Work

Exploring staff perspectives of working in secure care accommodation for young people: A systematic review of qualitative research

Year: 2025

Type: review

Abstract: Background Secure care accommodation is a constantly evolving, challenging work environment where staff must adapt quickly, often with limited training. High turnover and burnout are common, driven by poor working conditions, stigma, and the complex needs of residents. This review explores staff experiences, focusing on safety, wellbeing, and the challenges of caring for vulnerable young people. Methods A systematic review was conducted following PRISMA guidelines. Studies were identified by searching five online databases in October 2024. Two authors independently assessed study quality and risk of bias using the Crowe Critical Appraisal Tool. Results Thirteen studies were identified, revealing four key themes: safety and wellbeing in a high-risk environment, young people in their care, interpersonal relationships and therapeutic approaches, and staff working environment. Staff faced difficulties balancing safety and therapeutic care, particularly when control measures limited effective interventions. The complex needs of youth, including trauma and self-harm, necessitated tailored care, though inadequate staff training was a barrier. Strong staff-youth relationships and a non-authoritarian approach were crucial for emotional growth, while emotional regulation was essential for staff in their everyday work. Structured training and a supportive environment improved staff wellbeing and care quality. Conclusions Our findings emphasise the challenges staff encounter, including insufficient training and lack of support. The study highlights the need for enhanced training, greater emotional support, and a relational, empathetic approach. Creating a more supportive environment for staff could improve their wellbeing and enhance the quality of care, fostering a safer, more constructive atmosphere for both staff and residents.

Source: Children and Youth Services Review

DOI: 10.1016/j.childyouth.2025.108511

Authors: Carolyn Thomas, Graham Walker, Jason Lang, Helen Smith

Institutions: University of Dundee, Ninewells Hospital, National Health Service Scotland, University of Glasgow

Language: English

Topic: Social Work Education and Practice

Subfield: Public Administration

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: hybrid

Estimated APC paid: $4,000