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Frederic G. Reamer and Deborah H. Siegel have written the first scholarly book on this influential and controversial industry. They begin with a time line of Americans' changing attitudes toward challenging teens and the programs and schools established to handle this population. Then they summarize reputable organizations, including a selection of community-based and residential programs and schools, and provide brief descriptions of typical services. The authors candidly discuss a number of troubling scandals and tragedies, exposing the tragic consequences of emotionally and physically abusive practices, and recommend a range of empirically sound interventions for the clinical challenges of adolescent depression, bipolar disorder, anxiety, oppositional behavior, eating disorders, and attention-deficit/hyperactivity disorder. The authors conclude with a blueprint for reform and twenty "best practice" principles relating to harm prevention, program-based discipline, industry regulation, quality assurance, parental involvement, staff education, and after-care services.