As programs serving families with at-risk and handicapped children become more family-focused in their approach, they must consider the unique needs of different groups of parents. This paper discusses adolescent parents and the provision of services to families with young parents and children with special needs. Stages of adolescence, parenting behaviors, and issues of support are presented as examples from research and clinical literature that have implication both for family needs and the provision of services to these families. It is emphasized that a family focus for individually determined priorities is an appropriate model and that case management skills are probably needed to serve these families best. 0 Whereas traditional programs and curricula for preschool handicapped children have focused on the developmental needs of the handicapped child, current trends emphasize family needs (Bailey, Simeonsson, Winton, Huntington, Comfort, Isbell, O'Donnell, Bristol & Gallagher, 1982;Dunst, 1985).This emphasis has evolved from the realization that child development occurs within the family and that if programs do not address the needs of families, the needs of young handicapped or at-risk children cannot be well addressed.As programs shift to a family focus, the concerns of different groups of families must be considered. Adolescent parents of handicapped and at-risk children may be in particular need of special, family-focused attention in that the problems of young parents are often greater than and different from those of adult parents, even without the complicating presence of an exceptional child. This paper presents some issues that are relevant to providing services for families with adolescent parents of handicapped infants. Because very little has been written about adolescent parents with handicapped children or with children at risk for developmental problems due to biomedical factors, a review of the literature that examines issues pertaining to adolescent parenting in general is presented. No literature related specifically to adolescent fathers of handicapped children was found; therefore, the review focuses on the development and needs of adolescent mothers but refers to adolescent parents when the literature addresses adolescents in general.As programs for handicapped and at-risk infants expand, the likelihood of serving adolescent parents and their children increases.