as sexual orientations, in health care settings and understanding of nonmainstream health practices influenced by a family's cultural or religious beliefs The role of multiple disciplines in service-delivering systems: Experience on multidisciplinary teams delivering health care services Prevention, family support, and health promotion: understanding the principles of behavior change as they relate to healthy development, health-risk behavior, and prevention of disease in adulthood Social issues affecting children, adolescents, and families: exposure to and experience with advocacy in pediatric health care including social issues that affect health care delivery Consultant and liaison roles in health care settings: Exposure to different consultation-liaison models and supervised experience providing consultation Disease process and medical management: A basic understanding of various diseases and their medical management. The field of pediatric psychology recognizes that pediatric conditions have emotional/psychological aspects, the presenting problems require integrated medical-psychological interventions, and traditional pediatric and/or clinical psychology could not meet the needs. Future issues Pediatric psychology is a growing field and several topics have been raised that need to be addressed within the field and were discussed in a Delphic Poll on the future of pediatric psychology: 1. Pediatric psychologists must demonstrate viability through empirical support for treatment interventions, which requires continued efforts to demonstrate improvements in pediatric outcomes (health, quality of life, psychological functioning, development) due to pediatric psychologists' efforts. This also requires evidence of medical cost offset, evidence of the efficacy of the integration of clinical research and practice, and evidence of the effectiveness of psychological interventions in decreasing societal costs related to pediatric conditions. 2. We must also increasingly integrate psychologist into the pediatric primary care setting by providing mental health services directly to patients in primary care settings, provide consultation and collaborative relationships with pediatricians and allied staff, and conduct clinically based research on primary care barriers in care. 3. Financial reimbursement policies need to be changed and the responsibility to makes these changes lies within several interacting disciplines—health policy-makers, health care institutions, and pediatric psychologists and their collaborators such as pediatricians. Several factors should be addressed, such as: creating non-DSM categories of reimbursable services, eliminating behavioral health carve-outs, payment for multidisciplinary team services, and developing service systems that recognize the complexity of problems in children and families. Currently, depending on the clinic and hospital that the psychologist is affiliated with, their services may or may not be covered by insurance or the institution's funds and reimbursement