Basic Considerations Dr. Ottavi's model makes a priority of home-school-community connections.  These connections inevitably make a huge difference in how cases progress and the extent of communication between these sectors often act as a barometer of how other interventions will succeed. "Individual interventions will only sustain in advancement to the extent the team is coordinated overall." Four key considerations for effective home-school-community connections. 1.   The approach absolutely needs a coordinated work team.  Coordination between caregivers at home, home to school, school professionals with home and among each other, and also between school and other therapy, medical/medication consult, and social services in the community. 2.   It is a major challenge but essential to not work in different directions and therefore lose the coordinated efforts and focus, not matter how well intentioned.  Detached kids will often resist and work to break down coordination efforts. 3.   Assess the attachment, trauma, and loss issues through a community-based clinical evaluation if possible.  In Why Is Johnny So Detached, Dr. Ottavi also has a non-diagnostic functioning focused assessment, the School Attachment Trauma Rating (SATR) scale.  The SATR assess for student weakness and strength areas and helps set priority needs across the areas of home-school-community connections, sense of self and safety, thoughts and perceptions, and behaviors and reactions to others. 4.   Last, bring a broad range of approaches to meet the often broad and varied emotional, safety, relating, and social needs of detached students and their families. Structure and consistency of expectations are crucial, but just behavior modificaiton or accountability can also result in grid-lock and constant power struggles if not adjusted appropriately.  In addition to school specific approaches, attachment specifc approaches of Theraplay and Dyadic Developmental Psychotherapy can be very helpful also.