This review of the literature on assistive technology (AT) assessment strategies for infants and toddlers focuses on taking cultural differences into account while developing individualized family service plans. Topics covered include current practices and issues, including the value of a team approach and the need to consider child factors, AT device factors, and service system factors. Family, cultural and other related issues addressed include family expectations of AT, changes in family interaction patterns and stress, the social environment, cultural influences, ethnicity, acculturation, social influences, developmental expectations, and life experiences. A comprehensive model for AT decision-making is offered in the context of future assessment considerations. The review concludes that professionals should become competent in both family-centered strategies and culturally competent intervention approaches. Contains 93 references. (DB)