Services
consultation and supervision

Clinical support to care providers

Helping residential homes, fostering services, and schools to become truly therapeutic

Transforming trauma theory into therapeutic practice 

Smaller settings often provide the stability and relationships that make therapeutic work possible, but many don’t have the budget for in-house therapeutic support.  

MCTS brings together over 30 years of expertise and experience in therapeutic residential care, fostering and education to support care providers in developing and delivering an integrated clinical model. Our approach has already shown impact, including 9.9% fewer placement breakdowns in a service using our model.

HAVEN'T USED

What we offer you 

We help care providers deliver complex placements in a sustainable way, leading to better long‑term outcomes for young people. Our integrated clinical package brings together a wide range of support, delivered by a dedicated clinician who is trained in Attachment & Trauma Informed Care (ATIC™) and employed and supervised by us. They are present in your service throughout the week, ensuring daily routines, team culture, and decision‑making are guided by trauma‑informed thinking. 

Crucially, we support providers to structure placement fees so that the cost of our service is covered by the placing authority. 

Included in our support…

  • The clinician

A highly experienced HCPC-registered psychologist or UKCP-registered psychotherapist working alongside your team throughout the week.

  • Therapy for young people

Weekly individual therapy for children in residential care, drawing on evidence-based interventions and our tri-phasic model of treatment.

  • Family support

Therapeutic parenting advice, support, and family therapy for parents and carers, where appropriate.

  • Reflective practice

Weekly or monthly reflective sessions led by the clinician to help staff integrate trauma-informed thinking into everyday practice.

  • Leadership supervision

A weekly space for managers and the clinician to think together about how therapeutic approaches can be embedded from the top down.

  • Staff wellbeing

Regular monitoring of staff wellbeing to reduce turnover and increase job satisfaction.

  • Psychological wellbeing screening assessments

Robust assessments for every young person, reviewed every 12 weeks and repeated annually to track progress and guide care.

  • Integrated referrals and matching

A joined-up matching approach to ensure each placement is the right fit at the right time.

  • Amber and Red Flag meetings

Proactive placement-stability meetings act as an early warning system to prevent breakdowns.

  • Learning from unplanned endings

A structured process for understanding and learning from placement endings and breakdowns when they occur.

  • Policies and procedures support

Guidance to ensure your policies, processes, and procedures are attachment and trauma informed.

  • Therapeutic care training

Foundation, intermediate, and advanced training for staff in therapeutic care approaches (optional add-on).

Small provider, big clinical package

By working in genuine partnership, we deliver a robust, therapeutic, wraparound package for young people with the highest levels of need—without creating heavy overheads for the provider.

The clinician is present in the home or service throughout the week, not just for a single therapy session. This enables every aspect of service delivery and daily operations to be psychologically informed.

Our packages are proven to reduce traumatic placement breakdowns for young people and strain on providers from repeated unsuitable placements.

Our fully integrated support helps you to...

  • Provide joined up therapeutic care, every hour of the day

The team collaborates with staff, managers, the placing authority, and the family to maximise therapeutic impact—not only during the young person’s weekly therapy hour, but across the remaining 23 hours of each day.

  • Enhance staff satisfaction and retention

A strong focus on therapeutic organisational culture and team wellbeing enhances staff satisfaction and retention, creating greater consistency and stability for the young people.

  • Benefit from external accountability

With the clinical team employed and supervised by MCTS, providers benefit from independent oversight, increased accountability, and reduced long-term cost commitments.

Expand your service offering and demonstrate real impact

  • A data-driven approach

Regular clinical monitoring, specialist assessment, and ongoing evaluation of each young person’s psychosocial needs enable us to standardise best practice and robustly measure the effectiveness of both staff and the wider service. This level of evidence-based oversight aligns strongly with Ofsted and CQC expectations.

  • A stronger offer that stands out to commissioners

Ofsted recently reported that 91% of local authorities struggle to find suitable homes for young people with complex needs. Services using ATIC™ have been able to provide the attachment and trauma informed support that’s urgently needed, with one provider seeing 9.9% fewer placement breakdowns as a result.

