In a recent retrospective cohort study titled "Separation and not residency permit restores function in resignation syndrome: a retrospective cohort study," researchers Karl Sallin et al. have highlighted a critical approach in treating Resignation Syndrome (RS) in children. This condition, often seen in asylum-seeking children, has been traditionally managed with a family-oriented approach and securing residency permits. However, the study presents compelling evidence that separation from parents, combined with residential therapy, significantly improves outcomes.
Key Findings from the Study
The study evaluated 13 children treated at the Solsidan residential care home between 2005 and 2020. The key findings include:
- Out of the 13 participants, 69% (9 children) recovered significantly.
- All eight children who were separated from their parents recovered, while only one of the five non-separated children recovered.
- Among the five children who received residency permits during treatment, only one recovered, suggesting that the residency permit was not a significant factor in recovery.
Implementing Separation Therapy
Given these findings, practitioners should consider incorporating separation therapy into their treatment plans for children with RS. Here are some practical steps:
- Initial Assessment: Conduct a thorough assessment to determine the severity of RS and any contributing family dynamics.
- Separation Plan: Develop a separation plan that includes temporary removal of the child from the family environment. This should be done with sensitivity and in accordance with legal and ethical guidelines.
- Residential Therapy: Enroll the child in a residential care facility that offers specialized therapy, including sensory stimulation, physical activities, and structured routines.
- Parental Involvement: Keep parents informed and involved through regular updates, photos, and videos. However, ensure that they do not discuss the asylum process with the child during the treatment period.
- Gradual Reintegration: Once the child shows signs of improvement, gradually reintegrate them with their family while closely monitoring their progress.
Encouraging Further Research
While this study provides valuable insights, it also opens the door for further research. Practitioners and researchers should explore:
- The long-term effects of separation therapy on children with RS.
- Comparative studies to evaluate the efficacy of different therapeutic approaches.
- The role of family dynamics in the onset and progression of RS.
Conclusion
The study by Sallin et al. challenges the conventional approach to treating Resignation Syndrome by emphasizing the importance of separation from parents and residential therapy. By adopting these methods, practitioners can significantly improve outcomes for children suffering from this debilitating condition.
To read the original research paper, please follow this link: Separation and not residency permit restores function in resignation syndrome: a retrospective cohort study.
Sallin, K., Evers, K., Jarbin, H., Joelsson, L., & Petrovic, P. (2021). Separation and not residency permit restores function in resignation syndrome: a retrospective cohort study. European Child & Adolescent Psychiatry, 32(1), 75-86. https://doi.org/10.1007/s00787-021-01833-3
