This study investigated parents’ satisfactionwith postdisaster school-based screening and whether satisfactionwas related to follow-through with screening recommendations. From among 1,268 there were 224 children, ages 7–18 years (M = 10.97, SD = 2.44 years) screened for emotional distress 4 months after a flood and 130 parents who completed the screening evaluation. Of the 44 children who showed severe emotional distress, less than 50% of their parents reported concerns and only 29.5% had sought assistance. Following screening, 86.7% of these children completed treatment.