Reunification Therapy
Treatment Duration: Weekly sessions over 12–24 weeks (individualized and potentially adjusted based on progress).
Phase 1: Assessment & Engagement
Duration: Weeks 1–2
Goals:
Establish therapeutic rapport with all parties.
Conduct clinical and historical assessment of family dynamics, estrangement causes, and readiness.
Identify safety concerns or contraindications.
Interventions:
Individual sessions with child, rejected parent, and favored parent.
Review of court orders, custody arrangements, and any forensic evaluations.
Psychoeducation about the purpose and structure of reunification therapy.
Expected Outcomes:
Clear understanding of each participant’s perspective.
Informed consent and agreement to ground rules of therapy.
Identification of barriers and protective factors.
Phase 2: Psychoeducation & Individual Work
Duration: Weeks 3–6
Goals:
Reduce child’s anxiety and resistance toward contact with the rejected parent.
Strengthen co-parenting boundaries and reduce triangulation.
Equip all parties with tools for emotional regulation and communication.
Interventions:
Individual CBT-based sessions focusing on distorted thinking, blame, and self-concept.
Psychoeducation about loyalty conflicts, family systems, and the impact of estrangement.
Co-parenting consultation (with both parents or separately) on maintaining neutrality and supporting child’s relationship with both parents.
Expected Outcomes:
Child can verbalize feelings about each parent in a safe way.
Parents demonstrate insight into their roles in the dynamic.
Decreased reactivity and improved cooperation with therapist’s guidance.
Phase 3: Facilitated Parent-Child Contact
Duration: Weeks 7–12
Goals:
Reintroduce child and rejected parent in a safe, structured setting.
Build positive experiences and correct misperceptions.
Support child’s autonomy and emotional safety during sessions.
Interventions:
Therapist-led joint sessions with games, activities, or communication exercises.
Real-time coaching for rejected parent on validating, not pressuring.
Debriefing with child after each session to support emotional processing.
Expected Outcomes:
Increased tolerance of contact by child.
Decreased anxiety and avoidance behaviors.
Emergence of shared positive memories or interactions.
Phase 4: Generalization of Contact
Duration: Weeks 13–18
Goals:
Transition parent-child interactions to natural settings.
Reduce therapist presence while maintaining gains.
Ensure co-parenting behavior supports reunification.
Interventions:
Supervised transitions to home or community visits.
Safety and behavior agreements reviewed and signed by all parties.
Ongoing support sessions for favored parent to address anxieties or sabotage.
Expected Outcomes:
Child initiates or responds to contact with less prompting.
Rejected parent demonstrates consistency, emotional safety, and responsiveness.
Favored parent refrains from undermining and supports therapeutic goals.
Phase 5: Maintenance & Termination
Duration: Weeks 19–24
Goals:
Ensure stability of the restored relationship.
Develop plan for continued contact and problem-solving.
End therapy with clear expectations and support resources.
Interventions:
Final joint sessions focused on future planning and closure.
Aftercare planning (e.g., family therapy, co-parenting therapy, check-ins).
Written recommendations provided to family and/or court, if needed.
Expected Outcomes:
Family has a sustainable, functional reunification plan.
Child reports improved sense of emotional security and connectedness.
Therapy concludes with goals met or referred for maintenance support.