Measurement-based care (MBC) has not been routinely incorporated into the inpatient setting in child and adolescent psychiatry. This article discusses who should be measuring the outcomes and what needs to be considered in selecting outcome measurement scales in the inpatient setting. Characteristics of inpatient populations may pose challenges in selecting appropriate measurements to track outcomes. However, even young patients and patients with psychosis can contribute to the MBC. This article also discusses barriers and possible solutions for implementing MBC in the inpatient setting.