Childhood Obesity Treatment Designed for Low Income and Hispanic Families

Inclusion Criteria: * Child aged 2-16yrs * With overweight or obesity (BMI \>85th percentile) * Referred by PCP * Primary Adult Caregiver * Up to two siblings of any BMI status (if multiple siblings are available, enrollment goals stratified by age and BMI will be used to select siblings for enrollment.) Exclusion Criteria: * Parent without fluency in either Spanish or English * Current participation in a clinically referred obesity treatment program * Child non-ambulatory, non-verbal, or diagnosed with a genetic syndrome associated with obesity. * Children with severe depression on initial screening (CES-D \>/=40 or suicidal ideation) will be excluded and referred to psychiatric treatment and therapy. * Children who have been diagnosed by PCP at time of initial screening with severe comorbidities of obesity, including: * Type 2 diabetes * Stage 2 hypertension * Severe hyperlipidemia * Severe obstructive sleep apnea will be excluded from the study and directed to the only Tertiary Care Childhood Obesity Treatment program in the state of Colorado: Lifestyle Medicine at Children's Hospital Colorado.