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Objectives Developmental and behavioral difficulties are increasingly prevalent, yet access to developmental and behavioral pediatrics (DBP) services is limited. Long waiting times, daytime clinic crowding, and scheduling conflicts with school or work hinder families’ ability to attend. This study aimed to present an after-hours DBP outpatient clinic model designed to improve access, reduce inequities, and support timely developmental assessments.Methods In 2024, a tertiary education and research hospital in Turkey implemented an after-hours DBP outpatient clinic. The clinic operated once a week between 17:00–20:00. Ten patients were scheduled per session, allowing for comprehensive assessments and reducing waiting time. Observational data regarding family attendance, cancellations, and preferences were recorded.Results Over the first year of implementation, the model demonstrated improved attendance, with families showing strong preference for evening appointments. Cancellation rates were low, and extended consultation time was achieved due to the limited daily patient load. Although systematic patient satisfaction surveys were not conducted, observational findings indicated that families valued the convenience of evening sessions.Conclusions An after-hours DBP outpatient clinic offers a feasible model to address access inequities, reduce missed appointments, and facilitate timely evaluation of children with developmental and behavioral concerns. This approach may be particularly relevant in contexts where daytime barriers restrict care. Broader, outcome-oriented studies including patient satisfaction are warranted to further evaluate the clinical and societal impact of such models.