Challenges facing psychologists in a child psychology clinic in South Africa

Working in a child psychology clinic is a constant reminder to staff that psychological practice and expectations regarding interventions require modification in our South African context. Using a case study, the author reflects on the way in which any meaningful psychological intervention needs to take a broad view of the role of the psychologist/mental health worker. Although intervention at the individual level may be beneficial, the lack of supporting structures and poor access to educational, social and health facilities for most children presenting at the clinic may detract from the impact of psychological therapy. The paper suggests some of the ways in which psychological intervention can begin to address this issue.