“…40 -45 Yet, as noted above, socioeconomically disadvantaged families face greater difficulties with treatment engagement 45,46 and, even when they complete treatment, may not benefit to the same extent as higher-income families. 47 Consequently, there is a need for more upstream, innovative, comprehensive approaches to addressing mental health problems among families experiencing poverty. Specifically, programs that are family driven, target children in their natural contexts, incorporate evidence-based interventions, and take a comprehensive approach to treatment that addresses relevant social determinants (eg, housing or food insecurity) may be associated with greater therapeutic changes, 48 decreased treatment attrition, 49 and increased engagement.…”