Background: Eating disorders are on the rise and are often unrecognized and missed due to insufficient screening and clinician knowledge. Eating disorders decrease learning ability by impairing cognitive function, are linked to poor social skills, and comorbid psychiatric illnesses. 50% of adolescent females and over one-third of teenage boys have symptoms and behaviors associated with disordered eating patterns. Nine percent of Iowans will have an eating disorder in their lifetime, which costs $624.2 million yearly in economic costs. Early detection improves quality of life and decreases health care costs, reducing the prevalence and incidence of mortality associated with the long-term effects of eating disorders. Screening adolescents for eating disorders using the SCOFF screening tool provides early detection and improves outcomes. Purpose: To accurately identify the early onset of eating disorders in adolescents seen in the outpatient setting. Improve clinician knowledge and assessment skills, increase early detection, and improve interventions with evidence-based education, treatment, and resources. Methods: This quality improvement project was deemed not to be human subject research. The setting was a psychiatric outpatient clinic, and the population was adolescents ages 12-19. The inclusive sample size was n=60. Findings: Clinician assessment skills were improved as evidenced by the statistically significant increase in scores between pre and post-test with a mean difference of 30% (p<0.01). The self-administered screening tool demonstrated clinical significance in the early detection of eating disorders. Interventions were applied early, as evidenced by clinicians implementing supportive education, treatment plans, and resources as specified by guidelines in 100% of positive SCOFF screenings. Discussion: This project demonstrated that the SCOFF screening is a reliable tool that is easy to use and prompts early intervention. Evidence indicates that training clinicians to use the SCOFF screening and implementing interventions early to improve outcomes is effective.