The services and activities performed by child psychiatrists and child psychologists who engage in private practice are described. Three types of psychotherapy (child focused, family focused, and marital discord focused) are presented as representation of the approaches utilized by professionals who work with children and families. A critique of the current practice which relies on psychiatric evaluations and psychological reports in assessing developmental disorders is seen to support the notion that parental interviews are a necessary ingredient for the diagnostic process. The need for more meaningful communication between individuals in private practice and community institutions is emphasized particularly with regard to providing comprehensive and integrated services for troubled children and families. (Author/SBH)