ABSTRACT
This chapter explores the challenges of working in primary care with large numbers of people who experience themselves as displaced, and for whom the concepts of community, home, and even family refer more to a place in the past rather than one in the present. It draws on systemic psychotherapeutic work that I did as part of a wider initiative in an inner-city primary care practice. The service involved meeting with up to three families fortnightly, followed by consulting with the medical staff on a range of issues, including discussing the families seen in therapy, patients who raised particular concerns but for whom a referral was not feasible, and wider practice issues.
