This article reviews a child and family service addressing the psychosocial impact of facial (and other visible) disfigurement. The stigma of disfigurement poses considerable challenges in maintaining self-esteem, building self-confidence and coping effectively with the intrusive (and often negative) reactions of others. The charity, Changing Faces, addresses the psychosocial impact of facial disfigurement, promotes better health care and seeks to raise public awareness about the impact of disfigurement. Its clinical service has evolved a model of care including a social skills training component and methods of social skills training, specifically for this client group. Evaluation suggests that this model is helpful and practical, enhancing coping skills and increasing confidence.
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