1st Edition

Psychologically Informed Environment Principles in Adult Residential Care

By Iain Boag Copyright 2020
    144 Pages 4 B/W Illustrations
    by Routledge

    As pressure grows on care managers and staff to work with ever more complex needs, this book is a timely account of how introducing the Psychologically Informed Environment (PIE) principles into a care home will improve work practice and outcomes for residents.

    The PIE approach enables staff to:

    • Have improved understanding of residents' needs
    • Better understand how to respond effectively to complex behaviour
    • Introduce trauma-informed practice into their work
    • Improve staff support and morale
    • Improve outcomes for even the most hard to reach clients

    Reflecting on one care home’s journey to becoming a PIE this book shows how low-cost, high-impact interventions delivered on the frontline can have far reaching effects on the wellbeing of residents, staff and wider culture of the care environment. It will be of interest to all professional, academics, policy-makers and students working in the fields of adult social services and health and social care more broadly.


    Chapter One - Highwater House

    Chapter Two - What is a Psychologically Informed Environment (PIE)?

    Chapter Three - Trauma-Informed Care

    Chapter Four - Relationships

    Chapter Five - Reflective Practice

    Chapter Six - Elastic Tolerance

    Chapter Seven - Psychological Awareness

    Chapter Eight - Environment

    Chapter Nine - Evidence

    Chapter Ten - Rules, Roles, and Responsiveness (The 3 Rs)

    Chapter Eleven - Staff Support and Training




    Iain Boag has worked in the homeless and residential care sectors since 2001, he is Head of Residential Care Services at St Martins in Norwich. Almost 20 years' experience of working on the frontline of homeless and care services has given him invaluable insight into the challenges that homelessness, substance misuse and poor mental health bring, and of how best to support people with complex needs. Specialising in working with dual-diagnosis, Iain is committed to improving outcomes for the most marginalised and hard to reach.

    Iain lives in Norwich with his wife and two children.