 The second intervention is a standardized monitoring and feedback system MFS; Youth Outcomes Questionnaires, YOQ. This intervention can be built into the existing electronic medical records infrastructure of CMHCs and thus has appeal for its acceptability, ease of transport into clinical practice, and sustainability. Emerging data suggests that MFS alone improves outcomes relative to TAU but has not been adequately tested in youth. As an added value, this study also addresses a common threat to the internal validity of previous RCTs evaluating an EBT by isolating the confounding effects of increased measurement and feedback to clinicians. Finally, addressing a central aim of this RFA and making a unique and critical contribution to the treatment literature, this study will examine theoretically-linked mechanisms both patient and provider level of treatment outcomes of both the UP-A and the YOQ. This collaborative R01 proposal in response to RFA-MH-15-325 was prepared by Drs. Ehrenreich-May and Jensen-Doss at the University of Miami Miami and Dr. Ginsburg at The University of Connecticut School of Medicine UConn; applications are identical. To test study aims, 222 adolescents ages 12-17 with anxiety andor depressive disorders will be recruited in CMHCs in Miami and Hartford 111 adolescents and 9 clinicians at each site. 