Bridging the gap in youth psychotherapy outcome research between research findings stemming primarily from the tightly controlled research laboratory and the “real world” clinical setting has been the virtuous and necessary focus of many mental health researchers and clinicians (Weisz, Doss, and Hawley 2005; Westen, Novotny, and Thompson-Brenner 2004). A criticism of many laboratory-based studies is that they do not reflect actual clinical practice. Weisz, Doss, and Hawley (2005) reported in their methodological analysis of youth psychotherapy outcome research from 1963 through 2002 that across disorders 13% of study sample participants had sought treatment or were self-referred,