Inpatient psychiatric units constitute the highest level of care available in the behavioral health system and serve a pivotal role in addressing acute mental health needs of children and adolescents facing severe psychiatric illnesses or safety concerns. The inpatient psychiatric unit is a particularly difficult environment in which to deliver psychological interventions. Young patients meeting criteria for admission are often exhibiting extreme emotional distress, impulsive and self-harming behaviors, aggression, and/or impairment in concentration and attention. Combined with short lengths of stay, these clinical and behavioral presentations make it difficult to deliver effective evidence-based psychological interventions. This presentation will focus on discussing effective, time-limited, evidence-based interventions with children and adolescents on inpatient psychiatric units. With particular emphasis on developing feasible hospital treatment goals, implementing behavioral interventions, empirically informed group therapy, and crisis-focused individual/ family interventions.