Skip to main content

Research Repository

Advanced Search

The Rivers Centre in Scotland: An Attachment‐Based Service Model for People With Complex Posttraumatic Stress Disorder

Fyvie, Claire; Easton, Paula; Moreton, Gill; McKeever, Jenny; Karatzias, Thanos


Claire Fyvie

Paula Easton

Gill Moreton

Jenny McKeever


The Rivers Centre in Edinburgh, Scotland (United Kingdom) operated for nearly 20 years as a traditional specialist trauma service, delivering psychological therapies to an adult population affected by trauma. Embedded in a health and social care system whose characteristics were unhelpful for people with histories of insecure attachment experiences, the Rivers Centre aimed to find a different way of working, and in January 2017, it relaunched with a new model of service. The aim of this paper is to describe the new service model from an organizational perspective in the context of attachment theory. At the heart of the model is the premise that to be effective, a trauma service needs to provide people with an alternative model of attachment. Early signs from service audit data indicate that an attachment‐based way of working can improve engagement and can provide a supportive and responsive environment in which people can learn to recover.


Fyvie, C., Easton, P., Moreton, G., McKeever, J., & Karatzias, T. (2019). The Rivers Centre in Scotland: An Attachment‐Based Service Model for People With Complex Posttraumatic Stress Disorder. Journal of Traumatic Stress, 32(6), 864-869.

Journal Article Type Article
Acceptance Date Sep 7, 2019
Online Publication Date Nov 15, 2019
Publication Date 2019-12
Deposit Date Sep 9, 2019
Publicly Available Date Nov 16, 2021
Journal Journal of Traumatic Stress
Print ISSN 0894-9867
Electronic ISSN 1573-6598
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 32
Issue 6
Pages 864-869
Keywords Rivers Centre; trauma care; new service model; attachment theory; Complex PTSD (CPTSD)
Public URL


The Rivers Centre In Scotland: An Attachment Based Service Model For People With Complex PTSD (CPTSD) (129 Kb)

Copyright Statement
This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

You might also like

Downloadable Citations

Whoops, looks like something went wrong.