Clinicians of all disciplines and in all settings must reexamine the philosophical basis for determining the frequency and intensity of early intervention services. A shift to a flexible, outcomes-driven model featuring a family-centered, ecological approach ensures the likelihood that the recommendations for services flow from a thorough analysis of child and family priorities rather than from a traditional emphasis on static and predetermined assumptions centered exclusively on improving children's developmental skills. This article discusses the importance of addressing the question of the frequency and intensity of early intervention services within a family context, while emphasizing that complex issues cannot always be resolved with a one-size-fits-all solution. Multidimensional guidelines for selecting early intervention services are proposed, and, finally, the dilemmas inherent in implementing these guidelines are identified.