Special Training for Exceptional People (STEP) is a private, nonprofit agency serving children with developmental disabilities (0-22 years) and their families in the south-central section of Montana, encompassing Billings and a Crow Indian Reservation. One of the services provided by STEP is specialized family care, to prevent placement out of family settings for children with intensive needs and to create movement to family settings from more restrictive environments. Program services include home training; in-home assistance; contracted services (occupational therapy, physical therapy, speech, etc.); architectural modifications; adaptive equipment; foster care; and extended respite. Case profiles demonstrate utilization of each of the types of support services by the 51 children receiving family training and support services, including 3 Crow Indian children. Issues in providing family support on the Indian reservation are discussed, such as the poverty level, distance from Billings, and the need for cultural sensitivity. Strengths and limitations of the program are outlined. (JDD)