Social work intervention with bereaved children

Abstract

Bereavement in childhood can seriously affect a child's development. There is a tendency to diminish the child's experience of loss because bereaved parents are often less sensitive to their children and because children express their grief in a more discreet manner than is typical of adult grief. This tendency leads to the child's needs being underestimated and under-reported. A model of social work intervention which advocates short-term involvement has been shown to have a significant effect upon the well-being of the child and his family. The paper begins with a brief review of the literature on mourning, which highlights various perspectives on the role and nature of the process. A model of mourning which embraces the differences between adult and child mourning will be proposed which is informed by the principles of attachment theory and defined as a continuing process of adjustment rather than a resolvable experience of loss. This model of mourning has implications for social work intervention and is the foundation of the practice model. The practice model involves six bereavement counselling sessions with the parent, six play sessions with the child and formal and informal involvement with the child's teacher. It has four aims: (I) to enhance sensitivity in the parent to the child's experience of loss and mode of mourning, (2) to develop an improved pattern of communication within the child-parent relationship, (3) to develop resources for the child in his personal environment and (4) to enhance the child's resourcefulness within his mourning thus enabling him to feel more competent in the longer term. The model is founded upon an awareness of the need for short-term intervention within the context of a long-term issue and seeks to address both perspectives simultaneously. Some of children's commoner responses to bereavement will be outlined within the context of the play sessions and methods for resolving the problems associated with them will be discussed. Finally the nature of reasonable outcomes for the work will be considered.