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This qualitative study investigated barriers and supports needed by families in accessing quality early childhood programs. Semi-structured interviews were conducted with ten families participating in early intervention services in a southeastern state. Thematic analysis revealed three primary barriers: program availability, knowledge of available programs, and financial constraints. Three essential supports were identified: staff understanding of special needs, funding of programs, and parent support and education. All families reported being unaware of group programs for children under three with special needs in their communities. The interconnected nature of barriers and supports suggests that systematic failures in information sharing and staff preparation create compounding access challenges. The study centers families' voices in informing policy and practice improvements for this underserved population.