The direct work integral to making assessments of looked after children is usually complex and may well require referral to specialist services. Debbie Hindle explores some key factors in facilitating such specialist assessments in the context of child and adolescent mental health services. Among issues highlighted are: the importance of understanding the context of the request for an assessment; the need for thorough and sensitive preparation before each session, including the presence of a supportive carer; and the need for continuity and consistency throughout the assessment process. A case example, taken from a wider study of siblings in foster care, is used to illustrate the discussion.
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