This document discusses the impact of disabilities on families. It identifies five factors that influence how families respond to a child's birth defect, including emotional stability, relationships, religious beliefs, culture and socioeconomic status. Parents may go through stages of shock, realization, retreat, acknowledgement and nonlinear responses. Having a child with disabilities can cause stress between spouses and in parent-child, sibling and extended family relationships. Families are diverse and should receive multidisciplinary, family-centered support through training for parents, families and professionals.