This report focuses on positive practices in providing support services to families of children with severe disabilities and chronic illnesses, based on visits to three sites in Maryland: the Family Support Program at the Kennedy Institute in Baltimore, the Coordinating Center for Home and Community Care, and Sick Kids Need Involved People (SKIP). The three programs are described, followed by discussion of the key family support issues and practices that were identified. Key issues include: a family-centered approach to family support, individualized and flexible supports, financial supports, respite, in-home care for children with medical needs, and social/personal support for families. A team approach to family support and effective service coordination are also exhibited by these programs. Resources for funding family support services are briefly described. Includes four references. (JDD)