The third of five regional fact-finding committee hearings across the United States, this report includes testimony from hearing committee members and social service organizations in Utah, Nevada, Wyoming, Colorado, and Montana. Live and prepared testimony presents information on problems associated with abuse of women, children, and the elderly; Mexican Americans; abuse by children; medical care assistance; attaining self-sufficiency while in the Aid to Families with Dependent Children program; child care; child support payments; requiring the use of child car restraints; child kidnapping; teenage sexual activity and pregnancy; American Indians; financial support and treatment for emotionally, mentally, and physically handicapped children; juvenile delinquency and runaways; marital law; maternal and child nutrition; and single parents. Many local programs to ameliorate these problems are described, and many suggestions are made for improving existing federal programs. Prepared statements include a copy of HR 4325 (proposed amendments to improve the Child Support Enforcement Program); national statistics on infant mortality and child accidents; the report of the Colorado Task Force on the Medically Indigent; and the final summmary of the Junior League of Salt Lake City's "Child Watch," which documents the impact of federal budget cuts on children and families. (CB)