This article describes a school and community based day treatment program w
hich is the result of cooperative efforts between a school district and a c
ommunity mental health agency. Irt is designed as the last, in-district pla
cement available for students prior to residential care. Using a systemic a
pproach, the program serves students in grades 7 to 12, with a variety of d
isabilities including emotional and behavioral disorders, physical disabili
ties, and special education classifications. This article describes the pro
gram's treatment components, provides a case study of a student who attende
d the program, and presents the results of a 5-year review of the program's
effectiveness.