Despite increasing demand for wellness approaches from disability advocates and consumer groups, they are not implemented routinely in childhood disability services. Interviews were conducted with 23 allied health therapists and managers working within four Australian childhood disability services. They described attempts to embed wellness approaches into their policies and practices. The participants were challenged by professional and pragmatic issues arising from moving towards wellness approaches. The professional challenges concerned changing professional identity and working collaboratively with therapists from different disciplines. In addition, they were challenged by pragmatic issues of balancing quality of care with economic imperatives and the speed of change expected to adopt a new model of care. The findings have implications for the quality and delivery of services and support for children with disabilities and their families, for future research, and for the training of allied health professionals. (Contains 2 tables.)