Many parents are currently struggling to balance job and family responsibilities. Such attempts bring about changes in work and individual attitudes. This report presents the status of work and family in 1992, as well as the nature and direction of workplace changes to accommodate families. The report indicates that large United States companies have begun meeting the work-family needs of employed women and men, though most in piecemeal fashion. The report analyzes the status of the development of work-family initiative programs and identifies the steps needed and criteria for maintaining and improving such programs. The paper discusses different approaches to offering such programs, time and leave flexibility, costs of work-family problems, financial status of work-family initiatives, the extension of initiatives to new constituencies such as emergency child care and school-age care, and the creation of collaborations, and ways of changing the culture of the workplace. The report concludes by noting that it is difficult to be family supportive because of differences in race, income, education, and attitudes. However, it is crucial to provide family-supportive programs for the sake of families and a productive work force. Contains 26 references. (MOK)