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Socio-ecological models as a framework for 21st-century genetic counseling
Shana L Merrill1,2,3, Rebecca Mueller4
1School of Social Policy and Practice, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of Genetic Counseling
|June 2, 2026
Summary
Socio-ecological models offer a unified framework for genetic counseling practice, research, and training. This approach helps guide the expanding field of genetic counseling across micro, meso, and macro levels.
Area of Science:
- Genetic Counseling
- Public Health
- Social Work
Background:
- Socio-ecological models are established in social work and public health but underexplored in genetic counseling.
- The genetic counseling field is rapidly expanding globally, necessitating unified theoretical frameworks.
- Current practice, training, and research in genetic counseling lack a cohesive conceptual model.
Purpose of the Study:
- To conceptualize and tailor socio-ecological models for genetic counseling.
- To provide a common language and organizational framework for the evolving genetic counseling profession.
- To illustrate the application of socio-ecological models across genetic counseling's professional identity, clinical practice, training, and research.
Main Methods:
- Overview of socio-ecological models.
- Description of model applications in genetic counseling contexts.
- Presentation of practical examples for multi-level issue resolution.
Main Results:
- Socio-ecological models can provide a unifying framework for genetic counseling.
- These models offer practical applications for professional identity, clinical practice, training, and research.
- The micro, meso, and macro levels of socio-ecological models are relevant to genetic counseling.
Conclusions:
- Adoption of socio-ecological models can foster cohesion in the genetic counseling field.
- These models are valuable for addressing complex genetic counseling issues at multiple levels.
- Tailoring socio-ecological models will help intentionally shape the future of genetic counseling.
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