This study describes the development of a model for psychological service delivery in a community based health care facility. Demographic characteristics, presenting problems, modes of intervention, and number of contact hours were analyzed for 75 children referred for psychological assistance in a one-year period. Sex, age, and family structure (two-parent, single-parent, severe familial discord) were significant variables in relation to difficulties experienced and treatment modalities employed. Responders to a formal and systematic evaluation were highly positive in their ratings of improvement, satisfaction, and recommendation to others. Based on these findings, a flexible model providing both consultation and primary therapy was proposed. Discussion of conceptual issues relevant to this model, and its potential value in a community health care setting is provided.