Parent Alienation

Program Structure & Goals

Purpose:
To assess alleged parental alienation objectively, support family reunification when appropriate, reduce harmful behaviors, and build healthier long-term parent-child relationships through therapeutic and psycho-legal interventions.

Key Principles (Evidence-informed)

  • Comprehensive assessment before intervention to distinguish alienation from estrangement or justified rejection.
  • Multimodal intervention combining individual, family, and parental therapy tailored to alienation severity.
  • Collaborative legal-clinical approach where courts, lawyers, and clinicians communicate.
  • Training for all professionals involved to reduce misdiagnosis and ineffective therapy.

Comprehensive Assessment Component 

Initial assessment typically conducted by a trained clinician or evaluator with expertise in PA.

Assessment Tools & Methods 

  • Parental Acceptance-Rejection Questionnaire (PARQ) - quantifies child's perceptions and splitting patterns, effective in distinguishing alienation from estrangement.
  • Structured Clinical Interviews with each family member
  • Behavioral Observations of parent-child interaction (in clinic and natural settings)
  • Document Review including custody history, communication logs, school reports, legal orders
  • Collateral Interviews - teachers, therapists, guardians ad litem

Assessment Outcomes

  • Diagnosis / level of alienation (mild-moderate-severe)
  • Differential diagnosis: parental alienation vs. justified estrangement
  • Recommendations (e.g., therapy, parental coaching, court interventions)

Typical Assessment Cost Range
  • Standard assessment battery: $1,500- $5,000

Therapy & Reunification Interventions

Therapeutic interventions should be specific to PA and guided by severity.

A. Individual Parent Interventions

Goals
  • Address alienating behaviors and beliefs
  • Improve emotional regulation and co-parenting skills
Examples
  • Cognitive-behavioral therapy (CBT) focused on reducing harmful behaviors
  • Coaching with evidence-informed PA strategies
Duration & Cost

  • Weekly individual sessions for 12-14 weeks
  • $150 - $300 per session (varies by clinician)

B. Reunification Therapy

Goals

  • Gradually rebuild communication and attachment in a clinically controlled setting
  • Often conducted conjointly with separately working on alienating parent behavior

Process

  • Neutral therapeutic environment initially with brief, structured parent-child interactions
  • Progressively longer sessions as trust builds
  • Parallel treatment for alienating parent to stop sabotage behaviors

Typical Duration & Cost
  • 6-24 months depending on severity
  • Weekly to biweekly sessions - $150-$300+ per hour
Considerations
  • Nature of co-parenting/cooperation strongly influences outcome.
C. Family or Systemic Therapy
  • Focused on communication patterns, boundaries, and co-parenting
  • Often integrates attachment theory and development context
Duration & Cost
  • Monthly to weekly sessions: $150-$300+ per session
D. Supplementary Interventions
  • Parent education on communication & conflict resolution
  • Child supportive therapy to address anxiety, divided loyalty, and trauma
  • Supervised visitation when safety is a concern

Documentation & Reporting

High-quality documentation supports legal processes and treatment accountability:

Expected Documentation
  • Clinical assessment report with PARQ and other measures
  • Progress reports after every 6-12 weeks
  • Parent and child participation logs
  • Communication between interdisciplinary team (treating therapists, attorney, court professionals) - with consent
Use in Court Helps courts determine compliance with therapy goals and inform custody or visitation modifications. 

To learn more about these services contact us at 970.316.5009

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