This chapter discusses issues and strategies on engaging first generation immigrant parents of young children with exceptionalities. It describes challenges and obstacles faced by immigrant families and the professionals who serve them with a focus on Latino and Chinese immigrant families, given that Latino and Chinese are two largest immigrant groups to the United States. Available literature in early childhood education and nursing suggests that communication, financial stress, and cultural values are critical issues faced by immigrant families of young children with exceptionalities, regardless their immigrant status. Effective engagement with these families can only be achieved through positive attitudes, care, empathy, and sincere communication. Building the cultural competence, collaboration skills, and repertoire of early childhood professionals on assisting these parents access school and community resources will make the work of engaging these parents more fruitful. (author abstract)