Residential Treatment For Behavior Disorder Residential treatment is usually considered a mode of intervention for severe behavior problems. The problems may be so difficult to treat that working with the youths on an outpatient basis does not provide enough contact or control. Also, there may be a concern that children may harm themselves or others and, therefore, that closer supervision is necessary. The child may also be removed from the home because circumstances there are highly problematic, suggesting that successful interventions could not be achieved at home. Unfortunately, the lack of availability of alternative placements can result in children being institutionalized when interventions in less restrictive environments, like group or foster homes, might be successful. On the other hand, treatment in residential settings is often undertaken when other modes of intervention have not proven successful. Residential treatment may occur in group homes, child psychiatry units in medical hospitals, units in non medical settings, and in juvenile facilities that are part of the legal/Judicial system. Treatment in such settings usually involves a variety of services including therapeutic, educational, and vocational interventions. Because programs differ so much in what the actual content is, they have been difficult to evaluate, and therefore we know less than we would like about their effectiveness (cf. Kazdin, 1985).