Child protection services in Quebec province are facing many challenges, including the increase in reports of children and the growing use of their services. This study examines these issues from the points of view of directors of youth protection (DYP) and directors of youth programs (DP) in the province of Quebec. The organizational issues they raise mainly concern human resources, the reorganization of services and limited access to certain services. The content of the interviews clearly illustrates the complexity and the macrosystemic nature of the problems to be solved in order to better meet the needs of vulnerable children and families.