This paper explores the use, persistence, andintensity of services for children's mental healthproblems across a variety of service sectors during aone year period. Data come from the Great SmokyMountains Study. Analyses focus on children's psychiatricsymptomatology and impairment, service use, and factorsthat may influence the relationship between psychiatricproblems and service use across a one year period. Findings show that approximately 20% ofchildren used some mental health services from somesector during the year. Child's symptomatology andcharacteristics of parents were associated with use and persistence of services. Parent'sperceptions of impact on the family were associated withservice use, persistence, and intensity.