Book excerpt: This book illuminates the causes of severe adolescent behavioral problems and presents a research-based fifteen-step model for helping families bring about real, lasting 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 relationships among family members. Special treatment issues covered include working with single-parent families, outside systems (peers, school, probation officers), divorce and stepfamily problems, and substance misuse. Clearly written, practical, and accessible, the book uses actual case examples to demonstrate each step of the approach.