Why asking the right questions at the outset can change everything
Dr Alison Hodgetts – MCTS Expert Witness Network Registered Clinical Psychologist
Summary
In this article, Dr Hodgetts explores the role of psychological and psychiatric assessments in family proceedings, offering guidance on when to instruct each type of expert and how to frame effective, case-specific questions. With a focus on clarity, practicality, and compassion, the piece highlights the importance of tailoring assessments to the needs of the family and the realities of the family justice system.
Full Article
In family proceedings, psychological and psychiatric assessments often play a vital role in helping courts navigate complex and emotionally charged situations. When questions of parenting capacity, child development, trauma, attachment, or mental health arise, instructing the right expert—and asking the right questions—can mean the difference between a report that brings real clarity and one that simply restates what is already known.
But how do you know what type of expert you need—and what should you be asking them?
What Can a Psychological Assessment Offer?
At its core, a psychological assessment is about understanding behaviour—why people do what they do, how their life experiences have shaped them, and what support or intervention might help them change. It draws on psychological theory, clinical experience, and often psychometric data to provide a holistic picture of an individual or family.
In family proceedings, this can be invaluable. A well-structured psychological assessment can offer insight into:
- The presence of psychological or psychiatric conditions
- A parent’s capacity for safe and nurturing caregiving
- The emotional and cognitive development of a child
- The impact of past trauma, neglect or abuse
- A child’s attachment relationships and resilience
- Whether meaningful behavioural change is likely
- Which interventions may be appropriate and effective
Importantly, such assessments help the court move from speculation to evidence-based decision-making, providing a structured understanding of complex dynamics and informing planning around placements, contact, and support services.
Psychologist or Psychiatrist: Who Should You Instruct?
This is a common question among family solicitors. While both psychologists and psychiatrists are mental health specialists, their training, tools, and approaches differ in important ways.
- Psychiatrists are medically trained doctors who specialise in diagnosing and treating mental illness, often with medication. They are particularly well-placed to assess conditions with a strong biological component (e.g. schizophrenia, bipolar disorder) and are essential when queries about medication are involved. Some may have additional training in psychotherapy, but this is not part of their core training.
- Psychologists, in contrast, are not medical doctors. They are trained in understanding behaviour, emotions, development, and the environmental and relational factors that shape mental health. Psychologists do not prescribe medication, but they are experts in delivering and interpreting psychometric tests, providing therapy, and formulating complex psychological profiles based on detailed histories and evidence-based models.
Both professionals are regulated and qualified to provide assessments in family proceedings, and both can diagnose mental health conditions. However, they tend to approach problems from different perspectives. While psychiatrists may focus more on medical and diagnostic aspects, psychologists are more likely to explore relational patterns, trauma, attachment, and potential for behavioural change.
In practice, there is often considerable overlap. So, who should you choose?
It depends on the questions at hand. If medication or medical treatment is a central issue, a psychiatrist may be the best option. If you need an in-depth understanding of behavioural patterns, parenting capacity, trauma impact, or cognitive functioning, a psychologist may be more appropriate.
In many cases, the best approach is to outline the issues and questions you want addressed and ask a provider to recommend suitable clinicians based on experience and qualifications—not just job title.
Diagnosis and Formulation: Why It Matters
To get the most from an expert, it helps to understand the difference between diagnosis and formulation:
- Diagnosis is a label—a classification that tells you whether someone meets criteria for a mental health condition, according to standard manuals like the DSM or ICD. Diagnosis can be helpful for accessing services and communicating needs succinctly.
- Formulation is an explanatory narrative that considers a person’s history, context, strengths, and difficulties. It can offer a deeper understanding of why they’re presenting as they are—and what might help.
Psychiatrists tend to focus more on diagnosis, while psychologists are trained in providing formulations. Both can offer either approach, but understanding the emphasis can help ensure you get what you need.
Asking the Right Questions
A high-quality psychological report begins with a clear, focused letter of instruction. Yet all too often, letters are overly generic or rely on templated wording that fails to reflect the unique features of the case. This risks generating a report that lacks specificity, adds little to the proceedings—or worse, necessitates addenda and delay.
Standard questions about mental health status, parenting capacity, attachment, and support needs are important, but a targeted letter of instruction will help the expert focus on what really matters and avoid unnecessary repetition or ambiguity.
For example:
- Instead of asking generally about substance misuse, ask: “How does the parent reflect on the emotional and developmental impact of their drug use on the child?”
- Rather than asking if a child has been affected by domestic abuse, ask: “What are the child’s lived experiences of caring for younger siblings during episodes of domestic violence?”
