This study used the Client Satisfaction Questionnaire (CSQ-8) to examine the level of consumer satisfaction with children's (ages 8 to 17 years) outpatient mental health services. Analyses were completed using both individual satisfaction items and a summed scale score. The CSQ scale had satisfactory internal consistency reliability for both mothers (alpha = 0.96) and children (alpha = 0.93). Parents' ratings of satisfaction with their child's treatment were not uniformly consistent with those of the child who was in treatment. Mothers' and children's ratings were significantly, but only moderately, related. We also found that a child's satisfaction with outpatient services, relative to that of the parent, may depend on the child's gender, race, and age. These findings suggest that children's satisfaction with mental health treatment was complexly determined and should not be inferred from their mothers' degree of satisfaction. (Contains 2 tables.)