This project focused on the role of the family in providing support to a relative with a disability in two American Indian cultures, the Eastern Band of Cherokee Indians and the Mississippi Band of Choctaw Indians. A review of the literature notes the documented importance of involving family in the rehabilitation process. Ten families in each location were interviewed. In addition, five focus group interviews were held, one in each location for family members, one for persons with disabilities, and one for service providers. Content analysis was performed on transcripts, focusing on: structures of family support systems; description of, adjustment to, and impact of a disability; issues of access, assistance, and acceptance; family commitment and future concerns; and family needs, consumer needs, and vocational rehabilitation. Analysis showed that, though families often acknowledge extended family members as part of their support network, there frequently existed a lack of involvement of extended family and even immediate family in the daily lives of persons with disabilities. Analysis also addressed issues of social support, respite care, role validation, responsiveness of professionals, and transition. Recommendations are offered for future research, for rehabilitation professionals, and for participating Indian communities. (Contains 17 references.) (DB)