Parent–Child Systemic Therapy for Court-Involved Children with Behavioral Disturbances: A Clinician’s Perspective

Concern is expressed in Australia about a group of children called dual-involvement children. Dual-involvement children live in families who have multiple complex needs, where a child is referred first to a child protection court and later to a juvenile justice court as the child has committed offenses. One concern is whether these families and children receive early intervention therapy. Method: The paper reviews research relevant to early intervention for children with an increased likelihood of developing a mental disorder and behaving aggressively. Results: Fifteen psychological models have generated evidence about risk factors for the healthy development of children. A framework is used to describe risk factors using headings of parental factors, childhood factors, and peer factors. The review summarizes effect sizes associated with each model. Conclusions: The review concludes that variables relevant to dual-involvement children can be integrated using the concept of role the of a parent. There is a need for a tiered system of intervention involving universal interventions that are supplemented by targeted interventions for families where children have heightened vulnerability due to a higher number of specific risk factors. Topics for further research are identified, including a need for research into how therapists who use a systemic approach might practice in ways that manage ethical dilemmas that arise when using systemic therapy with two members of a court-involved family.