This study examined provision of services to children with developmental disabilities and their families in the context of requirements of Part H of the Individuals with Disabilities Education Act, which requires family centered services for infants and toddlers. Focus group discussions were held with health professionals at two sites in each of five states. The discussion revealed three broad themes. These were: generic needs of families who have infants and toddlers with disabilities (e.g., needs for day care and respite care); extenuating needs (e.g., needs caused by poverty, lack of transportation, lack of education, isolation, or cultural diversity); and social policies (e.g., problems generated by restrictions on Medicaid services and Medicaid eligibility requirements). Emphasis is placed on the tremendous responsibility faced by families of children who are developmentally delayed as their needs far exceed the routine and customary. Includes eight references. (DB)