“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.”

The material in this report is derived from ten interviews undertaken during the summer of 2016 with clinicians working in CAMHS, commissioners commissioning such services, and a former director of the leading children’s mental health charity, YoungMinds.

The report highlights the need for a new, systematic approach to be taken to help children experiencing mental health difficulties as a result of inter-parental conflict.