Families are the first environment in which people with disabilities construct an understanding of themselves, yet family communication is often overlooked in counseling services. This study maps evidence on family communication in the context of disability and formulates implications for disability counseling. A Systematic Literature Review (SLR) was conducted following PRISMA 2020 and Kitchenham procedures, with thematic synthesis integrated with family communication theory. Five themes emerged: caregiver stress and psychological health, social support and family-centered practice, resilience and meaning-making, parenting efficacy, and family systems approaches. No analyzed study treated family communication as a primary variable, the evidence was dominated by high-income countries, and the focus centered on autism. A five-stage family communication counseling framework and a research agenda for the Indonesian context are proposed.
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