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“I've noticed that, over a number of years, not one of the couples that I've referred out for relationship support has taken it up. But I do feel comfortable about making that referral, about putting it in black and white, because I then take responsibility, and that blame, from the child. Because I have highlighted it - it's not that this child has an inherent problem, and they will always be with this problem; I have identified how the dynamics impact on the child's presentation.”

“I would suggest about 90% of the cases I see would require a couple intervention - there's very few of the kids we see that don't have some parental aspects that need also to be addressed.”

“It's just glaringly obvious with some of the cases that come into CAMHS that there are major couple relationship problems”.

 “A lot of couple work does happen in CAMHS but it's done underneath the radar.”

Read more: Working with the parental couple in CAMHS – themes emerging from interviews with CAMHS...


Run by The Tavistock Centre for Couple Relationships and Children and Family Court Advisory and Support Service (Cafcass) and funded by The Department for Work and Pensions (DWP), the Parents in Dispute (PiD) programme targeted long-term separated families in entrenched conflict which involved the family courts.

Read more: Summary report of the Parents in Dispute programme

Our What Works in Relationship Support: Evidence Review, was published in July 2015, sets out what we know about the most efficacious practice in supporting couples. 

The evidence reported in this review is the product of a great many years’ worth of research and practice.

You can read about it here or You can download a pdf version here.

If you are interested in more information about the evidence review or TCCR’s clinical services contact:

Richard Meier, Policy and Communications Manager, This email address is being protected from spambots. You need JavaScript enabled to view it.

For press enquiries contact:

John Fenna, Head of Marketing & Communications, This email address is being protected from spambots. You need JavaScript enabled to view it.


Parenting Under Pressure - Tavistock Relationships & Harrow Children’s Services have produced a report on this programme to help reduce parental conflict and so improve outcomes for children. Read the report below:

Read more: Parenting Under Pressure

A drop in the ocean: couple therapy for depression in IAPT

Report from an investigation carried out by the Tavistock Relationships on the availability of couple therapy for depression in IAPT services.

Read more: A drop in the ocean

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