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Family Systems Care in Public Sector Settings

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Textbook of Community Psychiatry

Abstract

Patients in public sector settings present with complex mental health and social needs, such as homelessness, substance abuse, immigration, poverty, and minority status. For these patients, a family-centered approach incorporating family psychoeducation provides a framework for understanding and including the individuals involved in their system of care. Family-centered care encompasses multiple systems: the social support systems providing emotional, spiritual, and community life; the public system providing financial support (e.g., Medicaid, Medicare); and the healthcare system. Patients and their families are supported by multiple individuals in these systems, and a family-centered approach begins with collaborating with these individuals. Many patients in the public sector setting have limited contact with their families. Despite this, family-centered approaches can still be utilized to provide stability and support. Staff members in different systems can become a patient’s “family.” This chapter uses case material to outline the current status of family-centered care and future direction, weaving in the knowledge base needed for family inclusion and evidence-based family interventions.

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Correspondence to Sarah A. Nguyen .

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Nguyen, S.A., Heru, A.M. (2022). Family Systems Care in Public Sector Settings. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_24

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