This Workshop demonstrates a novel, cost-effective, evidence-based, Intensive Outpatient Psychiatry (IOP) Program, which was evolved at The Children’s Hospital in Denver, Colorado, in January 2006, in response to a need for a program for youth “stepping down” from higher levels of care or who had failed to respond adequately to routine outpatient care. There was a need for a program that could simultaneously increase parental effectiveness and bolster psychosocial skills in youth, thereby reducing symptoms and improving functioning. Participants receive hands-on instruction in parent-training techniques for families with children who have disruptive behavior disorders and are too acute to manage in a routine outpatient setting. The service delivery model presented is designed to optimize access to care, cost effectiveness, standardization, and skills training for families.