Using vignettes describing African American children with internalizing versus externalizing problems, parents, teachers, and clinicians judged problem seriousness, prognosis, etiology, referral, and intervention needs. Opinions differed widely among groups, particularly on judgements about children with externalizing problems. More clinicians believed children with internalizing problems had the greatest need for professional intervention. Black clinicians' ratings differed significantly from those of whites. (SM)