TABLE 2.

Classification of Issues Requiring Advocacy: Types of Problems That Arise in the Course of Clinical Work1

Type of ProblemDefinitionNo. of ProblemsExample
Family issueWhere provision is present but not accessed by the family15Parental refusal to send a child with chronic fatigue syndrome to school despite medical advice to do so
Within-agency issueA system has failed the child or family24Excessive waiting lists for mental health services for children
Interagency issueInteraction between agencies has failed13Lack of coordination of health needs in children moving from one foster placement to another
Inadequate or absent provisionA problem that requires a “political” solution has arisen7Lack of respite care for children with complex disabilities
There is an element of discriminationFamily experience apparent racist response from service1Home education service and educational psychology input denied because of family’s inability to speak English