This study examines the health care community's perspective on the delivery of services to young children with special needs and to their families. Focus group discussions were held with 87 health care practitioners in 5 states to identify extant trends and patterns of current practices, problems, and concerns. In the discussions, health care providers devoted more time to a description of difficulties with availability and accessibility of resources than to any other topic. Family and social issues affecting the use of available resources were important topics, as was the need for a knowledgeable and experienced service coordinator whose responsibilities would include arranging and organizing necessary resources for individual families. The scenarios related by the health care professionals indicated that governmental policies or agencies may be actively interfering with meeting the challenge of family-focused and community-based care as legislated in Part H of the Individuals with Disabilities Education Act. (Contains 21 references.) (PB)