This article reveals the complicated relationships among culture, family, trauma, and service delivery for immigrant families. The author describes a family who first came into contact with the service delivery system referred by the pediatrician, whose practice was an important point of entry for the early childhood work that followed. The family required close collaboration among a team of early childhood specialists, including infant/preschool psychiatry, social work, early intervention services, and interpretive services across three different institutions and settings. This story highlights the importance of multidisciplinary work and the difficulties involved in attempting to meet the needs of culturally diverse and complex families.