The purpose of this practicum is to apply the Systemic Family herapy while working with families with children and adolescents in an outpatient hospital setting. The setting is the Family Therapy Services at St. Boniface General Hospital. Families with children and adolescents face one of the critical periods in family life. Issues involved with developmental transition or unexpected life events could hinder the continuity of family evolution. They are families with children or adolescents and that the identified client is not necessarily the children or adolescents. This report highlights the use of techniques of systemic family therapy such as the feedback process during work with children and adolescents in their families. Two family case studies are used to illustrate the intervention process. The usefulness of systemic family therapy while working with families is discussed and professional learning goals attained during the practicum are highlighted.