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Conclusion: Mental health and legal responses to the adolescent mental health crisis: Raising the bar on best interests and promoting family connectedness in divorcing families 结论:青少年心理健康危机的心理健康和法律应对:提高离婚家庭的最佳利益标准,促进家庭联系
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-20 DOI: 10.1111/fcre.12727
Amy E. Wilson, Marsha Kline Pruett

We are currently facing an unprecedented increase in adolescent mental health problems resulting in alarmingly high levels of depression, anxiety, and suicidality. Significant mental health problems among youth pose unique challenges to families in the process of separation and divorce, as well as to family law professionals across all disciplines. The current adolescent mental health crisis calls for new ways of approaching our work with high conflict families to promote family connectedness and shift away from adversarial approaches that may exacerbate conflict and further destabilize families. As a conclusion to the special issue on adolescent mental health needs, the authors make multidisciplinary best practices recommendations and advocate for systems level changes in recognition of the needs of youth in crisis at this pivotal developmental stage.

我们目前正面临着前所未有的青少年心理健康问题的增加,导致了令人震惊的高水平抑郁、焦虑和自杀。青年中严重的心理健康问题对处于分居和离婚过程中的家庭以及所有学科的家庭法专业人员构成了独特的挑战。当前的青少年心理健康危机要求我们以新的方式处理高冲突家庭的工作,以促进家庭联系,避免可能加剧冲突和进一步破坏家庭稳定的对抗性方法。作为青少年心理健康需求特刊的结论,作者提出了多学科最佳实践建议,并倡导系统层面的变化,以认识到危机中的青少年在这一关键发展阶段的需求。
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引用次数: 0
Managing children's and adolescents' medical complaints amid parent conflict: Strategies and tools for professionals 在父母冲突中管理儿童和青少年的医疗投诉:专业人员的策略和工具
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-14 DOI: 10.1111/fcre.12730
Lyn R. Greenberg, Kathleen McNamara, Betsy E. Weisz, Justice Thomas Altobelli, Frank Davis

Children and adolescents who are having difficulty coping with stress often present with complaints of physical discomfort. Effective treatment approaches exist for many of these issues. Among high-conflict parents, however, children's medical issues can become another canvas for conflict, with parents focused more on blaming one another for the child's distress than on options for assisting the child. Professionals can be drawn into the conflict to such a degree that they overlook essential steps for addressing and managing these issues. The authors present a research-informed model for managing medical and psychophysiological issues amid parental conflict.

难以应对压力的儿童和青少年通常表现为身体不适。对于这些问题,有许多有效的治疗方法。然而,在高冲突的父母中,孩子的医疗问题可能成为另一个冲突的画布,父母更多地将孩子的痛苦归咎于彼此,而不是帮助孩子的选择。专业人士可能会被卷入冲突,以至于他们忽视了解决和管理这些问题的基本步骤。作者提出了一个研究知情的模型,用于管理父母冲突中的医疗和心理生理问题。
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引用次数: 0
Navigating adolescent depression and anxiety in the context of parenting plan evaluations 在育儿计划评估的背景下应对青少年的抑郁和焦虑
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-14 DOI: 10.1111/fcre.12735
Chioma Ajoku

This article touches upon theories accounting for the rise in adolescent anxiety and depression and how the prevalence of adolescent anxiety and depression affects how we navigate parenting plan evaluations. This article also discusses the importance of screening youth for depressive and anxious symptoms and assessing family, parental, and youth risk and protective factors related to adolescent depression and anxiety. This article also highlights the importance of assessing for mediating factors that increase the risk of anxiety and depression in youth in the context of parental separation, such as interparental conflict, financial difficulties, and limited contact with one parent. This article also identifies various methods of assessing depression and anxiety, including the adolescent interview, observations during the interview, and self-report measures. Additionally, this article discusses potential interventions that address mediators of the impact of divorce, such as parenting problems, family conflict, or the parent–child relationship.

这篇文章涉及了解释青少年焦虑和抑郁上升的理论,以及青少年焦虑和抑郁的流行如何影响我们如何进行育儿计划评估。本文还讨论了筛查青少年抑郁和焦虑症状以及评估与青少年抑郁和焦虑相关的家庭、父母和青少年风险和保护因素的重要性。这篇文章还强调了在父母分离的背景下,评估增加青少年焦虑和抑郁风险的中介因素的重要性,如父母之间的冲突、经济困难和与父母一方的接触有限。本文还确定了评估抑郁和焦虑的各种方法,包括青少年访谈、访谈期间的观察和自我报告测量。此外,本文还讨论了解决离婚影响调解人的潜在干预措施,如养育问题、家庭冲突或亲子关系。
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引用次数: 0
Parent coordinators: Effective interventions in adolescent mental health 家长协调员:对青少年心理健康的有效干预
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-09 DOI: 10.1111/fcre.12721
Mindy Mitnick

The mental health system in the US was not meeting the increasing needs of teens before the pandemic started in 2020. The pandemic served to stress adolescents and their parents while significantly limiting the availability of services. Separated parents may have disputes about whether adolescents have mental health care needs, what services the child needs, where those services will be obtained, and who will be involved. The Parenting Coordinator as a dispute resolution professional can assist families in reaching agreements and meeting their teen's needs for care.

