Most families who received services felt that they had to accept existing services and were given little choice in terms of types of services and providers. The principles of care supported by the federal Center for Mental Health Services emphasize that services must be designed to meet each child's individual needs (5). However, families felt that mental health care providers did not individualize the package or types of services. One parent said, "Sometimes when they tell you this is all they have to offer, this is the best they can do, I've gotten to the point where I tell them, 'I want more than this, I want you to offer something different. … No, it's not going to 'have to work'; you're going to do something different.'" Even when parents pointed out that what was provided was not helping their child, changes were rarely made.