Using vignettes describing African American children with internalizing (e.g., withdrawal) versus externalizing (e.g., quarrels) problems, parents, teachers, and clinicians made judgments regarding problem seriousness, prognosis, etiology, referral, and intervention needs. Opinions of parents, teachers, and clinicians differed markedly, especially with regard to judgments about children with externalizing problems. Black raters' ratings significantly differed from those of Whites, especially for seriousness and prognostic judgments with regard to the problems. The findings suggest that interventionists who address problems that African American youth present should attend to the attitudes and judgments of adults who report on such problems. Clinicians can simultaneously harness appropriate judgments and attitudes and decrease counterproductive beliefs and behavior in their interventions with Black children.Child mental health referrals often involve problems that children exhibit or experience at various points in their development, but children's problems may vary according to factors such as ethnicity, gender, and the sociocultural