Clinical Practice at the Edge of Care: Developments in Working with At-Risk Children and their Families.
xiv, 255 p.
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This book brings together psychological and psychotherapeutic contributions to clinical practice with children at the edge of care and their families. Following an introduction that defines what is meant by children at the edge of care, Chapter 2 focuses on the conceptualization of assessment as an interventive activity, the theoretical and research base for taking this approach in edge-of-care practice, and recommended models and methods of interventive assessment. Chapter 3 considers the relevance of the theory and practice of systemic consultation to understanding and influencing edge-of-care contexts. Chapter 4 supports the idea that edge-of-care clinical practice can usefully include a range of approaches, in the context of emerging research demonstrating the effectiveness and potential of various types of intervention. An overview of relevant interventions and other evidence base is given. Chapter 5 focuses on how infant mental health issues can arise in edge-of-care contexts, why these should be prioritized, and how they might best be addressed. Chapter 6 outlines particular risk issue for children with disabilities at the edge-of-care. A family life-cycle framework is proposed and key issues in assessment and formulation are discussed. Chapter 7 addresses challenges for clinical practice with adolescents at the edge-of-care, their families, and wider systems, and Chapter 8 highlights the need for trauma to be considered as a key presenting concern underlying risk issue within families at the edge-of-care. Multi-family group therapy in edge-of-care practice is considered in Chapter 9, and Chapter 10 discusses risk factors and context for children and youth people re-experiencing abuse and significant harm, with a focus on re-victimization following childhood sexual abuse. A final chapter considers the usefulness of systemic theory and practice when applied to achieving positive outcomes in family rehabilitation. 2 figures, 4 tables, and numerous references.
children at risk; families at risk; child welfare services; assessment; therapeutic intervention; evidence based practice; mental health services; infants; children with disabilities; foster children; trauma informed practice; group therapy; family therapy; family reunification