“…This is because they had co-morbid disorders and other confounding circumstances that did not meet the narrow preconditions of the researchers. Of course real-world agencies can't operate under similarly circumscribed conditions, so practitioners often perceive very little real-world relevance in such protocols (Horsfall, Cleary, & Hunt, 2011;Stanhope, Tuchman, & Sinclair, 2011).…”