Abstract
This essay is a reflection on the history and philosophy of the American Association of Children's Residential Treatment Centers with implications for the current and future challenges to residential treatment. The development of the organization is traced from its inception in 1956 to the present. Five areas are discussed: the role of the “chief honcho,” diagnosis, milieu staff, funding and research. In each area the philosophy of the founders is put in juxtaposition with current conditions, both those that advance and those that limit treatment potential. The challenge of the future is to our ability to adhere to those aspects of the organization's philosophy that enabled its members to successfully pioneer methods of helping the most difficult of society's children.
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