Bear HA, et al. - Researchers sought to determine the individual level outcomes following routine treatment of depression and anxiety among youth, the most prevalent mental health problems in this population, by performing a systematic review. Searching MEDLINE, Embase and PsycInfo, they identified 6,350 publications in initial screening; of these, 38 with a final full pooled sample of 11,739 young people (61% of whom were female, mean age 13.8 years) met the inclusion criteria. The pre−post effect size (Hedges g) of −0.74/−0.87 was reported at first/final outcome (13/26 weeks). The individual-level change on measures of self-report was 38% reliable improvement, 44% no reliable change, and 6% reliable deterioration. Moderators, informant, problem type and dosage were identified influencing the outcomes. They identified this work being the first suggesting the expected rates of reliable improvement for those accessing treatment as usual (TAU). Observations suggest the necessity for improving the recording of both individual-level metrics and details of TAU to allow greater recognition of likely current outcomes from routine care for youths with depression and anxiety in order to allow the potential for further improvement of impact.