From a pilot research study in a family service agency in Singapore, t
he authors identified four key factors in understanding positive chang
e versus no change in multilevel systemic work with low-income, stress
ed families: family lifecycle stage, type of problems or crisis, worke
r continuity and skills, and resources in the local community. The fin
dings raise important questions for both practical and future knowledg
e building, suggesting that systemic work with low-income, stressed fa
milies can be effective.