Child Psychology and Psychiatry

Aims of intervention
The aims of intervention are, if necessary, imme-
diate treatment and immediate protection. They
usually also include healing the effects of the mal-
treatment and protection from future harm.
Immediate treatment
A minority of children who have been maltreated
will require immediate medical or psychiatric treat-
ment, including children who have been seriously
Table 19.5
Tiers of concern.
Tier 0
Family and environmental factors:
Including poverty, social isolation, displacement
Tier 1
Parental risk factors:
Including mental ill-health, substance abuse, history of significant own maltreatment,
domestic violence [18]
Tier 2
Parent— child interactions:
Forms of maltreatment — emotional abuse, neglect, physical abuse, sexual abuse
Tier 3
Child’s functioning:
Aspects that are attributable to maltreatment
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