The first item on the National Agenda for Achieving Better Outcomes fo
r Children and Youth with Serious Emotional Disturbance revolves aroun
d creating positive environments through the creation of useful, engag
ing, and positive learning experiences. Over the past 20 years, there
has been a significant increase in the types of interventions and prog
rams developed for children with serious emotional disturbance (SED) a
s well as significant changes in who is serving these children and whe
re they are being served. Despite these changes, outcomes for youth wi
th SED remain problematic. In this article, we review intervention and
program examples and outline a framework for increasing their effecti
veness. Implications for practitioners, teacher educators, researchers
, and policymakers are also discussed.