Health care in residences and secure facilities

The evidence review, known as an ‘evidence scan’, was commissioned in support of a review of the health service we provide in our residences.

Researchers used evidence from 10 international studies and 4 reports from New Zealand. They reviewed the evidence against 4 key questions:

• What are the current models of health care being used in secure facilities for young people?
• What are the key differences?
• What are young people’s experiences?
• What disciplines are essential?

The researchers used a comparative table to present their high level findings.

International models of health care in secure residences vary widely.

The most effective approaches are:

• integrated
• trauma-informed
• culturally responsive
• supported by multidisciplinary teams.

These models promote continuity of care, youth voice, and long-term wellbeing. They also address systemic barriers and ensure equity.

The findings also reinforced the:

• importance of integrated, trauma-informed approaches
• value of multidisciplinary teams
• need for culturally safe, youth-centred care that continues beyond age 18.

We will use the findings to guide the development of a more connected and culturally grounded health service model. This will better meets the needs of children and young people in secure care.