Many US State-side screening initiatives (e.g., TN AAP, Iowa DoE) focus on detecting social-emotional/behavioral health problems (SEBH). While a worthy goal, interening with children at risk for social-emotional/behavioral health problems (SEBH) may require a thoughtful view of overall development. Symptoms of SEBH (e.g., emotional distress, acting out) may be due to communication or motor deficits (e.g., when children do not understand what they are asked to do; if frustrated by difficulties expressing themselves; in the presence of motor delays that make it hard to execute self-help or academic tasks). Family psychosocial risk factors may also contribute to SEBH problelms. The goals of this study are to identify child and family characteristics associated with SEBH and to assist professionals in assessment, referral, and intervention decisions.