The calling of elders is to be ""shepherds of God's flock."" Yet across the world elders are struggling to do that well. This very practical investigation identifies the obstacles to pastoral care from the side of the clergy, the elders, and the people themselves. A practical way forward is developed using an approach that enables the local elders themselves to find a solution. ""Leo Douma . . . has provided a very practical and helpful resource for working pastors . . . The problem he raises is a common one in many denominations. . . . The church at large needs to learn from Douma's dissertation."" --Michael Milton, Reformed Theological Seminary, Charlotte "" This] research within the context of ongoing ministry . . . could well serve as an exemplar to others . . . a wonderful example of the benefit of this form of qualitative research for the wider church."" --Jeffrey Pugh, Melbourne School of Theology ""Douma has provided a great service to the Christian Reformed Church in not only providing the diagnosis of a crisis in pastoral care, but also taking steps toward a solution. . . . Fascinating research which promises to benefit the flock of Jesus Christ."" --Tim Witmer, Westminster Theological Seminary, Philadelphia ""Douma's research method is almost as fascinating and significant as his subject. Through the eyes, experiences, and insights of church members and elders, he explores the historic Reformed church practice of home visitation by elders and proposes an alternative model of shepherding care. The suggestions made are not prescriptive but they are highly suggestive of critical changes many (Reformed) churches need to make. This book may be just the discussion starter that is needed. --Murray Capill, Principal, Reformed Theological College, Geelong, Australia ""Christ's Under-Shepherds shares an excellent alternative form of pastoral care developed by followers of Christ for followers of Christ. It is a must-read for everyone who is serious about effective pastoral care in our postmodern society."" --Johann Eloff, Executive Director, Australian Institute for Narrative Care ""Biblical principals of eldership practically applied in the twenty-first century -- what does it look like? Leo confronts this pivotal issue head-on. Every elder and pastor should read this book "" --Dawie van Vuuren, Campbelltown Christian Reformed Church; Board Member, Reformed Theological College Leo Douma is a pastor with over thirty years experience in the Christian Reformed Churches of Australia, with degrees in ministry and psychology. He holds several positions at the denominational level including a focus on the training of ministers and elders. In his role as chair of the Leadership Development Group he has organized professional development for ministers and a program for the training of elders.