Pediatrics in Review
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Family-focused Behavioral Pediatrics: Clinical Techniques for Primary Care

William L. Coleman MD1
Barbara J. Howard MD2
 1 Associate Professor of Pediatrics, Clinical Center for the Study of Development and Learning, Department of Pediatrics, University of North Carolina, Chapel Hill, NC.
2 Clinical Assistant Professor of Pediatrics, Duke University School of Medicine, Child Development Unit, Durham, NC.

Whenever a behavioral or psychosocial problem presents in a child, all members of the family are affected. Conversely, when the problem lies within the family, the child is affected and often presents as the symptomatic patient. The goals of family-focused pediatrics are to: 1) determine the need for a family intervention; 2) conduct a family interview-assessment; 3) clarify the issues; 4) teach healthy communication skills and interactions; and 5) facilitate generation of family goals and solutions. Family-focused strategies provide an effective, brief, and timely approach that can aid the pediatrician in helping children and their families function in more healthy and satisfying ways.




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