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ABSTRACTThis paper explores the cross‐national challenges of integrating evidence‐based interventions into existing services for high‐resource‐using children and youth. Using several North American model programme exemplars that have demonstrated efficacy, the paper explores multiple challenges confronting policy‐makers, evaluation researchers and practitioners who seek to enhance outcomes for troubled children and youth and improve overall service effectiveness. The paper concludes with practical implications for youth and family professionals, researchers, service agencies and policy–makers, with particular emphasis on possibilities for cross‐national collaboration.

Growing interest in family-based services creates challenges and opportunities for individual practitioners as well as service agencies. This paper focuses on the specific nature of these challenges in the areas of family practice, policy, and research. Each of these areas will require informed leadership in framing and resolving difficult questions. Some practical suggestions for joining this overall task are offered.