Results of the analysis describe child and youth work as a complex, segmented, and dynamic job with high perceived uncertainty and high needs for information, communication, and coordination. The prescribed decentralized, egalitarian organizational structure for child and youth services indicates communicator and integrator roles for child and youth workers as they use their milieu-based communication expertise to coordinate child and youth services. Training and education institutions need to orient future child and youth care workers to this role and its many skill requirements. An awareness of and willingness to play this role may lead to an expanded definition of child and youth work. 8 references. (Author abstract modified)