This study examines states approaches to serving TANF recipients facing multiple barriers to work in fall 2006. It also describes changes states anticipate (partly in response to TANF reauthorization) in the near future to help these recipients move into work and off the caseload. Study results are based primarily on structured interviews with state TANF program officials in 17 states including the states with the largest TANF caseloads. The findings highlight the different approaches taken by state TANF programs on how to best help recipients with serious barriers and provide early information on states thinking on how their approach may change for this group in the future.