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A Guide for Those Working with Children, Young People and Families

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A Guide for Those Working with Children, Young People and Families #(),$!.$!$/,%3#%.4039#(/4(%2!09 !GUIDEFORTHOSEWORKINGWITHCHILDREN YOUNGPEOPLEANDFAMILIES !SSOCIATIONOF#HILD0SYCHOTHERAPISTS !SSOCIATIONOF#HILD0SYCHOTHERAPISTS /NE IN TEN CHILDREN AND YOUNG -EETINGTHENEEDSOFVULNERABLE PEOPLE IN THE 5+ SUFFER FROM MENTAL CHILDREN HEALTH DISORDERS INCLUDING EMOTIONAL PROBLEMS SUCH AS DEPRESSION AND Children and young people with BEHAVIOURALPROBLEMSSUCHASCONDUCT moderate to severe emotional and DISORDER -ANY MORE HAVE LESS SEVERE behavioural difficulties require a DIFüCULTIESTHATCANAFFECTTHEWAYTHEY range of interventions over time. DEVELOP LEARNANDHAVERELATIONSHIPS Such interventions can be resource- intensive but the implications of ,EFT UNTREATED THESE DIFüCULTIES CAN under-investment are costly long-term IMPACT ON A CHILDlS DEVELOPMENT problems into adulthood and inter- POTENTIALLY LEADING TO EMOTIONAL AND generationally. BEHAVIOURAL PROBLEMS IN LATER LIFE SOMETIMES INCLUDING SERIOUS MENTAL The early intervention of effective ILLNESS services is likely to prevent the development or intensification of 4HEYCANALSOBELINKEDWITHEDUCATIONAL difficulties in childhood, preventing UNDERACHIEVEMENT UNEMPLOYMENT problems escalating to severe levels CRIME TEENAGE PREGNANCY AND and helping to reduce the long-term SUBSTANCEMISUSE ALLOFWHICHINVOLVE demands on services. COSTSTOTHEINDIVIDUALANDSOCIETY In order to meet the needs of vulnerable children, services need access to a set of distinctive skills and competences that can be delivered at a high level by a small number of specialist workers including child and adolescent psychotherapists. 2 www.childpsychotherapy.org.uk T 020 8458 1609 | F 020 8458 1482 | [email protected] !SSOCIATIONOF#HILD0SYCHOTHERAPISTS !SSOCIATIONOF#HILD0SYCHOTHERAPISTS 7HAT IS CHILD AND ADOLESCENT 7HAT CAN CHILD AND ADOLESCENT PSYCHOTHERAPY PSYCHOTHERAPYOFFERINA MULTIDISCIPLINARYTEAM Child and adolescent psychotherapy is a core profession within Child and Child and adolescent psychotherapists Adolescent Mental Health Services offer a specialist function as part of (CAMHS). It offers psychoanalytic a multidisciplinary team, offering treatment for children, young people, competences including: parents and families. Therapists are trained to carefully observe a child or s Specialist assessment and treatment young person and respond to what options, both short-term and they might be communicating through long-term their behaviour and play. They have s !NABILITYTOWORKWITHANDTREAT particular skill in putting into words the the most complex cases and the network of agencies surrounding troubled feelings that children evoke in them them. s !NABILITYTOWORKWITHTHEmost disturbed and disturbing children Therapists also apply their framework and young people and contain of thinking to work with parents, the anxiety they create within families and carers and to training and the family and wider network, supporting other professionals who including school work with children, young people, s !NEXTENSIVEKNOWLEDGEOFchild parents and families to ensure a child- development and an understanding centred approach. of attachment issues that can create difficulties in a child’s relationships Child and adolescent psychotherapists with others treat a range of emotional and s 4HEDEPTHOFTRAININGANDEXPERIENCE to manage organisational dynamics behavioural problems not easily and processes addressed by other methods of s Supervision and training of workers treatment. CAMHS professionals often in specialist CAMHS as well as in refer children to child and adolescent universal services psychotherapists after other inventions have already taken place. Children and young people who have complex and co-morbid difficulties, and who are the most costly in terms of their use of resources, can most benefit from the highly skilled intervention of specialist services that include the input of child and adolescent psychotherapy. www.childpsychotherapy.org.uk T 020 8458 1609 | F 020 8458 1482 | [email protected] 3 !SSOCIATIONOF#HILD0SYCHOTHERAPISTS !SSOCIATIONOF#HILD0SYCHOTHERAPISTS (OW DO CHILD AND ADOLESCENT Training, supervision and PSYCHOTHERAPISTSWORK consultation Individual, family and group work Therapists help to support other professionals who work with children, Therapists may see a child or young parents and families including teachers, person individually, in a group with other social workers, health visitors, doctors, children or young people or with parents nursery staff and youth workers in a range or other family members. They tailor their of settings. approach to the individual child and are trained to work in an age-appropriate The training, supervision and consultation