This paper offers a review of how the role of Art Therapy is represented in four important areas: In Specialist (Tier 3) Child and Adolescent Mental Health Services (CAMHS) in England, in government and related documentation and polices, within broader literature pertaining to Child and Adolescent Mental Health Services, as well as in Art Therapy publications. The author found that there are shortcomings in the understanding of the profession including the unique role that art therapy offers, as well as an evident lack of inclusion across the range of literature. The author contends that central factors exerting influence include powerful socio-politico-economic agenda and influence, unprecedented change in the field of psychological therapies, unconscious processes, and limited self-promotion.