Their analysis of 1,215 videotaped therapy sessions revealed that therapists use a wide range of therapeutic strategies, some of which are consistent with components of evidence-based treatments. However, the evidence-based components most frequently used were deployed at low levels of intensity, which would not be consistent with evidence-based treatment protocols. This is a sobering picture of the quality of mental health care for these vulnerable children and families, perhaps even more so when we consider that the sequencing of therapeutic strategies was not considered in this study. Indeed, the sequencing of therapeutic techniques may be critical to the effectiveness of evidence-based treatments. For example, in parent-child interaction therapy, it is important to enhance the parent-child relationship before the treatment shifts to teaching and rehearsing the principles and techniques of effective discipline (4). Although it was beyond the scope of this study to examine the sequencing of techniques and the decision-making processes of therapists, it is alarming that the mental health practitioners were not using “tried and true” techniques and more directive approaches in treating disruptive behavior problems. Frankly, children and families deserve better.