As evidence-based programs (EBPs) are transported to more representative clinical settings from highly controlled efficacy trials, their advantage over usual care (UC) is largely diminished. However, it is difficult to explain this phenomenon without a better understanding of the status quo in mental health care. Knowledge of the nature of UC is…

Adolescent depression is a prevalent and debilitating disorder that is associated with social and academic impairment, suicidality, comorbid psychiatric disorders, and high-risk behaviors (Horowitz, Garber, Ciesla, Young, & Mufson, 2007). Yet many adolescents experiencing depressive symptoms do not receive adequate services, and those that do…