Treatment

The severity and the course of the disorder vary, depending on individual factors in the child and the caregiver, the degree of the associated psychosocial deprivation, the length of time spent in the deprived environment, the nature and adequacy of the intervention, and the age of the child at the time of intervention. Considerable improvement or remission may occur if a disorder follows a continuous course. Possible interventions include, but are not limited to, the following:

  1. Psychosocial support services, which can include providing homemakers, assessing the capacity of the caretakers, improving the physical condition of the home or obtaining more adequate housing, improving the financial status of the family, and decreasing the isolation of the family.
  2. Psychotherapeutic intervention, which can include family or marital counseling and medications for associated difficulties. Treatment should target the symptoms, not just the attachment problems.
  3. Educational/counseling services, which can include mother/infant groups and education to increase awareness and understanding of the child's needs and improve parenting skills.
  4. Provisions for close monitoring of the progression of the infant's physical and emotional well-being.
  5. Placement with relatives, foster care, or adoption may become alternatives should these interventions be unfeasible.