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ent needs of youth and families. Treatment focus diffusion (TFD), dividing focus across multiple concerns during treatment, is common in public mental health care and differs from the more narrowly focused empirically supported treatments for youth reported in the literature. The present study examined whether and to what extent TFD is associated with youth functional improvement over the course of therapy. This study utilized multi-level modeling techniques to analyze 12 consecutive years of standardized routine clinical service data