This article describes how in Alameda County, California, the Children's Hospital Oakland (CHAO) Neonatal Follow-up Program and the County Public Health Department have collaboratively addressed gaps in services for premature infants and their families through the Special Start initiative. Mental health specialists, health specialists, and developmental specialists formed a transdisciplinary team. Special Start resources allowed CHO to increase the racial, cultural, and linguistic diversity of its staff. The author describes the strengths and challenges of the Special Start collaboration and discusses the importance of patience, equality, trust, perseverance, and reflection in supporting the development of the collaboration.