Primary care settings are optimal environments for providing comprehensive, family-centered care to young children and their families. Primary care clinics with integrated behavioral health clinicians (BHCs) are well-positioned to build trust and create access to care for marginalized and underserved populations. Refugees from around the world are a growing population in primary care settings, presenting with unique needs and circumstances. Early childhood integrated BHCs (e.g., Healthy Steps [HS] specialists) can support these families and the medical providers who care for them. This article describes a refugee family and their young child who were seen by an HS specialist in pediatric primary care. Several themes emerge that are relevant to working with this special population in the context of pediatric primary care.