This case study spotlights the Massachusetts Child Psychiatry Access Project, in which primary care providers are given assistance in caring for children with mental health problems. On the basis of an initial phone consultation, the program may provide an in-person psychiatric or clinical assessment, transitional therapy, and/or facilitated linkage to community resources. Most of the state's primary care practices are enrolled, and providers report greater confidence in their ability to serve children with mental health problems as a result of their participation.