This study aims to examine how teachers in elementary school reason about and effectively implements special needs education. A qualitative study was made by interviewing four elementary teachers about their own role in dealing with pupils in difficulty. The material was then analyzed using content analysis. The result section is presented by the study's issue and then been analyzed against the background research. In the analysis it follows that the teachers believe among other things that there is too little time and resources to meet pupils in difficulty, the time and resources in schools is essential when it comes to meet students' needs. A large part of the difficulties of implementing such work is in the school's structural terms.