Ecological Intervention at the Micro Level

Abstract

AbstractThis chapter introduces the concept of ecologically informed care, an approach to practice with individuals and families that calls attention to the multiple pathways by which ecological adversities contribute to the symptoms and behaviors of system-involved children. The chapter outlines general principles of this work and then offers a social-ecological approach to assessment that notes both process challenges and content areas that can be pursued (e.g., experiences of racism and discrimination, experiences with law enforcement, housing issues, problems paying bills, level of social connectedness). The importance of including ecological challenges in clinical formulations is stressed. Intervention is discussed in terms of working with internalized adversity, providing concrete supports, acting as a co-advocate, and listening for and amplifying narratives of agency and resilience.