在2020年大流行开始之前,美国的精神卫生系统无法满足青少年日益增长的需求。这种流行病给青少年及其父母造成了压力,同时大大限制了服务的提供。失散的父母可能会对青少年是否需要心理保健、儿童需要什么服务、在哪里获得这些服务以及谁将参与这些服务产生争议。作为解决争议的专业人士,育儿协调员可以帮助家庭达成协议,满足青少年的照顾需求。
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引用次数: 0
Lowering the age of consent: Legal, ethical, and clinical implications of adolescent-directed therapy 降低同意年龄:青少年导向治疗的法律、伦理和临床意义
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-08 DOI: 10.1111/fcre.12722
Kathleen McNamara

This article discusses a recently enacted Colorado law that aims to reduce the youth suicide rate by lowering the age of consent for psychotherapy from age 15 to age 12. The author discusses the challenges therapists face when young adolescents seek therapy without parental consent in cases involving interparental conflict. Suggestions for managing adolescent-directed therapy are offered.

本文讨论了科罗拉多州最近颁布的一项法律,该法律旨在通过将同意接受心理治疗的年龄从15岁降低到12岁来降低青少年自杀率。作者讨论了当青少年在没有父母同意的情况下寻求涉及父母间冲突的治疗时治疗师面临的挑战。提出了管理青少年定向治疗的建议。
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引用次数: 0
July 2023 2023年7月
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-08 DOI: 10.1111/fcre.12724
Marsha Kline Pruett, Barbara A. Babb
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引用次数: 0
The red herring of adolescent mental health 青少年心理健康的转移话题
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-08 DOI: 10.1111/fcre.12733
Jessica P. Greenwald O'Brien, Yael Osman, Danielle K. Sample

An increase in adolescent distress and mental health symptoms has been clearly documented since the COVID-19 pandemic, as has increased exposure to adverse childhood experiences. Layer on top of these stressors being a youth of divorcing or separating high conflict families, and adolescent symptomatology can suddenly become a flashpoint for parental attention, division and conflict. Approaching cases using an ecological and family systems framework is necessary for accurate conceptualization and assessment of best interests in the context of child custody evaluations. Doing so ensures that adolescent mental health does not become a red herring in high conflict cases, leading to undue focus on the adolescent's mental health without considering other salient factors in the case, such as the broader parent conflict. Programs offered at the Center of Excellence for Children, Families & the Law at William James College designed to improve the lives of youth by addressing parental conflict are described.

自2019冠状病毒病大流行以来,青少年痛苦和心理健康症状有所增加,童年不良经历的接触也有所增加。在这些压力源之上的一层是离婚或分离高冲突家庭的青少年,青少年症状可能突然成为父母关注,分裂和冲突的爆发点。在儿童监护评估的背景下,使用生态和家庭系统框架来处理案件对于准确地概念化和评估最大利益是必要的。这样做可确保青少年心理健康不会在高冲突案件中成为转移注意力的话题,导致人们过分关注青少年的心理健康,而没有考虑到案件中的其他突出因素,例如更广泛的父母冲突。卓越儿童、家庭和夏令营中心提供的项目;威廉詹姆斯学院的法律旨在通过解决父母冲突来改善青少年的生活。
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引用次数: 0
Comparing targeted intervention modalities for high conflict co-parents: A quasi-experimental study 比较高冲突父母的针对性干预方式:一项准实验研究
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-07 DOI: 10.1111/fcre.12737
Jennifer A. Dealy, B. S. Russell, J. L. Robinson

High conflict co-parents engage in recurrent litigation that significantly strains the court system and exacerbates their conflict. Given barriers to their engagement in service delivery (e.g., level of conflict, transportation, child care), it is vital to evaluate targeted interventions and to examine different intervention modalities (e.g., online, hybrid). This study compared court involvement and rates of parental agreement among 178 high conflict cases that received a multi-component intervention, either in-person or in a hybrid version. Results demonstrated no significant differences between groups in the change in number of court negotiations, child-related issues, or court services from before to after-intervention completion or in the proportion of parenting cases who reached an agreement. Both versions demonstrated significant reductions in parents' court involvement from before to after-intervention completion. These findings suggest the need for future research to evaluate the comparative efficacy of hybrid programs and in-person programs for high conflict co-parents with greater methodological rigor in light of the current study's findings and limitations.

