This chapter aims to identify a range of contemporary practice examples which enable all of us to think more carefully about the style and nature of our intervention. Social work in the 1990s is in a poor state of health. Field, residential, day and support services have accepted a largely passive role, allowing crude top-down management structures to dictate the rules of the game. Grassroots practice has, to its discredit, generally colluded as local authorities and the independent sector have both moved too easily and even eagerly into naive purchaser-provider divisions. There has been little inclination for the thorough and related implementation of two major pieces of welfare law, the consequences of which have simply not been thought through. So the 1989 Children and the 1990 National Health Service and Community Care Acts are left somewhat in limbo.