ABSTRACT
This chapter focuses on Jim's third suggested strategy, strengthening the research base. It also focuses on how many children are "normalized" by the practice, that is, how many children with a psychiatric disorder as measured on a standardized behavioral rating scale no longer meet clinical criteria for that disorder on that scale after intervention, as compared to controls. The behavioral interventions are relatively similar to those used in the authors' field of special education for children with externalizing disorders and the cognitive behavioral interventions are relatively similar to those used in their field for children with internalizing disorders. The chapter reviews very briefly five relatively randomized clinical trials in child and adolescent psychiatry. In treatment of adolescents with depression study, outcome was based on both parent and adolescent interviews and ratings, with responders defined on a clinical global improvement rating within the nonclinical range at outcome.
