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Fawcett describes the impact of disability on the family. She calls for an improvement in services for families which acknowledges the emotional upheaval involved for the whole family. She emphasises that families particularly need and want contact with other families in the same situation and that service providers must take this into account when looking at service provision. She stresses the need for service in the rural areas which are currently under serviced and mentions single parent families in particular which are especially vulnerable to stress. She also suggests the inclusion of grandparents and other interested relatives in family support groups. Keyword: Families