Tailoring your questions to the specifics of the case not only helps the expert design a more meaningful assessment but also demonstrates to the court that your client’s unique circumstances have been carefully considered.
Consider:
- What concerns have been raised?
- What are the key areas of uncertainty?
- What decisions does the court need to make?
We also recommend that you:
- Avoid duplication between questions
- Clarify terms (e.g. explain what you mean by “attachment” or “risk”)
- Discuss questions with other parties before finalising the LOI
- Ask for CVs of available experts and review relevant experience
What Makes a Good Psychological Report?
A strong expert assessment report should:
- Provide a clear narrative that incorporates the individual’s lived experience
- Clearly document the assessment process. Explain why certain tools or measures were used, and what they tell us
- Include psychometric data (where appropriate) and explain what the results mean
- Draw on theory, evidence, and clinical experience
- Offer a meaningful formulation that connects history, behaviour, and functioning
- Make realistic and specific recommendations linked to identified needs
Where psychometric tools are used (e.g., Millon Clinical Multiaxial Inventory, Personality Assessment Inventory), the report should explain why they were selected and present results in a clear format, such as a graph or table. For children, informal techniques (e.g., play, drawings) may be combined with standardised tools like the Beck Youth Inventories, Child Behaviour Checklist, or Story Stem Assessment Profile.
Input from others – schools, foster carers, or social workers can also be crucial. Structured tools like the Devereux Scales or Connors Developmental Scales completed by third parties can add valuable external validation to the expert’s conclusions.
Recommendations Must Be Realistic
An important, and sometimes overlooked, part of the assessment is the recommendation section. It’s easy to suggest gold-standard therapeutic interventions—but are they actually available in the local area?
Experts must strike a balance between clinical idealism and practical realism. They should:
- Research local service availability
- Acknowledge resource limitations
- Suggest creative but feasible alternatives where necessary
Experts should consider the reality of service provision, especially in a climate of funding pressures and waiting lists. Creativity is welcome—suggestions might include community services, online resources, or structured parenting programmes—but they must be achievable. This not only increases the utility of the report but also shows awareness of the context in which social workers, local authorities, and families are operating.
Don’t Forget the Family
Finally—and crucially—remember that at the heart of every assessment is a person, or often, a family in crisis. The process of being assessed can feel intrusive and disempowering, especially for parents who are already under significant stress.
Experts should be sensitive to this dynamic and work in a way that maintains transparency and compassion.
- Provide clear, jargon-free summaries
- Ensure parents with learning difficulties can understand the findings
- Highlight support needs in a practical and respectful way
- Avoid re-traumatising children through the process
A duty of care doesn’t end with the final report. Our brief involvement can have lifelong consequences for families. It is therefore vital that our assessments are not only thorough and evidence-based but also compassionate and supportive of those at the heart of the proceedings.
Conclusion
Instructing the right expert—and asking the right questions—can unlock critical understanding in family proceedings. Whether the issue involves parenting capacity, mental health, or trauma, a thorough and thoughtful psychological assessment can bring clarity and direction.
Solicitors can play a pivotal role in this process. By clearly framing the issues, tailoring questions, and working collaboratively with experts, they help ensure that the assessments provide genuine insight—not just information—and ultimately support better outcomes for children and families.
Ultimately, the goal is to bring clarity and compassion to some of the most challenging decisions families and courts have to make—and that starts with asking the right questions of the right people.
About the MCTS Expert Witness Network
Midhurst Clinical Therapeutic Services (MCTS) is a Social Enterprise, established with a clear mission: to provide ethical, trauma-informed, and specialist mental health and therapeutic services for children, young people, and families. We are not profit-driven—our purpose is to reinvest in better care and outcomes for those we support.
Through our Expert Witness Network, we offer high-quality psychological and therapeutic assessments in family, civil, and criminal proceedings. Our multidisciplinary team includes experienced clinical, forensic, and counselling psychologists, psychiatrists, occupational therapists, speech and language therapists, nurses, and more, all committed to delivering thoughtful, evidence-based reports tailored to the complex needs of each case.
At the heart of our work is a deep understanding of trauma, abuse, and neglect, and the belief that all services should be grounded in compassion, expertise, and a commitment to social justice.
MCTS offers a free, monthly CPD session for solicitors. Email hello@mcts.org.uk to find out more.
About the Author
Dr Hodgetts is a Clinical Psychologist with 20 years’ experience across children’s services, family courts, and specialist mental health settings. She regularly provides expert witness assessments in public and private law proceedings, with particular expertise in attachment, trauma, and family dynamics. Dr Hodgetts is passionate about ensuring that psychological assessments are accessible, evidence-based, and always centred on the needs of the child.
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