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Using Andersen’s (1968) behavioral model of health services use as a guiding conceptual framework, this study examined how receipt of family-centered care relates to the perceived family challenges for families of children with autism spectrum disorder (ASD).

Data from the 2009–2010 National Survey of Children with Special Health Care Needs (NS-CSHCN) were analyzed for 812 parents of children with ASD.

Multiple regression analyses provided substantive statistical evidence that a child’s race, the adequacy of a family’s insurance, and the stability of child’s health care needs significantly contributed to predicting his or her receipt of family-centered care. Further results suggested a relationship between receipt of family-centered care and the perception of challenge for these families; families receiving family-centered care perceive fewer challenges and feel less unmet need for child health services.

Family-centered professionals provide critical voices in the development of policies and programs geared toward improving the health outcomes of children with ASD and their families.

In the United States, the increasing availability of hormone, antibiotic, and pesticide-free food is largely limited by price and proximity to the upper and middle classes. Similarly, the burgeoning of urban farmers’ markets and other direct marketing venues tend to benefit those who can afford locally raised food. Attempts to rectify this disparity are underway in the movement to link small farmers with residents of low-income neighborhoods in Louisville, Kentucky's largest city. Incipient commercialization and processing channels are intended to aid area farmers as they make the difficult transition out of tobacco dependency, and simultaneously to provide people living in Louisville's food deserts with affordable, locally produced foods. In this activist marketplace, symbiotic and trusting relationships are essential. I explore these issues through a case study of a new farmer–owner food distribution business, one designed to profit while growing the local food system.