This longitudinal study of forty-four families explored fathers' as compared to mothers' specific contribution to their children's attachment representation at ages 6, 10, and 16 years. In toddlerhood, fathers' and mothers' play sensitivity was evaluated with a new assessment, the sensitive and challenging interactive play scale (SCIP). Fathers' SCIP scores were predicted by fathers' caregiving quality during the first year, were highly consistent across 4 years, and were closely linked to the fathers' own internal working model of attachment. Qualities of attachment as assessed in the Strange Situation to both parents were antecedents for children's attachment security in the Separation Anxiety Test at age 6. Fathers' play sensitivity and infant-mother quality of attachment predicted children's internal working model of attachment at age 10, but not vice versa. Dimensions of adolescents' attachment representations were predicted by fathers' play sensitivity only. The results confirmed our main assumption that fathers' play sensitivity is a better predictor of the child's long-term attachment representation than the early infant-father security of attachment. The ecological validity of measuring fathers' sensitive and challenging interactive play behavior as compared to infant proximity seeking in times of distress is highlighted. Findings are discussed with respect to a wider view on attachment in that both parents shape their children's psychological security but each in his or her unique way.

Attachment theory and research are drawn upon in many applied settings, including family courts, but misunderstandings are widespread and sometimes result in misapplications. The aim of this consensus statement is, therefore, to enhance understanding, counter misinformation, and steer family-court utilisation of attachment theory in a supportive, evidence-based direction, especially with regard to child protection and child custody decision-making. The article is divided into two parts. In the first, we address problems related to the use of attachment theory and research in family courts, and discuss reasons for these problems. To this end, we examine family court applications of attachment theory in the current context of the best-interest-of-the-child standard, discuss misunderstandings regarding attachment theory, and identify fac

We report a five-nations project in comparative child protection to provide recommendations on policy and practice to inform the redevelopment of the Swiss child protection system. The Swiss Federal Government and the Optimus and Oak Foundations commissioned the project-collective title: Association Programme National pour la Protection de l'Enfant. We identify the historical developmental trajectories of child protection systems together with common drivers: the evidential basis for the prevalence and effects of child abuse, the co-joining of social and economic policies and practices to promote early investment in children, the influence of children's rights and comparative international league tables on child well-being. We describe the cross-national project methodology and analysis of results. Three key indicators for the performance of national child protection systems are indicated: creating a culturally sensitive child protection governance framework, building a relational heart and using evidence to inform policy and practice. These encapsulate the recommendations made with respect to the Swiss child protection system. The results provide a prototype model with potential utility in similar

Background More than half of the unaccompanied young refugees (UYRs) resettled in Europe report elevated levels of posttraumatic stress symptoms (PTSS) and comorbid symptoms. Earlier studies have highlighted the effectiveness of the trauma-focused preventive group intervention “Mein Weg” (English “My Way”), and the feasibility of trauma-focused cognitive behavioral therapy (TF-CBT) for UYRs. Both interventions are deemed to be empirically supported treatments (ESTs). However, UYRs seldom receive ESTs or, in fact, any treatment at all. In view of the high need and the limited treatment resources available, a stepped-care approach is indicated but has not been evaluated so far. The purpose of this trial is to compare the stepped-care approach BETTER CARE with usual care enhanced with screening and indication (usual care+). Methods In a cluster randomized controlled trial involving N = 540 UYRs living in up to N = 54 child and youth welfare service (CYWS) facilities, BETTER CARE will be compared with usual care+. We will randomize clusters comprising a CYWS facility with at least one eligible psychotherapist. BETTER CARE consists of step (1) screening and indication and either step (2) preventive trauma-focused group intervention “Mein Weg” delivered by trained CYWS staff or step (3) TF-CBT delivered by trained community therapists and supported by trained translators if necessary. Participants will be assessed 6 and 12 months after randomization. The primary outcome is the severity of PTSS after 12 months. Secondary outcomes are depressive and anxiety symptoms, quality of life, and proxy reported PTSS. Furthermore, drug use, health costs, benefits, and long-term effects on integration/acculturation will be assessed. Discussion The trial will directly integrate a stepped-care approach into existing structures of the German child welfare and (mental) health system. It could, therefore, serve as a blueprint for how to implement ESTs for UYRs. If successful, screening, prevention, and intervention will be sustainably implemented in CYWS in southern Germany. Trial registration German Clinical Trials Register DRKS00017453. Registered on 11 December 2019.

No abstract