Emphasis on neuropsychiatric frameworks of conceptualizing troubled youth is increasing. This focus leads to more biologically-based interventions. As such, the use of psychotropic medications is skyrocketing, while the utilization of psychosocial strategies is diminishing. Yet overall outcomes seem to be faltering. Admissions to outpatient, partial-hospitalization, and residential care have all increased dramatically between 1986 and 2004. In this article, the author stresses the need to re-establish the importance of relationships in care, and incorporate ecological interventions and skill development into treatment strategies. These are aptly represented by the Re-Education principles and evident in all Re-ED practice settings. Even when integrating the exciting science that is available, any additional strategies should be developed on the platform of the strength-based models of Re-ED and the Circle of Courage (Brendtro, Brokenleg, & Van Bockern, 2001).