Children with serious emotional and behavioral disorders present stron
g challenges to families and professionals who attempt to care for the
m at home. This longitudinal, exploratory study examines the placement
-threatening crises experienced by nine Minnesota families during an 1
8-month period. The findings encourage critical reevaluation of placem
ent-prevention programs, highlighting the importance of informal suppo
rt systems, long-standing family supports, attitudes of professionals,
and the role of medications.