This is the first comprehensive and up-to-date study of how inmates and their wives cope with incarceration and to what extent conjugal visit programs help their marriages. The findings of a family support program in upper New York State compares different groups and has implications for social welfare and corrections professionals. The authors review the historical background of family support programs for prison inmates, the related literature, and raise questions about the kinds of policies, programs, and services that affect inmates and their families. They point to the effects of clinical intervention on different ethnic groups and make recommendations for the future to help the couples better cope.