The developmental screening initiative, developed jointly with the Oregon Pediatric Society and Children’s Developmental Health Institute at the Artz center aim to improve the early identification of children with developmental disorders, and to expedite referral to appropriate community resources. The use of evidence-based, parent-centered structured developmental screening is a useful approach not only for screening children for developmental delays, but also for providing an opportunity for families to ask questions and discuss developmental concerns without adding significant time to the office visit. National experts have found that systematically eliciting parental concern about development is an important manner for identifying children with developmental problems. In addition, most parents wish that more behavioral and developmental issues were addressed during the clinic visit.