Participants engage in the review and discussion of important research that demonstrates the impact of racism as a specific determinant of mental health in children and families in the United States. Attention is focused on the pervasive structural racism in education, practice, and access to care as reflected in the scientific obfuscation of research or data on racism and its impact on health and mental health. Topics include the characteristics and quantity of racism experienced by black research participants; the implication of ethnic/racial identity and undocumented immigration status on youth and young adult samples; the role that a young child’s race plays in influencing psychiatric diagnoses; and the role of structural racism in the United States juvenile justice system. Discussion of the research presented is central to better understanding the need for and direction of future research.