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Given the prevalence of chosen family among sexual and gender minorities as well as the amount of research that underlines chosen family as an important social support, this paper aims to synthesize recommendations for clinical work with chosen families and to highlight gaps in the literature. Using the five\u2010step Arksey and O'Malley (2005) scoping review process, four electronic databases were systematically searched to identify papers that address working with chosen family in care\u2010related fields, including social work, couple and family therapy, and nursing. Twenty\u2010seven articles were included in this review and seven themes were identified by these authors that culminated in recommendations for clinical practice: (a) educate oneself about diverse family forms and address biases; (b) invite self\u2010definition of \u201cfamily\u201d; (c) proactively include chosen family; (d) consider legal and policy barriers; (e) refer chosen family members to sources of support; (f) encourage people to create or maintain chosen family; and (g) engage in sexual and gender minority affirmative practices generally. The existing literature focuses primarily on individual services that involve chosen family as needed, but do not explicitly focus on dynamic and systemic needs. Further research into systemic work with chosen family is needed.<\/jats:p>","DOI":"10.1111\/famp.70180","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:25:12Z","timestamp":1783995912000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Caring for Chosen Family: A Scoping Review of Clinical Work With Chosen Family"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9982-0734","authenticated-orcid":false,"given":"Ainsley","family":"Jenicek","sequence":"first","affiliation":[{"name":"School of Social Work McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles","family":"Cooke","sequence":"additional","affiliation":[{"name":"School of Social Work McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-2097","authenticated-orcid":false,"given":"Heather B.","family":"MacIntosh","sequence":"additional","affiliation":[{"name":"School of Social Work McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1226-6450","authenticated-orcid":false,"given":"Tamara","family":"Sussman","sequence":"additional","affiliation":[{"name":"School of Social Work McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9816-5887","authenticated-orcid":false,"given":"Aline","family":"Bogossian","sequence":"additional","affiliation":[{"name":"\u00c9cole de Travail Social Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.17312\/harringtonparkpress\/2017.03lgbtqihpc.004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0038038510375739"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2021.1921511"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2015.1074141"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/799731"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12671"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u20106427.2007.00385.x"},{"key":"e_1_2_11_10_1","first-page":"153","volume-title":"The Oxford Textbook of Palliative Social Work","author":"Blotner C.","year":"2022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10591\u2010011\u20109147\u20105"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.4.490"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/43.2.192"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/0000280-001"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1473325007080401"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12108"},{"key":"e_1_2_11_17_1","volume-title":"Caregiving in Canada: Survey Insights From Caregivers and Health Providers Across Canada","author":"Canadian Centre for Caregiving Excellence","year":"2024"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1188\/18.ONF.439\u2010455"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3138\/jcfs.25.3.297"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2010.522476"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511810121.009"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2017.12.003"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10591\u2010022\u201009652\u20107"},{"key":"e_1_2_11_24_1","first-page":"267","volume-title":"Innovative Interventions to Reduce Dementia Caregiver Distress: A Clinical Guide","author":"Coon D. 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