This book illuminates the causes of severe adolescent behavioral problems and presents a research-based, 15-step model for helping families bring about meaningful change. Incorporating structural and strategic principles, the author's cohesive approach focuses on setting clear rules and consequences; changing the mood and direction of confrontations; neutralizing such problem behaviors as disrespect, truancy, running away, violence, and threats of suicide; and restoring positive, nurturing family relationships. Special treatment issues covered include adolescent substance abuse and managing problems that arise in single-parent and divorced families, as well as ways to collaborate effectively with outside systems. Featuring a wealth of illustrative case examples, this is an indispensable clinical guidebook and text.