NVR is a highly regarded practice amongst clinicians and parents as per the high number of referrals we receive and the positive feedback from parents. The highest percentage of referrals is for C&YP with a combination of neurodevelopmental, behavioural and attachment conditions who live in multi-stressed environments; definitely this is the therapeutic option when the C&YP do not wish to engage with the service. Positive outcomes include: improvement in the relationship between parents and C&YP, reduction of aggression between siblings, reduction and prevention of escalation, improvement of family relationships, reduction of risk behaviours and violence in the family; more engagement of extended family, parents and teachers as well as parents feeling more hopeful and confident of their own abilities.

Clinicians describe how the approach has had the effect of restoring the strengths, resources and abilities not only within families but also within and between clinicians and has mobilised difficult and challenging situations into productive direct actions.

Dr Diana Alvis Palma
Consultant Family Therapist, Birmingham CAMHS