This extended learning opportunity (ELO) reviews the steps to creating evidenced-based clinical pathways specifically for pediatric populations in integrated settings. Content will cover clinical, operational, and technical considerations unique to children, adolescents, and families within several integrated frameworks, including Primary Care Behavioral Health (PCBH), Collaborative Care Model (CoCM), and prevention-focused models. Instruction will highlight how developmental, family‑system, and school‑related factors shape pathway creation. This interactive instruction will be followed by a panel of experts in these models from various disciplines to answer specific questions about pathway creation and improving clinical care.