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It was based on pastoral visits with five families of the chronically ill and the illness of the author's husband. The hypothesis was that the chronically ill and their families face unique challenges and needs for pastoral care not observed in acute or terminal illness due to the 'ongoingness' of the chronic disease or injury. A Family Systems approach and theological reflection were used to analyze the experiences. The hypothesis was proven correct. 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The method of testing was with questionnaires designed to provide opportunities to patients to express how they felt about the homilies. Apart from using questionnaires, face-to-face conversations between the pastoral minister and patients were also provided. 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