Background: Multisystemic therapy (MST) has been shown to be effective in treating delinquent behavior in youth. However, some community agencies with MST programs are unable to afford the ongoing costs of licensure and quality assurance oversight provided by MST services. Objective: The present study utilized retrospective archival analyses of court charges to evaluate and compare the outcomes of youth participating in MST in a community mental health center with and without MST services oversight. Results: The results showed that court charges decreased for youth in the oversight group but not for youth in the non-oversight group. The two groups also differed in age, pretreatment charges, therapist contacts, and progress on goals. Conclusions: Implications of our findings are discussed in terms of policy changes affecting program structure and outcome as well as how community settings can afford ongoing support of evidence-based treatment programs.