TipToes Therapy
Tiptoes CTS and Full Circle Care became partners as a result of the shared belief that the holistic needs of young people must be met in a consistent manner whilst also addressing the deficits in their own early core experience and impact of their own trauma history.

In order to face and address their complex behaviours, our young people require stability, containment, clear boundaries and services that model best practice. To that end we developed a Triad of care that provides a coherent approach to the delivery of care.

The Triad of Care

The three key components of the care triad are:

  1. The residential provision, who retain a a non-judgmental stance and use relationship building and observational skills to identify examples of both safe and unsafe behaviours in order to model appropriate responses
  2. The educative service who use bespoke and creative methods to engage residents and maximize their learning potential
  3. The therapeutic input who provide the external balance to the services provided by Full Circle Care

These are integrated elements that meet regularly to plan, review and evaluate the young peoples care packages.

Given that our young people may present different facets of themselves in different settings, working together the Triad, as a coherent team, utilise excellent communications and an understanding of roles and commitment to reduce conflicting messages.

Risk Management and Safeguarding

Tiptoes works closely with the care provision at Ashlea House to ensure that the Risk Management plans reflect accurately each individuals needs whilst allowing and enabling the young people to demonstrate the levels of control they develop over their own behaviour.


At Ashlea House it is imperative that all of our Young People feel safe and secure. The “containing environment” is a coherent theme that stems from a therepeutic principle and is replicated in both the residential and educative environments.

Containment is the use of routines and boundaries to build the sense of safety and security often absent from the young people’s family environments. The basic tenet is to build a non-judgmental and non-punitive environment that encourages relief and minimizes the contra-indicatory impact of shame.

Assessment and Psychodynamic Formulation

Assessments incorporate a multi- agency approach designed to build a comprehensive understanding of the Young People’s backgrounds and includes relevant screening and psychometric tests. This 16 week assessment is concluded with a full report that is translated into a Psychodynamic Formulation that will guide not just the therapy but the care package to be delivered to the young person.

A Therapy Service Provided by experienced, dual qualified and registered therapists

Our service is unusual in that the clinicians are both experienced and qualified therapists as well as being registered social workers. The range of therapies on offer enables the young people to have tailor made developmentally congruent interventions that treats them as unique individuals with differing strengths and needs. CBT models, risk management and relapse prevention models are all incorporated into the recovery work but the over-riding emphasis is humanistic in nature.

A Traumagenics and Attachment Model

The therapeutic intervention takes a holistic approach ensuring all remedial work is highly effective. Our service focuses on the emotional, neurological and trauma using a range of therapies including NDPT, Directive Play Therapy and EMDR to facilitate change.

Incorporating the AIM intervention Model, Good Lives Model, the Change for Good Models and Psycho-education

A Programme of intervention is introduced at the point that the young persons trauma defences have been managed. The intervention is designed to limit shame and build on strengths, personal autonomy and self-belief whilst addressing the young persons own harmful impact on others. The key areas from current models are adapted to make sense to each individual. Progress is monitored and shared with the school and residential teams to ensure that change, regression or stuckness can be monitored in all three facets of the service provision.

On arrival at Ashlea House each Young Person is allocated their own functional and spacious bedroom with en-suite bathroom facilities which is fully-furnished to an excellent standard.