Comments on the article by R. Venturo-Conerly et al. (see record 2023-55836-005), which reviewed the literature on decision guidance in child modular therapies and found that decision-making support systems (DSSs) come in a spectrum of options from very flexible to very rigid. Some treatments provide flowcharts prescribing the order of elements, while others can be organized and delivered in any order based on the provider’s preference. In this commentary, the author will provide recommendations on how to avoid recreating the research-to-practice gap that existed (and continues to exist) in the implementation of evidence-based treatments so as to avoid replicating it as we design and implement the DSS in psychotherapy. (PsycInfo Database Record (c) 2023 APA, all rights reserved)