In home visiting programs for children younger than age three, home visitors work with parents to enhance the child's environment. This study examined how the home visitor-parent relationship, amount of contact, and level of need affected the intensity of case management interventions received. Researchers interviewed 90 mothers to measure the professional relationship, amount of contact, level of need, and extent to which they received and desired specific case management interventions. Paired-groups t tests indicated that parents desired more intensive interventions. The linear regression model suggests that the nature of the parent-home visitor relationship is a better predictor of intensity of interventions than amount of contact or level of need. This research supports training and supervision strategies with home visitors that focus on relationship development and efforts to assess program resources for working with families with the greatest needs.