As already mentioned, a sociological systems view focuses on societal systems that interact to influence a family's actions. It is well known that individuals with disabilities have commonly been discredited and relegated to a morally inferior status in American society. These social stigmas may be evident in everyday interaction in subtle ways. As a result, families may be reluctant to seek assistance. The cultural background of each family interacts with these societal stigmas and determines whether assistance will be sought from human service agencies.
Some subcultural variations proscribe the involvement of agencies outside the family.
For instance, family is valued very highly among the Asian American community and family problems are regarded as extremely private. In fact, bringing them to the attention of outsiders is considered shameful. Puerto Ricans also value family and depend on them as a source of strength and support. This heavy reliance on the family unit may result in the use of social service agencies only as a last resort. Professionals need to be sensitive to these subcultural variations to maximize the likelihood of the families utilization of needed services.