高冲突的共同父母经常参与诉讼,这大大增加了法院系统的压力,加剧了他们的冲突。鉴于他们参与服务提供的障碍(例如,冲突程度、交通、儿童保育),评估有针对性的干预措施并审查不同的干预模式(例如,在线、混合)至关重要。这项研究比较了178个高冲突案件的法庭介入和父母同意率,这些案件接受了多方干预,无论是亲自干预还是混合干预。结果显示,在干预完成前后的法庭谈判次数、儿童相关问题或法庭服务的变化,以及达成协议的育儿案件比例方面,两组之间没有显著差异。从干预完成前到干预完成后,两种版本都显示出父母法庭介入的显著减少。这些发现表明,鉴于当前研究的发现和局限性,未来的研究需要以更严格的方法来评估混合计划和面对面计划对高冲突共同父母的比较效果。
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引用次数: 0
All hat and no cattle: How house bill 2926 paves the way for progress in the reinstatement of parental rights, but falls short of providing parents with an accessible resource 只有这些,没有牛:2926号众议院法案如何为恢复父母权利铺平了道路,但却没有为父母提供可获得的资源
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-06 DOI: 10.1111/fcre.12725
Heather Coffee

Texas' foster care system is overpopulated, underfunded, and doing a grave disservice to the children in its care. Specifically, the foster care system is violating the constitutional rights of children regarding how they must be taken care of while in the State's custody. Parents whose custodial rights were involuntarily terminated now have a clear path for petitioning to regain their rights thanks to Texas House Bill 2926. Much of House Bill 2926's value is lost in the legalese used to write it, which is the problem my proposed solution, The 2926 Project, aims to remedy.

德克萨斯州的寄养系统人口过多,资金不足,对被寄养的孩子造成了严重的伤害。具体来说,寄养制度违反了儿童在国家监护下必须如何照顾的宪法权利。由于德克萨斯州众议院第2926号法案,监护权被非自愿终止的父母现在有了一条明确的请愿途径,可以重新获得监护权。众议院第2926号法案的大部分价值都消失在用来写它的法律术语中,这是我提出的解决方案2926项目旨在补救的问题。
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引用次数: 1
The development and pilot testing of a family treatment court best practices assessment: The model standards implementation scale 家庭治疗法院最佳做法评估的开发和试点测试:标准模型的实施规模
IF 0.8 Q4 FAMILY STUDIES Pub Date : 2023-06-06 DOI: 10.1111/fcre.12739
Margaret H. Lloyd Sieger, Jessica Becker, Kelly Earles, Karin Thompson-Wise, Kaitlin Hagain

In 2019, the family treatment court (FTC) best practice standards (the Standards) were published to clarify attributes of FTC programs associated with superior child, parent, and family outcomes. The Standards cover the breadth of FTC operations including program structure and leadership, substance use treatment and complementary services, and behavioral responses to participants. This study aimed to develop an instrument (the Model Standards Implementation Scale; “MSIS”) that stakeholders can use to assess implementation of the Standards by individual FTCs. The MSIS balances usability with scientific validity. Interrater reliability (IRR), internal consistency, and several types of validity were assessed. Results indicated moderate to strong IRR, high internal consistency, mixed known groups validity depending on Standard, and high convergent and divergent validity. Initial findings suggest good validity and usability of the MSIS for evaluating FTC Standards' implementation. Notably, the process of using the tool functioned to educate FTC team members on the Standards. Although implementation of the MSIS is a resource-intensive process, the opportunity to receive constructive feedback proved to be an effective incentive for initial and subsequent participation in the evaluation among FTCs. Future research is needed to examine predictive validity, including association between Standards' implementation and family outcomes in FTCs.

2019年,《家庭处理法院(FTC)最佳实践标准》(以下简称《标准》)发布,以澄清与优秀儿童、父母和家庭结果相关的FTC项目的属性。该标准涵盖了联邦贸易委员会业务的广度,包括项目结构和领导,药物使用治疗和补充服务,以及对参与者的行为反应。本研究旨在开发一种工具(标准实施范本;),供持份者评估个别贸易中心对标准的执行情况。MSIS平衡了可用性和科学有效性。评估了评估者间信度(IRR)、内部一致性和几种效度。结果显示,IRR中至强,内部一致性高,已知组混合效度取决于标准,收敛效度和发散效度高。初步调查结果表明,MSIS在评估联邦贸易委员会标准实施方面具有良好的有效性和可用性。值得注意的是,使用该工具的过程对FTC团队成员进行了标准教育。虽然国家战略评价的执行是一个资源密集的过程,但事实证明,有机会获得建设性的反馈是一种有效的激励措施,可促使国家间最初和随后参与评价工作。未来的研究需要检验预测有效性,包括FTCs中标准实施与家庭结果之间的关系。
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Family Court Review
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