This clinician-friendly guide presents a model for engaging the most challenging children and families who are served by the child welfare, mental health, juvenile justice, and special educations systems. These children are among the most troubled clients that treatment providers will ever encounter. They have been failed by every adult, every treatment modality, and every system of care that they have encountered. Unconditional Care, a breakthrough guide from the founder and clinical director of California's Seneca Center for Children and Families, offers both a theoretical model and practical guidelines for working with this most difficult group of children. The approach weaves together attachment theory and learning theory into a coherent relationship-based intervention strategy built around a no-fail policy: a child can never be discharged from a program for exhibiting the behaviors that resulted in the placement. Professionals working with these families instead focus on re-building relationships that teach children to secure safe and supportive relationships with caregivers using new behaviors and skills to replace the destructive ones that have, until now, organized their worldview. The concept of unconditional care allows, for the first time, a safe space for youth to reconstruct their perceptions of themselves and those who care for them. Rich case examples, quick-reference bullets and boxes, and sample assessment and planning worksheets make this a handy clinical reference and training tool for mental health and child welfare professionals.
In an earlier book (Sprinson and Berrick, 2010) we described a model for intervention with system-involved children and their families. This model was an effort to integrate three quite different ways of thinking and quite different approaches to assessment and intervention into a single, unified framework. The three "streams" gathered together in this model were relational, behavioral and ecological. The relational stream leveraged key insights from attachment theory. The behavioral stream was a fairly direct application of intervention concepts from learning theory. The ecological stream was described as a "fundamental third leg" of assessment and intervention, complementing the relational and behavioral streams. The discussion of the ecological stream, though, could barely have been more minimal. It consisted of only a handful of sentences and the briefest possible explanation. In contrast, the first two legs of what we came to call the "three stream model", the relational and behavioral approaches, received entire chapters that attempted to drill deeply into their theoretical roots and their research evidence and offered at least some concrete methodological direction for programs and teams. A discerning reader could have easily concluded that such a discussion of the ecological stream was little more than a placeholder, an effort to mark some territory for future exploration. Such a reader would have been correct"--
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