To enhance the clinical utility of psychological assessments, the author recommends a consumer-focused approach to health care marketing-the "Four Rs": relevance, response, relationships, and results (J. English, 2000). Research suggests 5 responses psychologists can take to increase the relevance of psychological assessments: (a) eliminate jargon, (b) focus on referral questions, (c) individualize assessment reports, (d) emphasize client strengths, and (e) write concrete recommendations. To build relationships with consumers, psychologists should collaborate with them when formulating referral questions and providing feedback of assessment results. Finally, psychologists should use the results of consumer satisfaction studies to improve the clinical utility of psychological assessments.ELIOT BRENNER received a PhD in clinical psychology from Yale University. He is the clinical director of Casey Family Services in Shelton, CT. His areas of research include clinical consultation and emotion regulation.

A B S T R AC TFor some youth in foster care, the closest family or family-like relationships are with the foster parents with whom they have lived for extended periods of time. Nonetheless, child welfare agencies often do not explore these relationships and the potential they may hold for youth for legal permanence through adoption or guardianship. Recognizing that social workers often lack resources to help them initiate permanency conversations, Casey Family Services, a direct service child welfare agency in the USA, developed a tool that social workers can use to explore youth's sense of emotional security with their foster parents and foster parents' sense of claiming and attachment with youth in their care. The research literature that suggests that emotional security is a critical component of successful permanence provided the foundation for the development of the Belonging and Emotional Security Tool (BEST). When used with youth and foster parents, the BEST was found to advance meaningful permanency conversations.

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