trauma-informed implementation in the child welfare system at state/regional and organisational/agency levels were identified. This paper presents a narrative synthesis of the various implementation strategies and components used across child welfare initiatives, with associated evidence of effectiveness. Training was the TIC implementation component most frequently evaluated with all studies reporting positive impact on staff knowledge, skills and/or confidence. The development of trauma-informed screening processes, and evidence-based treatments/trauma focused services, where evaluated, all produced positive results. Whilst weaknesses in study design often limited generalisability, there was preliminary evidence for the efficacy of trauma-informed approaches in improving the mental and emotional well-being of children served by community-based child welfare services, as well as their potential for reducing caregiver stress and improving placement stability.

Social work practice has an essential, yet ambiguous, relationship with theory. This state of affairs is currently evident in the range of contemporary relationship-based practice (RBP) models being applied within Child and Family Social Work. This article argues that there is an urgent need for a theoretically coherent conceptualisation of these models to enable social work practitioners to embrace their common precepts and so enable more effective interventions. In contrast to attempts to show the distinctiveness of current models for reasons of fidelity, model identity and marketing, this unifying approach advocates for recognition of the commonality and complementarity of contemporary RBP models. The article argues that systemic theory which applies a social constructionist orientation can provide this coherence, helping social workers develop their practice in an informed way. In making this case, the emergent evidence base is noted and recommendations are made about how greater convergence and complementarity can be promoted. This article contributes to the debate about how practice and policy should be guided by theoretical ideas of coherence, alongside more utilitarian ideas advocating the importance of evidence and effectiveness.

Background: Children and young people living in and leaving care are known to have experienced significant childhood adversity and trauma resulting in potentially deleterious impact on their health and well‐being across the life course. Studies point to the complex needs of this population who may benefit from allied health professional (AHP)‐related support with limited studies located. This review sought to address this gap by systematically scoping empirical literature focused on the provision of AHP support to this cohort of children and young adults to assist an understanding of the service needs for this vulnerable population.Methods: This scoping review followed Arskey and O′Malley's five steps framework (2005) to identify and review relevant literature. A focus on identifying the evidence, challenges and gaps in research relating to AHP support for children and young people living in and leaving care was initially agreed, followed by a systematic search using a combination of three key concepts to identify relevant studies in five AHP disciplinary areas to identify best evidence in the past decade (2011–2021). Study inclusion criteria were based on empirical studies of children and young people living in care (0–17 years) and leaving care (18–25 years). A data extraction table was formulated as a means of charting the data, aligned with the scope and objectives of this review. Finally, data were subsequently collated, synthesised and reported based on key thematic areas emerging from included studies regarding AHP support to children and young people living in and leaving care.Results: A total of 13 studies met the review inclusion criteria. Included studies reported specifically on speech and language therapist (SLT; n = 5), occupational therapist (OT; n = 3) and arts‐based therapies (n = 5). No studies were identified with regard to the use of physiotherapy and dietetics with this population. Results indicated that children and young people living in and leaving care have high rates of speech, language, communication and sensory needs. More rigorous screening, assessment and early intervention were identified as essential for this vulnerable group. Increased multidisciplinary collaboration and OT support for young adults in preparation for transition to independent living was identified as an urgent requirement. Included studies indicate promising results in relation to access to arts‐based therapies with particular reference to identity formation for children and young people living in and leaving care.Conclusions: Although evidence of effectiveness remains limited, AHP service provision (specifically speech and language therapy, occupational therapy and arts‐based therapies) has the potential to contribute positively to addressing the complex and interacting needs of this vulnerable population. As a result, it is recommended that AHP service provision is integrated into the collaborative, multidisciplinary care available to children living in and leaving care. More extensive, higher quality research related to the benefits of AHP provision for this population of children and young people is essential to provide a more robust evidence base across the various professional disciplines that constitute allied health provision.

Personal and Professional Development (PPD) has been long considered a central component of counselling and psychotherapy training. Key literature in respect of PPD approaches for psychotherapy training is reviewed, and the scant literature specifically relating to systemic psychotherapy noted. The ‘Four Selves’ PPD Framework, developed in Northern Ireland by the lead author as part of qualifying‐level Systemic Psychotherapy training, is presented, including its diagrammatic representation, constituent elements and an illustrative example. This is followed by guidance from the PPD tutor (lead author) based on her experience of utilising the Framework to facilitate tailored PPD sessions across the two‐year clinical Masters programme aimed at enhancing trainee self‐reflexivity, supplemented by feedback on the ‘model‐in‐practice’ from a recent cohort of students. The article concludes by encouraging readers to consider the applicability of The ‘Four Selves’ PPD Framework to their own psychotherapy training contexts.

Recent national and international events have shone a spotlight on structural inequalities and institutionalised racism, igniting a contemporary struggle for equality and evoking the UK systemic community to affirm its commitment to social justice and anti‐racism. This article sets the scene by examining how systemic theory and research have historically addressed racial inequality and cross‐cultural practice, before describing a small but pioneering qualitative study which explored the practice of cultural sensitivity via in‐depth interviews with five experienced systemic psychotherapists in Northern Ireland (NI). While confirming some similarities with other UK regions, tentative but important nuanced differences emerged in the NI context given its protracted history of sectarian division, political conflict, and more limited immigration. Self‐imposed ‘silence’ with regard to one's own religious/cultural identity in the context of the NI political conflict emerged as a key theme, alongside therapist under‐explored Whiteness; theoretical paradoxes influencing therapist reticence; and perceived therapeutic benefits of exploring cultural differences and lived experience of racism. Study limitations and implications are discussed, identifying the need for further research and renewed efforts (in theory, training, and practice) to assist therapists to break the ‘culture of silence’ in their local sociopolitical context and address wider social inequities.