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- Title
We're Still Taking X‐Rays but the Patient is Dying: What Keeps us from Intervening More Quickly in Resist‐Refuse Cases?
- Authors
Greenberg, Lyn R.; Schnider, Robert A.
- Abstract
Professionals frequently lament the fact that the dynamics of resist‐refuse cases are often entrenched before the family receives effective intervention. Dysfunctional behavior patterns can become entrenched, with severe impairment of children's ability to function. Assessment is a critical component in the process of assisting families, but can come to so dominate the process that the situation is unrecoverable once the assessment is completed and meaningful interventions begin. The authors will describe commonly encountered obstacles to early intervention in resist‐refuse cases, ranging from systemic stressors to the persistence of inaccurate beliefs and information and practices that undermine accountability. Practical strategies, including a broader conceptual model, integrating assessment into intervention, encouraging lawyers and courts to take earlier action, and suggestions for future professional development will be addressed. Practitioner's Key Points: Intervention in Resist‐Refuse Cases often comes too late to save the child and family from severe emotional dysfunctionJudicial officers, attorneys and mental health professionals have unique contributions to either impeding progress or promoting solutionsPractitioners may need to intervene to stop "emotional bleeding" and support the child's or family's functioning, and weigh the risks and benefits of prolonged and repeated assessments compared to evidence‐informed interventionScientifically informed interventions exist for many of the problems encountered in these familiesRisk assessment and intervention are not mutually exclusiveSuggestions are made for judicial education, structuring services and system reform
- Subjects
PROFESSIONAL employees; ATTITUDE (Psychology); CONCEPTUAL models; LAWYERS; LEGAL evidence
- Publication
Family Court Review, 2020, Vol 58, Issue 2, p488
- ISSN
1531-2445
- Publication type
Article
- DOI
10.1111/fcre.12484