  • Business development opportunities

Specialist therapeutic placements can create room for a healthier margin within placement fees. This gives providers the freedom to strengthen and grow their services, invest in staff, and make decisions based on the needs of young people, rather than financial pressure.

online therapy and assessments

All about Attachment & Trauma Informed Care (ATIC™)

Our robust ATIC™ model is proven, delivering results for over a thousand families since 2018.

It is a specialist, fully integrated clinical model for high-need placements. Developed by MCTS, it is used nationwide, delivering measurable impact.If you are in a caring role, you will know firsthand the impact that trauma, abuse, neglect, or other adverse childhood experiences can have on a young person’s growth and development. It might show up through behaviours that are challenging for you to handle, or it might be difficult to understand why your young person thinks or communicates the way they do.

We believe that relationships are the key to overcoming difficult early life experiences and growing confidence, skills, friendships, and opportunities.

With a rock-solid base in neurological science and methods backed by decades of research and experience, ATIC™ means creating a carefully planned out and loving therapeutic environment for young people in your care to heal from past experiences.

Delivering ATIC™ includes an embedded clinician for reflective practice and supervision, standardised therapeutic assessments (ASA, SSAP, CDC), staff training, support and competency frameworks and data-led outcome tracking. Together, these elements make highneed placements safer, stronger, and more successful.

Talk to an ATIC expert
online therapy

Why commissioners choose ATIC™

Our approach is already making a measurable difference for young people, staff, and services. Recent data shows:

  • In 2022 we saw 9.9% fewer placement breakdowns in an ATIC-supported service, compared to one without.
  • Reduced reliance on A&E attendance, hospital admissions and inpatient stays.
  • Reduced pressure on CAMHS – in-house clinical package means CAMHS was only utilised for medication review across residential settings in 2023.
  • More providers able to take complex referrals.
IQ assessment

MCTS works alongside us to build brighter, healed futures for our young people. MCTS provides in-depth formulation plans, evidences progress, and guarantees transparency to external professionals

Care Provider

Tammy’s Story

An anonymised case study of a young person placed in a home with MCTS support. 

On arrival: Tammy (17) is a looked after child who experienced an adoption breakdown. She has had several episodes in an inpatient mental health setting and came to us following a breakdown in her previous placement due to challenging behaviour. She has diagnoses of autism, ADHD, “emerging emotionally unstable personality disorder” and a history of self-harm and suicidal ideation. This is her progress after one year…

Phase 1: Safety and Stabilisation: Tammy is consistently demonstrating markers of increased safety and stabilisation.  

  • She is increasingly feeling safe and calm in her body and there is a marked increase in her ability to regulate her survival responses.  
  • She is showing increasing capacity to recognise, identify, label, and express her emotions.
  • She has built trusting relationships with most team members and can reflect on times when she projects anger or mistrust onto particular individuals.  
  • She is now consistently able to engage in repair following relationship rupture with team members.  
  • She is beginning to explore her social skills in 1:1 relationships.  
  • She continues to develop her management of dissociation and is increasingly able to sit with difficult feelings in a regulated way. 

This is an excellent indicator that she is ready for deeper therapeutic work, including exploration of traumatic life experiences. 

Phase 2: Integration and therapeutic-focused working

In the mid-phase of the placement we focus on key areas specific to the young person. For Tammy, this included understanding herself and her needs, processing difficult life experiences, making links between the past and the here-and-now, and experimenting with different ways of relating. It also included work on specific mental health symptoms, low mood, anger, anxiety, and relationships. 

Phae 3: Future focus

Tammy is showing increased markers of integration, confidence, and security within herself. She has not had to use CAMHS support or attend hospital for a whole year. We are now supporting her to consider her next steps beyond the residential setting. This includes a focus on developing a solid and healthy sense of self and engaging in activities and relationships that are meaningful and fulfilling, as well as a focus on independent living skills and transitions. 

Book your free 20 minute consultation

If you are part of a residential service, fostering agency, school or a care commissioner and you share our core values, we’d welcome a conversation.  

Get in touch for a friendly, no obligation chat to explore how our clinical support could strengthen your offer and improve outcomes for young people.

Get in touch

FAQs

We help you to restructure your placement fees for new young people moving in, so that the cost of our services is covered by the placing authority. Bespoke spot purchase prices are also available on request, depending on the needs of your service.

