About family therapy
Family therapy works with several members together to improve communication, resolve conflicts and support everyone through changes such as separations, illness or adolescence.
Social workers support people and families in difficult situations: access to social and health resources, dependency, family conflicts, addictions or social exclusion. They coordinate with public services and other professionals.
Getting mental health care in Sint Maarten
Public health system · Mental Health Foundation (MHF), funded mainly through SZV Social and Health Insurances
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How to check that a professional is licensed
- Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference. Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online. Search the official register
Insurance and coverage
SZV has care contracts with private psychologists and with the Mental Health Foundation, so SZV-insured people can be covered for psychological assessment and therapy.
Urgent help in Sint Maarten
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 912 · Ambulance
Information reviewed in November 2026 · Sources: thedailyherald.sx, thedailyherald.sx, sintmaartengov.org, thedailyherald.sx
Signs to look out for
Every family goes through tension. Family therapy may help when conflict is constant or very intense, communication has broken down, a child’s difficulties are straining everyone, members feel stuck in the same patterns, or the family is struggling to adapt to a change such as a separation, a new partner, illness, migration, a loss or a child leaving home.
What helps: treatments and professionals
Systemic family therapy looks at relationships and patterns rather than blaming one person. Approaches with evidence include structural and strategic family therapy, family-based treatment for adolescent eating disorders, multisystemic and functional family therapy for behaviour problems, and parent training. Family therapists, psychologists and social workers with systemic training usually lead the work, sometimes alongside individual therapy.
When to seek urgent help
If there is violence at home, a child or adult is being harmed, or someone is afraid for their safety, contact your local emergency services or specialised protection services. Safety comes before family therapy. Seek urgent help too if any family member talks about suicide, has harmed themselves seriously, or is at risk of harming others.
What you can do in the meantime
Set aside calm times to talk, and try to listen to understand rather than to reply. Agree on a few household rules together and keep them consistent. Avoid involving children in adult conflicts. Make room for enjoyable shared moments, even short ones. If tensions run high, take breaks before continuing a discussion. Each person looking after their own well-being also helps the family.
What does a social worker do?
A social worker supports individuals, families and communities facing social, economic or relational difficulties. Day to day they assess needs, inform people about their rights and available resources, help with applications, coordinate with health, education, housing and legal services, and accompany people through crises. Some offer counselling or family intervention, especially in mental health, child protection, ageing and disability settings.
When to see a social worker
A social worker can help when practical problems add to emotional strain: caring for a dependent relative, financial or housing difficulties, isolation, a separation affecting children, a disability, or navigating services after a diagnosis. They are also key when there is risk of abuse or neglect. For psychological therapy itself, a psychologist or psychotherapist is usually more appropriate.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Sint Maarten cover psychological care?
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How do I check that a social worker is licensed in Sint Maarten?
Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference: Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online.