title: Judicial case management and the custody and access assessment: melding the approaches.
abstract: BACKGROUND
  The presence of the Unified Family Court, with procedures emphasizing judicial case management and settlement in custody disputes, provided an opportunity to combine these practices with those of a university hospital-based family court clinic experienced in the provision of custody assessments. Specifically, a process integrating the clinical custody assessment with the work of counsel and court procedures was developed. This format, incorporating the preparation of a clinical settlement conference brief, was then evaluated with emphasis on time management, outcome in relation to settlement or trial, and the effect of clinical assessment at critical points in the combined endeavour.
  
  
  METHODS
  Seventy-two judicial referrals conducted using this format were reviewed. To assess efficiency, we determined time intervals to various points in the process and compared them to previous local practice. Settlement rates, recorded incrementally to mark each component's contribution, were compared with rates noted in the literature. Assessment functions were identified according to the point of resolution of the dispute and in a manner to facilitate comparison with previously published work.
  
  
  RESULTS
  The format resulted in 50% of cases settling without trial in under 5 months, a minimum settlement rate of 50%, and confirmed the ability of clinical assessment to contribute flexibly to dispute resolution in several conciliation venues and at trial.
  
  
  CONCLUSIONS
  Combining legal and mental health efforts can results in more efficient use of resources and a substantial diversion of cases from continuing litigation. While altering the process of clinical assessments enhances such findings, further work is required to assure appropriate selection criteria for various intervention formats.
authors.affiliation: Division of Child and Adolescent Psychiatry, Kingston General Hospital, Ontario.
authors.forename: J
authors.initials: J
authors.lastname: Leverette
authors.forename: T
authors.initials: T
authors.lastname: Crowe
authors.forename: R
authors.initials: R
authors.lastname: Wenglensky
authors.forename: M
authors.initials: M
authors.lastname: Dunbar
mesh_terms: D000293:Adolescent; D019090:Case Management / Q000331:legislation & jurisprudence*; D002648:Child; D002655:Child Custody / Q000331:legislation & jurisprudence*; D002675:Child, Preschool; D004243:Divorce / Q000331:legislation & jurisprudence; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D006801:Humans; D007223:Infant; D009864:Ontario; D010043:Outcome and Process Assessment, Health Care; D012017:Referral and Consultation / Q000331:legislation & jurisprudence; D013997:Time Factors