Enhanced Support for Behavioral Barriers to Learning: An Evaluation of the SCHOOL STARS Program

Inclusion Criteria: * Student at a local public school * Primary care patient at the Pediatric Primary Care Center (PPC) at CCHMC, or a CCHMC-affiliated school-based health center * School disciplinary problems defined as: (1) any suspension from school within the last 2 school months and/or (2) frequent calls to the parent from school (1+ times per week x 1 month) * Parent is in the contemplative, preparation, or action stage of readiness for starting medication or therapy if recommended by a healthcare provider for their child's behavior problems * Student may or may not have an existing diagnosis of an externalizing behavioral health disorder, such as ADHD, Oppositional Defiant Disorder, or Disruptive Mood Dysregulation Disorder. Exclusion Criteria: * Non-English-speaking parent * Enrolled in another ADHD study * Severe developmental delay or autism * Potential cardiac contraindications to starting stimulant medications without an EKG (personal or family history of heart disease in a child, family history of sudden death before age 50, family history of death due to heart disease before age 50, personal history of seizures, personal history of unexplained syncopal episodes) * Patients who have an established relationship with a PPC Care Manager * Patients who have seen the same primary care provider for the last two well child or behavior-related visits (unless approved/referred by that primary care provider)