The growing recognition that a significant proportion of medical visits are precipitated by underlying psychological distress and mental health symptoms has made providing psychological services within communitybased primary care practices a necessity. Data have clearly demonstrated that integrating mental health care into primary health care centers leads to better health outcomes and substantial cost savings (Maruish, 2000). Integrating pediatric psychological services within the primary medical care system has also become imperative because pediatric primary care practitioners most often serve as the gatekeepers of mental health services, generally taking on the role of the frontline decision maker with regard to whether a child needs psychological treatment (e.g., Holden & Schuman, 1995;Lavigne et al., 1999). The formal recognition of the subspecialty of developmental-behavioral pediatrics by the American Academy of Pediatrics in 1999 provides additional evidence for the growing recognition of the importance of integrating psychological services and pediatrics (Mc-Menamy & Perrin, 2002). Moreover, as the health care system's priorities change from one of specialty care to primary care, collaboration between pediatricians and psychologists will undoubtedly continue to increase (Riekert, Stancin, Palermo, & Drotar, 1999).