 We have developed and implemented an enhanced model of pediatric primary care, taking advantage of the enormous opportunities of the existing pediatric primary care system, with its regular contact with young children and parents Dubowitz Newberger, 1989; Dubowitz, 1989, 1990; Green, 1994. Pediatricians typically devote over half their time to checkups, focusing on prevention. There is increasing recognition that pediatric care must incorporate aspects of parental and family functioning and collaborate with community resources Academy of Pediatrics, 1998; Green, 1994b. The broad goal of this project is to implement concepts that have been embraced by the field of pediatrics, but have not been applied and tested. 