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Journal of Pediatric Psychology, Vol. 27, No. 2, 2002, pp. 133-143
© 2002 Society of Pediatric Psychology

Family Systems Practice in Pediatric Psychology

Anne E. Kazak, PhD, ABPP, Steven Simms, PhD and Mary T. Rourke, PhD

The Children's Hospital of Philadelphia

Kathleen Lemanek served as the Action Editor for this paper. All correspondence should be sent to Anne E. Kazak, Director, Department of Psychology, The Children's Hospital of Philadelphia, 34th St. & Civic Center Blvd., Philadelphia, Pennsylvania 19104-4399. E-mail: kazak{at}email.chop.edu .

Objective: To present a pediatric psychology consultation treatment framework based on family systems and developmental theories.

Methods: After reviewing background relevant to family systems interventions, a five-step protocol (referral, assessment, collaboration, outcome) for consultation is presented, using case examples from our pediatric oncology service, to illustrate joining, focusing, promoting competence and collaboration with patients, families, and staff.

Results: Using protocols based on family systems frameworks, pediatric psychologists can offer systems-oriented consultation to patients, families, and healthcare teams.

Conclusions: Further development and evaluation of family systems protocols are necessary to understand the efficacy of these approaches and their role in training and practice.

Key words: families; consultation; pediatric psychology; pediatric oncology.


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