The reform initiative in La Crosse County, Wisconsin, was an attempt by the department to improve access to the system, to match services and client needs, and to ensure that maximum Federal reimbursement was maintained. The reform was actually a compilation of smaller activities over a long period of time. These activities included the use of paraprofessional staff for intake, a combined CPS unit, and domestic violence screening. Now, in the context of an increase in the volume of referrals, the department is exploring ways to raise the threshold for accepting children and families who must be served. The department is attempting to balance shrinking resources during a time of increasing service needs.