Chapter

Working With High-Risk Children and Families in Their Own Homes

Jean A. Adnopoz

in Handbook of Community-Based Clinical Practice

Published in print September 2005 | ISBN: 9780195159226
Published online April 2010 | e-ISBN: 9780199893843 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195159226.003.0024
Working With High-Risk Children and Families in Their Own Homes

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The family has long been recognized as the most effective, long-term institution for raising children. Adequately functioning families socialize children, transmit intergenerational values and beliefs, and provide a place of refuge from the challenges of the outside world. In cases where parental functioning is impaired and the family environment is chaotic, taking the child out of home for treatment either in traditional outpatient care or by temporarily removing him or her to a different, unfamiliar setting may fail to address the underlying systemic issues that affect the child's sense of self and ability to function autonomously. This chapter describes some of the characteristics of families for whom the home may be a preferred treatment site, reviews some of the literature on home-based preventive and intervention programs for high-risk children, and provides specific case examples drawn from both a family preservation program and a psychiatric service for children and adolescents with severe emotional disturbances, which are delivered in the child and family's home.

Keywords: community-based clinical practice; family therapy; vulnerable families; social work practice; family preservation services

Chapter.  10733 words. 

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