In a large sample
of clinically - referred
children in practice settings who had depression, anxiety or conduct disorders, a modular approach that allowed clinicians to apply treatment procedures flexibly and in different sequences — including individual CBT for depression or anxiety or parent training for conduct disorders — was associated with
steeper trajectories
of symptom improvement than standardised CBT or usual
care.10 In the case
of bipolar disorder, implementing individual, family or multifamily treatment protocols flexibly may lead to greater engagement
of parents and
children and lower treatment
costs.