Our outpatient program is pushing 28 billable hours a week, and I’m finding CBT work with 10–14-year-olds gets thin — less time for behavioral experiments and thought records, more pressure to move kids through. How are you framing caseload and scheduling with leadership so we can protect emotional safety and treatment fidelity (e.g., 45-minute sessions and a 5-minute parent check-in) without getting dinged on productivity? Has anyone successfully used outcome data (RCADS every 4 weeks or SRS at session end) to counter raw-hour targets?