In this groundbreaking book, Charles Fishman uniquely incorporates and develops results-based accountability (RBA) into the framework of structural family therapy. Collaborating with the founder of RBA, Mark Friedman, this approach aims to transform the field of family therapy by allowing clinicians to track performance effectively and efficiently with their clients. The book begins by reviewing the historical foundations of family therapy and evaluates why challenges in the field, alternative methods, and the reliance on evidence-based medicine (EBM) have meant that family therapy may not have flourished to the extent that many of us expected. It then explores how RBA can be integrated into intensive structural therapy (IST), with chapters examining how RBA can be applied in context, such as in treating eating disorders, supervision, and how it can be used to transform the professional's clinical contexts. Relevant and practical, the book also introduces the community resource specialist to help in the treatment of socially disadvantaged families, as well as practical appendices and "tracking tools" to empower clinicians to track their data and choose treatment models that obtain best outcomes. This new approach offers transparent and measurable outcomes for both clinicians and training family therapists, lending a helping hand in making family therapy the gold standard in psychotherapy. It is essential reading for undergraduate and graduate students of family therapy, course leaders, and all clinicians in professional contexts, such as social workers, psychotherapists, and marriage, couple, and family therapists.