Low income and working poor families are exposed to tremendous stressors, which in turn can impede their ability to care for their children. In 2000, reports of abuse and/or neglect of more than 5 million children were made to Child Protective Services agencies. These families are often termed “at-risk” because of the possibility that the children could be placed in foster care. One prevention strategy used to help at-risk families is in-home family therapy. In this paper, I offer a qualitative study of in-home family therapy services from the perspectives of the families themselves. Specific objectives of this project were to examine clients' perspectives about the effectiveness of in-home family therapy; and to use the results of this study to inform larger scale quantitative investigations related to preventative treatment for at-risk, low-income families. This study explored the perceptions of 20 low-income and working poor families residing in Northeast Florida who have completed in-home family therapy services. Results indicate that although families unanimously expressed benefits of receiving in-home family therapy, they also found that the length of time services were provided was too brief to meet their long-term needs. Families provided suggestions for the improvement of services. Implications for researchers and practitioners are provided.