 Procedures: 1 Study Coordinator will be notified of potential study participants presenting to the pediatric endocrine clinic. 2 If the patient meets inclusion criteria for the study, the coordinator will ask for consentassent to participate. 3 Demographic Information will be obtained: age at diabetes diagnosis, number of year since diagnosis, gender, zip code, raceethnicity, maternal education, insurance type, length of residence at current home, anticipated housing relocation, length of employment at current job, anticipated parental job changes, previous mental health screenings and interventions, number of previous DKA episodes per year, diabetes control over time by looking at HbA1C measurements during admissions to the hospital or during office follow up. 4 Mental Health ScreenAssessment - Study participants will be screened for mental health symptoms using the following screening instruments: Patient Health Questionnaire for Depression PHQ - 9, Screen for Child Anxiety Related Emotional Disorders SCARED, University of California Los Angeles UCLA PTSD Reaction Index - abbreviated version, Youth participants will also complete the Self-Efficacy for Diabetes Self-Management scale SEDM, a parent will complete the self-reported Parenting Styles and Dimensions Questionnaire PSDQ. 5 Follow Up to Assessment: If patient indicates thoughts of self-harm or suicide ideation on question 9 of the PHQ-9, then the C-SSRS Screener version with triage points risk assessment will be conducted to determine if Emergency room follow up is necessary. Actively suicidal patients will be referred to the emergency room ER for immediate evaluation as per standard of care. Those non suicidal patients but with a positive mental health screenings will be provided with referral and resource information including a list of mental health providers if desired. 6 Initial data will be entered and de-identified in the data base, hard copies will be kept in order to properly match the participants after the chart review. 7 Twelve months after the initial mental health screening a chart review will be conducted to collect the following information: Hemoglobin A1C levels in the preceding 12 months ii, number of follow up visits with pediatric endocrinology, number of ER visits, number of hospital admissions, number of DKA episodes, suicidal Ideation or suicidal Attempts SA, Non-Suicidal self-injury NSSI, number of visits to mental health providers If unable to obtain this information through their medical chart, then individual mental health providers-from the list provided on initial screening - will be contacted to obtain the number of visits during the preceding 12 months. Data will be entered and de-identified for analysis. At this time any hard copies of the assessments will be destroyed. 