“…MFSs have a positive impact on outcomes in different subspecialties of medicine (Duncan and Pozehl 2000; Goebel 1997; Goodman et al 2013; Holmboe, et al 1998; Leshan et al 1997; Mazonson et al 1996; Robinson et al 1996; Rokstad et al 1995; Tabenkin et al 1995), education (Arco, 1997; Arco 2008; Furman et al 1992; Mortenson and Witt 1998; Rose and Church 1998; Tuckman and Yates 1980), and mental health (Bickman et al 2011; Chorpita et al 2008, 2011; Howe 1996; Lambert 2001; Lambert et al 2001, 2005; Mazonson et al 1996). While quality improvement tools, such as MFSs (Cebul 2008), have been successfully applied for several decades (Kluger and Denisi 1996; Rose and Church 1998), their use is not widespread within children’s mental health services.…”