FAMILY HEALTH SERVICE

Definition of family Eliott and Merrit Family is a group of two or more persons joined by ties of marriage, blood or adoption who constitute a single household, who interact with each other in their respective familial roles and who create and maintain a common culture. Winch R F Family is the biological social unit comprised of husband, wife and children Eliott and Merrit

The word family comes from a roman word ‘famulus’ which means ‘servant’

Types of family -universal -husband, wife and their unmarried children 1)Nuclear family (elementary family) -universal -husband, wife and their unmarried children -husband-dominant role -influence of parents and grandparents are negligible -more intimate -strong emotional relationship -same dwelling place -independent of taking decisions

-husband, wife , children ,grandson ,uncles ,aunts , cousins etc 2) Joint family (extended family) -common in India -husband, wife , children ,grandson ,uncles ,aunts , cousins etc -same household -all the property held in common -authority-senior male member -large size -motto is union is strength -celebrate all the functions together

3) Community family Several unrelated monogamous couples living together in the common household and collectively rearing their children 4)Reconstituted family Divorced or widowed adults with all or some of his/her children and a new spouse with all or some of his or her children, step parents, children, and step children live together in a single house

5) Single parent family single parent family is formed when one parent leaves the nuclear family because of death , divorce, or when a single person decides to have or adopt a child 6) Blended family Blended family is formed when parents bring unrelated children from prior or foster parenting relationships into a new ,joint living situation

7 ) patriarchal family A form of family in which the male is the family head and title is traced through the male line - in other words a family where the father is the authority figure and everyone gains his approval or follows his instructions. 8) matriarchal family A form of family in which the mother is head of the family, and in which descent is reckoned in the female line, the children belonging to the mother's clan; matriarchal system.

Functions of family -physical care and affection -economic security -procreation and rearing of children -physical care and affection -economic security -socialization -education -division of labour -social care and control

social care and control -sense of belongingness -sense of personal identity -social status to its members -social security

Function of family by WHO 1) Biological -reproduction -rearing of children -nutrition of family members -protection of family members 2) Psychological -emotional security of members -sense of identity of members -maturation of personality -make relationship outside the family

-transfer of values related to behavior, tradition, morals 3 ) Socio cultural -transfer of values related to behavior, tradition, morals -socialization of children 4) Economic -acquisition of resources -distribution of resources -economic buffering of members of family 5) Educational -inclusion of skills, attitude and knowledge -preparation for adult life

Characteristics of family 5 universal characteristics -Every family is a small social system -Every family has its own cultural values and rules -Every family has its own structure -Every family performs certain basic functions - Every family moves through stages of the life cycle

According to Ruth Freeman, -family is a product of time and place -family develops its own life cycle -family operates as a group -family accommodates to the need of individual members -family relates to the community

Family life cycle

Developing the foundations of a model of family life Stage 1: Family of origin experiences During this phase the main tasks are: Maintaining relationships with parents, siblings and peers *Completing education Developing the foundations of a model of family life

Beginning work, developing work identity and financial independence. Stage 2: Leaving home During this phase the main tasks are: Differentiation of self from family of origin and parents and developing adult to adult relationships with parents *Developing intimate peer relationships. Beginning work, developing work identity and financial independence.

Developing a relationship Deciding to establish own home with someone. Stage 3: Pre marriage stage During this phase the main tasks are: Selecting partners Developing a relationship Deciding to establish own home with someone.

Developing a way to live together both practically and emotionally Stage 4: Childless couple stage During this phase the main tasks are: Developing a way to live together both practically and emotionally Adjusting relationships with families of origin and peers to include partner

Realigning family system to make space for children Stage 5: Family with young children During this phase the main tasks are: Realigning family system to make space for children Adopting and developing parenting roles Realigning relationships with families of origin to include parenting and grand parenting roles Facilitating children to develop peer relationships

Taking on responsibility of caring for families of origin Stage 6. Family with adolescents During this phase the main tasks are: Adjusting parent-child relationships to allow adolescents more autonomy Adjusting family relationships to focus on midlife relationship and career issues Taking on responsibility of caring for families of origin

Resolving midlife issues Stage 7: Launching children During this phase the main tasks are: Resolving midlife issues Negotiating adult to adult relationships with children Adjusting to living as a couple again Adjusting to including in-laws and grandchildren within the family circle Dealing with disabilities and death in the family of origin

Coping with physiological decline in self and others Stage 8: Later family life During this phase the main tasks are: Coping with physiological decline in self and others Adjusting to children taking a more central role in family maintenance Valuing the wisdom and experience of the elderly Dealing with loss of spouse and peers Preparation for death, life review, reminiscence and integration