Family systems practice in pediatric psychology.

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.