This document summarizes issues presented by 16 scholars, researchers, and practitioners from the United States and Canada at a conference on refugee children traumatized by war and violence and suggests a service delivery model for these children and their families. A large percentage of the legal and illegal immigrants who have entered the United States since the Refugee Act of 1980 are children who require assistance from community-based institutions. These children present the following problems to the human services delivery system: (1) lack of a common language; (2) culturally different concepts of illness and health; (3) educational deficiencies; and (4) fear of "foreign" treatment approaches. Current fiscal pressures have reduced the financial resources available to meet their needs. Policymakers and service providers must coordinate, communicate, and collaborate to make the best possible use of the remaining public and private resources. It is recommended that a central collection place for research and program information on refugees be created to help service providers overcome fragmentation, and that coalitions at the national, state, and local levels be developed to design, execute, and evaluate systems of care for refugees. Model service delivery programs foster a network of organizations and individuals concerned with refugee issues, redirect existing programs to meet immediate needs, and develop special culturally sensitive services for refugee children. Lists of the conference participants, the papers presented, and additional resources are included. (FMW)