Family Characteristics

This project will examine the experience of the researcher as expert in the family court dealing with questions regarding family units, in conflict and children, victims of the family conflict, victims of abuse and neglect, often repeated over time.After the first consultation, family conflict often recurs, without regard for the treatment received, returning to the civil courts and sometimes to the criminal courts. There are three possibilities at this point, following the first decision of the court (a) there is a separation that resolves conflicts and leads to an improvement in outcomes for the children concerned; (b) pre-existing conditions specific to the children concerned continue, and the decision of the court regading separation has no effect; (c) conflict between the parents continues, with repeated returns to the civil courts, failure of processes of mediation and negotiation, and continuing or exacerbated trauma to the child leading to worse outcomes; (d) where there is a worse outcome, this may be due to the lack of supports following the expert psychological assessment and recommendation to the court..The forensic evaluation of the family often refers the family to public health services for therapeutic interventions and social supports. The lack of these interventions and supports of public health services may exacerbate the family trauma. This may occur (a) because the family conflict continues in the absence of the interventions and supports; (b) because the family trauma is exacerbated by continuing court proceedings because the conflict between parents concerning the care and placement of the children leads to prolonged legal proceedings and may result in worse outcomes for the children, such as criminal behaviour as this struggle continues. The child is 'instrumentalised', used as a pawn or weapon in the struggle between the parents. The research project aims first of all to outline, on the basis of the data to be acquired, (a) whether there is evidence that the decision of the court guided by the expert opinion and recommendations has a beneficial effect on outcomes for the child; (b) specific lines of treatment intervention and better packages of care and support to enhance good outcomes and minimise or prevent these adverse outcomes, under the supervision of the judge.

The goal of this longitudinal mixed-methods study is to investigate caregiver strain, family processes and health outcomes after youth psychiatric inpatient treatment. Caregivers of youth who received inpatient treatment for mental health problems will complete a survey at three timepoints (baseline, 3- and 6- month followup) reporting on youth outcomes, caregiver well-being, and family processes. Qualitative interviews on caregivers' challenges, needs, and resources around the return to home care are conducted with a subsample (target n = 10) of participants. The main research questions (RQs) are: RQ 1: Do family processes contribute to youth mental health outcomes after discharge from inpatient treatment? RQ 1a: What family-level risk factors predict youth readmission to inpatient treatment? RQ 1b: Do family processes predict youth mental health trajectories over time? RQ 2: Is there a reciprocal relationship between youth mental health problems and caregiver burden? RQ 2a: Do family processes mediate the association between caregiver burden and youth mental health problems? RQ 3: How do caregivers experience their children's return to home care? RQ 3a: What challenges and needs do caregivers report? RQ 3b: What types of follow-up services do families receive and/or have access to? RQ 3c: How do caregivers cope with ongoing difficulties in the post-discharge period?