This paper presents research findings on childrens' responses to migratory separation and later reunion in Caribbean families and the needs of these families when parents migrate and leave their children behind. Implications of this type of separation on children, parents and surrogate caregivers are discussed. The challenges that counsellors in both the 'sending' and host countries face working with this population are also examined and suggestions made for psychosocial intervention and guidelines for counselling in both societies. The need for culturally competent counsellors to work with the growing population of immigrants in North America and Europe is indicated.