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However, there has been scant attention paid to practices at the interface of clinicians and carers, namely foster carers and residential carers. The present study considers child and adolescent self\u2010harm management and prevention practices as a site of empirical interest due to reports that multi\u2010agency teams are not effectively operating. Drawing upon a grounded theory approach, data were generated via semi\u2010structured interviews and focus groups with residential carers (<jats:italic>n<\/jats:italic>\u00a0=\u00a015) and foster carers (<jats:italic>n<\/jats:italic>\u00a0=\u00a015) in Wales. Themes were developed through axial coding. The results present two central themes to explain the nature and perceived causes of inter\u2010professional discord. First, there are clear contestations in expertise, with carers challenging clinicians\u2019 propositional knowledge in favour of their own experiential expertise. However, participants simultaneously endorse medical dominance, which contributes to their sense of disempowerment and marginalisation. Second, is the preclusion of carers\u2019 professional identity, primarily due to inadequate professionalisation procedures. Meanwhile, the privileging of their parenting role is perceived to support the perpetuation of courtesy stigma. Carers are then compelled to undertake the effortful labour of legitimisation. Together these thematic insights provide direction on mechanisms to improve inter\u2010professional interactions, notably around training and accreditation.<\/jats:p>","DOI":"10.1111\/1467-9566.13071","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T07:09:46Z","timestamp":1586848186000},"page":"1024-1040","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Inter\u2010professional practice in the prevention and management of child and adolescent self\u2010harm: foster carers\u2019 and residential carers\u2019 negotiation of expertise and professional identity"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5251-3308","authenticated-orcid":false,"given":"Stephen","family":"Jennings","sequence":"first","affiliation":[{"name":"Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0239-6331","authenticated-orcid":false,"given":"Rhiannon","family":"Evans","sequence":"additional","affiliation":[{"name":"Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.1997.tb00415.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/089124100129023936"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/104973239800800306"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"170","article-title":"Professional identity in inter\u2010professional teams: findings from a scoping review","volume":"33","author":"Best S.","year":"2019","journal-title":"Journal of Inter\u2010Professional Care"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.07.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840711423913"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0306312707082021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/medhum-2013-010488"},{"key":"e_1_2_9_10_1","article-title":"Socioeconomic inequalities of suicide: sociological and psychological intersections","author":"Chandler A.","year":"2019","journal-title":"European Journal of Social Theory"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.2010.00003.x"},{"key":"e_1_2_9_12_1","volume-title":"Constructing Grounded Theory","author":"Charmaz K.","year":"2006"},{"key":"e_1_2_9_13_1","article-title":"Implementation, evaluation, and outcome of TeamSTEPPS in inter\u2010professional education: a scoping review","author":"Chen A.S.","year":"2019","journal-title":"Journal of Inter\u2010Professional Care"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsw\/bcl375"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12322"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230400017004"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.20.2.239"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2019.01.020"},{"key":"e_1_2_9_19_1","unstructured":"Department for Education(2016)Children looked after in England (including adoption) year ending 31 March 2016. 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