Social inequality and social disadvantage provide an all too fertile soil that sustains the majority of the serious mental health problems suffered by children in our society. The complexity of the issues clinicians routinely encounter in working with children with mental health problems is widely acknowledged. However, few books concern themselves with how such difficult populations can be effectively approached and the strategies that are likely to deliver effective treatment to them. This book, based on a highly successful seminar for grant-giving children's charities held at the Anna Freud Centre and sponsored by John Lyon's Charity, provides pragmatic solutions to this major therapeutic challenge of our age. The chapters bridge statutory and voluntary initiatives and are held firmly together by the commitment to evidence-based, systematically offered, programmatic and innovative approaches that can help those who, although hard to reach, are in greatest need of our efforts: the socially excluded children and families in our society. As such, this book will be invaluable to psychologists, psychotherapists, counselors and family therapists.

Social inequality and social disadvantage provide an all toofertile soil that sustains the majority of the serious mentalhealth problems suffered by children in our society.The complexity of the issues clinicians routinely encounter inworking with children with mental health problems is widelyacknowledged. However, few books concern themselves with how suchdifficult populations can be effectively approached and thestrategies that are likely to deliver effective treatment to them.This book, based on a highly successful seminar for grant-givingchildren's charities held at the Anna Freud Centre and sponsored byJohn Lyon's Charity, provides pragmatic solutions to this majortherapeutic challenge of our age. The chapters bridge statutory andvoluntary initiatives and are held firmly together by thecommitment to evidence-based, systematically offered, programmaticand innovative approaches that can help those who, although hard toreach, are in greatest need of our efforts: the socially excludedchildren and families in our society. As such, this book will beinvaluable to psychologists, psychotherapists, counselors andfamily therapists.

About the Editors.List of Contributors.Foreword by Professor Michael Edwards.Part I: Policy and Research Background to Working with theHard to Reach.1 The early social and emotional determinants of inequalities inhealth. (Peter Fonagy and Anna Higgitt).2 What evidence for evidence-based prevention? (PeterFonagy).3 Overview of child and adolescent mental health policy andservice provision in England: Attempts to reach the hard to reach.(Miranda Wolpert, Paula Lavis, Richard Wistow and BobFoster).Part II: Specific Intervention Programmes Working with theHard to Reach.4 A study of multisystemic therapy: A new type of help in the UKfor young people in trouble with the law. (Geoffrey Baruch andJacqueline Cannon).5 Barefoot practitioners: A proposal for a manualizedhome-based, adolescent crisis intervention project. (Eia Asenand Dickon Bevington).6 Developing an enhanced care model for depression using primarycare mental health workers: Implications for the care andmanagement of young men with depression. (Stephen Pilling, JudyLeibowitz, John Cape, Jemma Simmons, Pamela Jacobsen andIrwin Nazareth).7 The hard to reach and the Place2Be. (Peter Wilson andBenita Refson).Epilogue by David Robins.Bibliography.Index.