way and to respond to the way a child they offer can help make sense of contact wishes to communicate. with highly disturbed and disturbing children and young people. Training and During an individual session, young support in self-reflective practice not only children do not usually talk directly about encourages a more effective response to difficult things but may communicate the child but is a factor in reducing staff through play using the toys provided. absences and turnover and in helping to Older children may also play or draw prevent conflict in the team around the whilst teenagers may talk about their child. feelings. Infants and parents are seen together to think about their patterns of m9OU HELPED US UNDERSTAND THAT HIS interaction. Treatment can be short-term BEHAVIOURISNlTABOUTBEINGPROVOCATIVE or long-term. ITlSBECAUSEHElSTERRIüED7ElVEMANAGED TOüNDWAYSOFUNDERSTANDINGHISFEARSa Therapists may also see parents or SOTHATSCHOOLISLESSOFASCARYPLACEFOR carers without the child being present. HIM 7E DIDNlT REALISE HOW MUCH WE Sometimes the child is seen by another WOULDGAINFROMHAVINGYOURINSIGHTINTO professional while work with the parents HISFEELINGS HISOWNLITTLEWORLDn goes on; sometimes only the parents (EADTEACHERDISCUSSING are worked with. The work may focus üVE YEAR OLDPUPIL on helping the parent make sense of the child’s behaviour, as well as how the ACP-accredited training schools offer a parent’s own issues interfere with their range of training courses for the children’s ability to parent. It may also explore workforce, from short courses in child different possibilities in parenting styles. development and mental health to the full professional training. See Further Reading for more information. 4 www.childpsychotherapy.org.uk T 020 8458 1609 | F 020 8458 1482 | [email protected] !SSOCIATIONOF#HILD0SYCHOTHERAPISTS !SSOCIATIONOF#HILD0SYCHOTHERAPISTS 7HEREDOCHILDANDADOLESCENT PSYCHOTHERAPISTSWORK m7ORKING WITH A CHILD PSYCHOTHERAPIST HAS CHANGED THE WAY ) WORK )lM MUCH The multidisciplinary settings in which MOREOPENTOASKINGTHERIGHTQUESTIONS child and adolescent psychotherapists AND INVESTIGATING UNDERLYING PROBLEMS work with a range of other professionals INTHEFAMILY4HEWHOLEEXPERIENCEHAS include: BEENINVALUABLEn %DUCATIONALPSYCHOLOGISTWORKING #!-(3 treating complex cases and the WITHUNDER üVES networks surrounding them; supervising and training fellow professionals. ,OOKEDAFTERCHILDRENTEAMS working with severely traumatised children, supporting %ARLYYEARS parent-infant work; training fosters carers and adoptive parents to help and supervision of nursery staff, health prevent damaging placement breakdown, visitors and other professionals to identify consulting to staff in residential children’s risks to child development. homes. 3CHOOLS supporting teachers and school ,EARNING AND BEHAVIOURAL DIFüCULTIES staff in their work with disturbed and identifying and treating obstacles to disturbing children, often helping to hold learning and development, including a child in school and prevent exclusions. work at pre-school, primary and secondary levels. (OSPITALS helping children and families address the emotional fall-out of 9OUTH JUSTICE SERVICES work in forensic chronic, acute or long-term illness and its settings offering individual and group treatment. therapy and consultation and training to staff in understanding and managing m4HE CHILD PSYCHOTHERAPISTS WERE A REAL hostile and violent children and young TOWER OF STRENGTH TO US AS THERE WERE people. TIMES WHEN ) FELT ) COULDNlT COPE 4HEIR INVOLVEMENTWITHUSANDTHEWARDSTAFF The VOLUNTARYSECTOR and PRIVATE HASBEENALIFELINEANDHELPEDUSTHROUGH PRACTICE. THISDIFüCULTTIMEn 'RANDMOTHEROFCHILDWITHA LIFE THREATENINGCONDITIONSEENIN HOSPITAL www.childpsychotherapy.org.uk T 020 8458 1609 | F 020 8458 1482 | [email protected] 5 !SSOCIATIONOF#HILD0SYCHOTHERAPISTS !SSOCIATIONOF#HILD0SYCHOTHERAPISTS 7HAT ARE THE BENEüTS OF CHILD the family. The input of a therapist can ANDADOLESCENTPSYCHOTHERAPY help make sense of a child’s behaviour, explore how their own issues might interfere with their ability to parent For children and young people well and look at different possibilities Children and young people with mental in parenting styles. The space to explore health difficulties may respond to people painful or uncomfortable feelings in a and situations in ways they do not supportive environment can result in understand and cannot control. Their improvements in the quality of life within emotions can be very powerful and are the family. often expressed through their behaviour, which can cause distress to themselves For those working with children, and those around them. young people and families Through the relationship with the The input of a therapist can help therapist in a consistent setting, the child professionals to make
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