Comprehending the skills, interventions, and assessments for helping families experiencing contemporary issues is a key knowledge for emerging systemically oriented clinicians. This chapter provides theoretical conceptualization, concise skill-based descriptions, relevant assessment measures, and examples so readers have a comprehensive understanding of how to clinically assist families. Contemporary issues that are reviewed include family cohesion and adaptability, blended and stepfamilies, multiracial families, contemporary parenting issues, obesity, the internet, child abuse and neglect, grandparents raising grandchildren, and parental grief after the death of a child. The chapter concludes by reviewing relevant assessment measures related to the contemporary family issues described within the chapter.