This Youth journal article by the Scottish Children’s Reporter Administration highlights the care trajectories and experiences of 5-11-year-old children in therapeutic residential care facilities in Scotland. The results indicate that small-group residential care services which adopt social pedagogical and psychotherapeutic approaches were considered beneficial for addressing the needs of younger children with significant trauma histories. The article also highlights the need for more comprehensive training for foster carers when supporting children with complex trauma, and access to paediatric mental health services.