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Published on: September 19, 2019
Young foster children and their carers: an approach to assessing relationships
Sarah Mares1, Marianne Torres2
1Centre for Child Development and Education, Menzies School of Health Research, Australia sarah.mares@menzies.edu.au.
Insights
This study presents a method for evaluating foster child-carer relationships using play observation. This approach offers greater clinical insight than formal attachment classifications for at-risk children.
Area of Science:
- Child Psychology
- Attachment Theory
- Clinical Assessment
Background:
- Young foster children face high risks of disorganized attachment and developmental psychopathology due to early life experiences.
- Assessing relationships in this population requires sensitivity to atypical behaviors.
Purpose of the Study:
- To outline an approach for assessing the quality of relationships between young foster children and their carers.
- To highlight the clinical utility of observational methods in foster care settings.
Main Methods:
- Utilized a semi-structured play interaction to observe child-carer dynamics.
- Drew upon attachment theory and clinical experience with a mental health service for foster children aged 0-5 years.
- Emphasized identifying behaviors of clinical interest within the relationship.
Main Results:
- A semi-structured observational procedure is proposed as part of comprehensive foster child assessments.
- This method demonstrates greater clinical utility compared to formal attachment classifications.
- Clinical material illustrates the application and benefits of the approach.
Conclusions:
- Recommends incorporating semi-structured, relational observations into foster child assessments.
- Advocates for caution in using attachment terminology without formal assessments.
- Highlights the value of this approach for understanding and intervening with foster children's relational experiences.
Objective:
This article outlines an approach to assessing the quality of relationships between young foster children and their carers. These children are at high risk of disorganised attachment relationships and of developmental psychopathology given their relational experiences prior to and in care. During a semi-structured play interaction the emphasis is on identifying behaviours of clinical interest. This can be complex given the likelihood of atypical or unexpected behaviours expressed within relationships.
Method:
The paper draws on literature on the clinical application of attachment theory to the assessment of relationships and on the authors' experience of developing and delivering an assessment and intervention service for children aged 0 to 5-years-old within a mental health service for children in foster care. Clinical material is used to illustrate and develop the issues.
Conclusion:
The case for including a semi-structured observational procedure as part of a comprehensive assessment of foster children and their carers is outlined. This is argued to have more clinical utility than formal approaches to attachment classification. The benefits of including a semi-structured and relational approach to clinical assessment of foster children are outlined along with the need to be cautious in the use of attachment related terminology when formal assessments have not been undertaken.
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