Pediatric primary care providers (P-PCPs), who are educated about resiliency, are in the unique position to assess child and family strengths, identify behaviors indicative of stress, and offer guidance and recommend services to help build child, adolescent, and family resilience. This chapter presents the evidence for building resiliency in children and the role of P-PCPs, which includes attention to the office environment and structure, comprehensive assessment, ongoing support, and community referrals. Building resiliency in children intercepts the impact of adversity on a child’s emotional, social, and behavioral health. Analysis of the results of screening tools completed by the parents and the child, appropriate assessment questions, office-based interventions, and timely referrals to therapy in community resources are critical components of the behavioral health assessment to enable the P-PCPs to intercept problems and build child, adolescent, and family resiliency.