Children and families built by adoption or relative caregiving have specialized needs. This paper proposes a rubric for the central elements of permanency-focused mental health services in child welfare practice. Kinship Center provides an innovative mental health service delivery system, weaving foster and adoptive placement programs, adoption specialty Wraparound, and a relative caregiver support program into its permanency-focused children's clinics. Named a "promising practice" in child behavioral health services (McCarthy & McCullough, 2003), Kinship Center's mental health clinics are publicly funded and are a significant contribution to a managed care behavioral health approach in three diverse California counties. Six years of clinical outcomes data provide promising preliminary information for the field. (Contains 2 figures, 2 tables and 3 footnotes.)