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This reticence is clearly part of the family and parent circumstances influencing engagement -financial strain or poverty, geographical isolation as well is a history. Practical obstacles such as cost and distance, lend themselves to agency level problem-solving. Indeed, client advocacy groups are often keen to partner around systemic change to address inequities and barriers to access. Seeking an interagency partnerships that may provide some limited ‘in-reach’ service provision (e.g. fortnightly site-based clinics) is been a successful strategy developed by agencies to address access obstacles. Personal issues with professionals however could encompass issues of intergenerational disadvantage and trauma, fear of involuntary mandated intervention or judgement, a history of poor service experience, prejudice, discomfort with the unknown or in fact comfort and trust in the relationship they are building with you. (attachment/abandonment). In terms of suggestions where families appear reticent due to personal issues with professionals and may be worth considering following: • exploring and validating the basis of the reticence as an important part of the family’s narrative • reassurance about the maintenance of your ongoing or transitional relationship and collaboration • clarifying the limits of your role and skills and your need for secondary consultation • outlining the support and guidance you both would benefit from an expanding the professional support network available
Angela and Myfanwy