This article presents a format for parent-to-parent and parent-to-professional guidance on psychiatric medications for children and youth. It reviews progress in Hawai'i's system of care for child mental health. Between 1999 and 2006, Hawai'i had nationally and internationally renowned experts in psychiatric medication conduct CME for Hawai'i's primary care and specialist care physicians. These conferences have included consumers and non-physician mental health colleagues. The importance of involvement of consumers in the process of rational decision-making for the individual child or youth is an emphasis in the system of care in Hawai'i. The approach featured in Susan Cooper's "Meditation on Medication" presentation in the 2005 symposium breakout for parents demonstrates the genuine collaboration with consumers that may be a partial remedy for the data that shows an overall poor adherence to prescribed interventions.