Clinic children were primarily referred from their
schools (N ¼ 8). Five entered services through a legal
avenue such as Department of Children and Family
Services or probation, and five had services initiated by
their parents. The referral source for two cases was
either unclear or conflicting between reports. Of the
diagnosis provided at intake, 70% of the clinic sample
evidenced an externalizing problem, and 25% an internalizing problem as their primary diagnosis, a
distribution which is typical for outpatient child mental
health clinics (Manteuffel, Stevens, & Santiago, 2002).
Table 1 presents diagnostic information from chart
records at intake.