“…Underlying each of these levels are fiscal challenges facing both families of children with multiple needs and state and local systems of care that are trying to coordinate multiple, shrinking, confusing, and diverse funding streams for service delivery (Akers & Roberts, 1999;McCollum, 2000;Striffler, Perry, & Kates, 1997). This is occurring simultaneously with expanding reforms across systems such as welfare (Knitzer & Kreader, 2004;Robinson & Rosenberg, 2004;Rosman & Knitzer, 2001), childcare (Booth-LaForce & Kelly, 2004), health (American Academy of Pediatrics, 2002;Freund, Boone, Barlow, & Lim, 2005;Nickel, Cooley, McAllister, & Samson-Fang, 2003), and mental health (Knitzer, 2000;Thomasgard & Merrilees, 2004).…”