This paper focuses on the identification of the factors associated with the productive and unproductive use of supportive and therapeutic services by high‐risk teen parents. Referral and treatment data were analyzed and discussed, as were two case studies. The importance of family support and family relationships to the use of services is highlighted in both the statistical and clinical data. Treatment implications are discussed.
The treatment of a mother of quadruplets during the first year of the infants' lives serves as a case example of the issues associated with a multiple birth and how these issues can be addressed via parent/infant psychotherapy. Issues concerning an individual's self‐esteem, dependency, envy, and competency as a parent are exaggerated by a multiple birth. The ensuing developmental crisis provides an ideal opportunity for therapeutic work.
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