Establishing a psychoanalytically informed adoption service: The AdCAMHS model

Roy, Alison and Solomon, Robin (2020) Establishing a psychoanalytically informed adoption service: The AdCAMHS model. In: A for Adoption: An Exploration of the Adoption Experience for Families and Professionals. Tavistock Clinic Series . Routledge, Abingdon, pp. 101-119. ISBN 9781003006633

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Section I: This chapter describes the process of establishing a local, integrated service model—AdCAMHS—for delivering therapeutic and social work interventions for adopted children, young people, and their families. The author sets out the treatment pathways available and a model for good practice in working in partnership for and with adoptive families in East Sussex. Working closely together goes some way to providing the much-needed containment for families in crisis and struggling professional networks. Writing about the AdCAMHS model also builds on reflections from chapter 6. Most public sector services, even if they still have a functioning multidisciplinary team, often do not have all the resources required to meet these challenges and the multiple and complex needs of adoptive families. As a model, AdCAMHS has helped to facilitate a more integrated approach to adoption, providing an enabling environment where exhaustion or “blocked care” (described by Dan Hughes, 2011) can be addressed. Section II: Robin Solomon, the author of the second section of this chapter, looks at how a specialist adoption service (AdCAMHS) was constructed between two agencies and how environmental and psychological pressures can be managed through coming together. Solomon explores ideas about the role and function of being a consultant to a professional couple at the heart of a service where pairing and partnerships are central. She explains how “dysfunctional professional couples are often dysfunctional because there is no containing process that encompasses all the levels of potential disturbance to their functioning.” She hopes that this understanding of the centrality of the professional couple in post-adoption work can support families with complex challenges, and strengthen those services that relate to them.

Item Type: Book Section
Subjects: Children, Young People and Developmental Pyschology > Psychoanalysis
Children, Young People and Developmental Pyschology > Adoption & Fostering- Psychology
Children, Young People and Developmental Pyschology > Adoption & Fostering- Social Welfare
Department/People: Children, Young Adult and Family Services

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