This course includes didactic preparation for the diagnosis and management of individuals with complex primary care problems. Complex care is defined as an individual with multiple problems or with problems complicated by other factors such as limited access to care, language barriers, high risk behaviors in themselves or families, psychiatric mental health problems, substance abuse and or violence in the home or community. In this course students will also explore health problems from a multicultural perspective. The impact of individual health status on family dynamics and relationship of family dynamics to individuals are explored in theoretical seminars that focus on four areas: (1) health promotion and self-care of individuals in complex families; (2) complex family dynamics that impact family functioning; (3) family adaptation to high stress situations and environments; and (4) impact of high-risk community factors on health status of individuals and families.