MCTS employs and supervises the clinicians, but you are involved throughout the recruitment process to ensure a good fit for your service. This means you get an in-house clinical team, tailored to your needs, but without the overheads of employing your own staff. 

Our integrated clinical and therapeutic support package offers specialist psychological consultation, guidance and support to staff teams working with children and young people who have experienced trauma. It focuses on strengthening understanding, improving practice, and ensuring care is safe, consistent and therapeutically informed. You provide the care, we provide the clinical and therapeutic support to your young people and their families, your staff team, managers and the organisation as a whole.

ATIC (Attachment and Trauma Informed Care) is our structured, research‑informed model developed from over 30 years of clinical and operational experience. It brings together evidence‑based practice, clear principles and consistent ways of working that every MCTS clinician follows. The full ATIC model includes therapy for service users and families, reflective practice with staff, supervision with leaders and managers, assessment, formulation and treatment oversight, 12 weekly assessment and review of treatment plans, support with risk management, policies and procedures. 

All MCTS clinicians are supported and overseen by senior clinicians within our ATIC framework. This ensures their work is consistent, evidence‑based and quality‑assured – you are never dependent on one individual’s personal style or interpretation.

You can, but you then rely entirely on their own training, experience and professional judgement. Without clinical expertise in‑house, it can be difficult to guide, supervise or quality‑assure their work. MCTS provides a whole team, a structured model, and built‑in clinical governance, ensuring consistency and safeguarding against single‑person dependency. 

Our work is grounded in trauma theory, attachment research, neurodevelopmental science and psychological practice. The ATIC model brings this evidence together into a consistent, structured way of working that is understood and applied across the whole clinical team.

Yes. We provide consultation and guidance following incidents, during periods of escalation, and when teams need rapid clinical insight. Our aim is to support staff understanding, stabilise situations and guide safe, trauma‑informed responses. 

We provide clear feedback, reflective summaries and measurable outcomes aligned to your goals. Services typically see improvements in staff confidence, skills, and knowledge, consistency of practice, placement stability and the quality of everyday care.

We work with residential children’s homes, fostering agencies, supported accommodation, outreach services, specialist education settings, and local authorities. Support is tailored to the needs, size and context of each service.

Your dedicated clinician is present in your service throughout the week, offering a fully integrated approach rather than occasional or ad‑hoc visits. This enables daily routines, team culture and decision‑making to be guided by trauma‑informed thinking. Support typically includes weekly individual therapy for young people, weekly or monthly reflective practice for staff, weekly leadership supervision for managers, ongoing day‑to‑day consultation while embedded in the home/service, regular wellbeing monitoring for staff, 12‑weekly clinical assessments for every young person, amber/red Flag meetings when early warning signs arise, and crisis or incident debriefs as needed. In short: you receive consistent, multi‑layered clinical support every week, woven directly into the daily life of your service.

Yes. As part of our integrated clinical package, every young person in care receives weekly individual therapy, delivered by a highly experienced HCPC‑registered psychologist or UKCP‑registered psychotherapist. Therapy is based on evidence‑based interventions and our tri‑phasic model of treatment, ensuring sessions are safe, structured and clinically robust. 

But the support doesn’t stop at the therapy hour. Because the clinician is embedded in the service throughout the week, they also work with staff, carers and managers, ensuring that therapeutic thinking is reflected across the remaining 23 hours of each day.

Yes – absolutely. You don’t need to adopt the full integrated model to access support from us. Many providers begin with smaller, targeted pieces of clinical input, such as reflective practice sessions for staff teams, therapy for a specific young person, consultation around a complex case, behaviour, or placement, leadership consultation for managers needing clinical guidance, or crisis or incident debriefs. These standalone elements can offer immediate stability, insight and improved consistency while you consider whether a fuller clinical package might be helpful in the future.

That’s absolutely fine – and actually very common. We regularly work alongside in‑house clinicians to strengthen or supplement what they offer. We’re not here to replace your clinician – we’re here to enhance what’s already working, fill any gaps and provide an evidence based model of practice that works. If you choose to become an ATIC integrated service, we would provide training, guidance, supervision and development for your clinician/s, in line with ATIC principles. 

Related news