This report describes a model designed to provide family-centered, community-based coordinated services for families and their children with chronic health care needs. The model, which was implemented to serve 208 children over a 5-year period, is based on three key concepts: families should have the choice to receive services in their homes and communities instead of hospitals and/or long term care facilities; keeping children in acute care or specialty hospitals or long term care facilities is more costly; and principles of family-centered care must be incorporated into a model of coordinated services for children with chronic health care needs. Components of the model include family-centered service coordination, specialized respite care, and community development through training and consultation. Functions of the project design include: demonstration and validation of the model; training; administration and management; dissemination, replication, and impact; and evaluation and research. The report includes a description of the participants, barriers to program implementation, the accomplishments and impact of the program, dissemination activities, and charts and summaries of replication accomplishments. The results of a family satisfaction survey are also included. An appendix includes the project's management plan and an outside evaluator's review of the project. (Contains 22 references.) (Author/CR)