Faith-based human services initiatives present numerous challenges to professional social work. This article explores ways a theoretical integration of ecosystems and structuration perspectives may help social workers navigate complex ideological and practical implications of changing service delivery policies. The article highlights diversity among faith-related providers, with presentation of a services typology relevant to social work and ethical guidelines to inform decision making regarding referrals and collaborations. Examples from a qualitative study of faith-related services, values, and practices illustrate the typology and related practice issues.