Psychosocial problem assessment: to counsel or not to counsel.

A pragmatic method for assisting family practice residents in deciding whether or not to counsel patients with psychosocial problems is described. Called "the problem assessment framework," this seven-step method uses a process of sequential analysis to guide the resident through problem identification, goal setting, and determination of appropriate intervention. A checklist is employed to quickly evaluate the suitability of resident and patient for engaging in psychological counseling.