At the preschool unit of the Medical College of Ohio, parents of children with severe emotional or behavior problems (including autism) are involved in their child's treatment. Prior to admission, parents complete questionnaires listing their child's appropriate and inappropriate behaviors and sign a contract with the professional staff. An informal relationship of trust is emphasized, followed by a more formal one culminating in a structured 10 week course designed to help parents enhance their child's development, learn to solve management problems, and become aware of available services. Behavior modification is an important focus of the parent sessions, with parents working together with home trainers on specific programs. (CL)