Table 1

Types of problems that arise in the course of clinical work

Type of problemDefinitionExampleProblems identified (n)
I. Family issueWhere provision is available but not accessed by the familyParental refusal to send a child with chronic fatigue syndrome to school despite medical advice to do so15
II. Within-agency issue A system has failed the child or familyExcessive waiting lists for child mental health services24
III. Interagency issueInteraction between agencies has failedLack of coordination of health needs in children moving from one foster placement to another 13
IV. Inadequate or absent provision A problem has arisen which requires a political solution Lack of respite care for children with complex disabilities7
V. There is an element of discriminationFamily suffers apparent racist response from serviceHome education service and educational psychology input denied due to family's lack of English1