We are hoping to better understand the needs of children in polyamorous families in order to develop more responsive and effective mental health services for this underserved population. Please take a moment to consider the unique resources and needs your child may have as a member of a polyamorous family and answer the following questions.

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* 1. Please let us know about the makeup of your polyamorous family.
Please include how many adult partners regularly engage in childcare
roles, the level of their involvement, the number of children you have,
and your children’s ages

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* 2. What are the primary concerns you have for your child as a member of a polyamorous family?

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* 3. As a polyamorous parent, what barriers might you face seeking mental health services for your child?

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* 4. As a polyamorous parent, what unique challenges do you face that could be addressed through supportive parent guidance sessions with a psychotherapist?

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* 5. As a polyamorous parent, what concerns do you have for your child in educational settings?

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* 6. As a polyamorous parent, what concerns do you have for your child with regard to peer relationships?

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* 7. As a polyamorous parent, what concerns do you have for your child in faith-based communities (if applicable)?

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* 8. What special strengths and resources does your child possess as a member of a polyamorous family?

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* 9. What special strengths and resources do you possess as a polyamorous parent?

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* 10. If there are “secondary” caregivers or caregivers who integrated into your polyamorous family after one or more of your children were born/adopted, what are their primary support needs?

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* 11. Thinking from your child’s perspective, what do you imagine their greatest challenges are as a member of a polyamorous family?

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* 12. If your child had a psychotherapist knowledgeable about polyamory, which of the following services would you find helpful for them to provide (please rank in order of greatest to least important):

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* 13. If you checked other in the item above, please use the space below to clarify what other services you would find helpful for a psychotherapist to provide your child.

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