Promising school -
based interventions (Gross et al., 2003; Reid, Webster - Stratton, & Hammond, 2003) may not be useful if ODD symptoms occur primarily
at home, and interventions and referrals originating in pediatric primary care offer certain advantages: (a) other than teachers, physicians have the most professional contact with the families of preschoolers; (b) pediatricians report that research on the role of the primary care provider in treating mental health problems is important to them (Chien et al., 2006); and (c) parents
tend to trust physicians» opinions, and pediatricians» recommendations are the best predictor of help - seeking for preschoolers» behavior problems (Lavigne et al., 1993).