This article reviews the literature on the evaluation of consumer satisfaction with mental health treatment. The methods of assessing consumer satisfaction, the methodological issues in studies assessing satisfaction, the results of the studies, and the value of consumer evaluation are discussed. Consumer evaluation is found to be a useful though flawed method of assessing services, and it should be included in a multimethod treatment evaluation,

This article describes integrative multilevel family therapy for disputes involving child custody and visitation, a multiple-level systems-based treatment specifically targeted at those engaged in intractable conflicts over child custody and visitation. Parents and children engaged in these conflicts are at risk for a variety of difficulties. Key aspects of the approach include the articulation of clear therapy contracts, the utilization of multiple therapy session formats, the maintenance of a systemic perspective, intervention on multiple system levels, the tailoring of intervention strategy based in an assessment of the locus of difficulty in each case, planning for intervention over time, and working at the interface of the legal system in order to impact on these problems.

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