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Attachment and Risk of Future Harm: A Case of Non‐Accidental Brain Injury
Author(s) -
Kozlowska Kasia,
Foley Sue
Publication year - 2006
Publication title -
australian and new zealand journal of family therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.297
H-Index - 19
eISSN - 1467-8438
pISSN - 0814-723X
DOI - 10.1002/j.1467-8438.2006.tb00701.x
Subject(s) - accidental , harm , toddler , psychology , perspective (graphical) , welfare , child abuse , medicine , poison control , developmental psychology , injury prevention , medical emergency , social psychology , political science , law , physics , artificial intelligence , computer science , acoustics
Decision making in cases of non‐accidental brain injury is complex. Courts often view ‘alternate care’ as a means of ensuring that children are protected from further physical abuse. It is important for treating and assessing clinicians to present the court with a broad systems perspective highlighting the multiple factors which combine to impact on the child's future safety, welfare and wellbeing. These include risk and protective factors in the family of origin, the family's openness to monitoring and treatment; the child's needs for long‐term attachment relationships, and the risks associated with alternate care. This article highlights the need to consider long‐term attachment needs as part of any risk‐of‐harm assessment for young children who have been maltreated. Attachment issues are considered in the case of Nellie, a 17‐month‐old toddler with a serious and unexplained non‐accidental brain injury.