Service Satisfaction Scale (SSS) (Bickman et al., 2010) . The SSS is a 5-item measure that assesses youth and caregiver satisfaction with treatment. Four items are rated on a 4-point Likert scale ranging from one (“No, definitely not”) to four (“Yes, definitely”). The last item is a free-response question, asking for other comments about the service the family received. In terms of cut-off scores, if the total score falls below 3.25 (for caregivers) or three (for youth), service satisfaction is considered low.