Cognitive behavioral therapy (CBT) is a form of brief, structured psychotherapy based on the premise that thoughts, feelings, and behaviors affect each other in reciprocal ways. It is highly efficacious in research trials pertaining to many child psychiatric disorders, but therapeutic benefits are sometimes less robust in community practice. This Workshop outlines challenges of child CBT in community practice and helpful adaptations in this context. Case examples illustrate common challenges to providing effective CBT and helpful adaptations for community practice. Participants apply the material to their own practice using interactive exercises on case selection, combining CBT with other interventions, use and modification of CBT manuals, and overcoming common therapeutic obstacles. Models for teaching CBT to community providers are reviewed and compared. The reasons why effectiveness of child CBT in community settings may not always match efficacy in research trials is discussed.