Integrated primary care in pediatrics is growing rapidly but many smaller and independent practices not affiliated with higher education or large medical facilities often are left out of opportunities (funding and otherwise) to develop an integrated care program to support patients with mental health needs. In one Northern New England independent pediatric practice, integrated care was achieved by assessing what resources were available and using them to address the shared mission of supporting the whole health of children, youth, and their families. This session will focus on the legal, financial, and clinical issues related to developing an integrated care program. During this interactive presentation, participants will learn about (a) the successes and challenges of this several year effort, (b) resources utilized to grow the practice, (c) the impact of this effort upon wait list data for mental health services, and (d) demonstration data investigating impact of parent education and support upon parental self-perceived competence and confidence.