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Handbook of Community-Based Clinical Practice$
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Anita Lightburn and Phebe Sessions

Print publication date: 2005

Print ISBN-13: 9780195159226

Published to Oxford Scholarship Online: April 2010

DOI: 10.1093/acprof:oso/9780195159226.001.0001

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

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

An Integrative Approach to the Treatment of Vulnerable Children

24 Working With High-Risk Children and Families in Their Own Homes
Handbook of Community-Based Clinical Practice

Jean A. Adnopoz

Oxford University Press

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

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