Establishing an effective group therapy program in secondary schools requires comprehensive knowledge of both group and organizational behavior. The clinical management of administrative concerns is essential to achieving success at conducting groups in an educational milieu. Engaging high risk teenagers for group therapy also requires an effective model for teaching, training and supervision of both educational and clinical professionals as they work together towards common goals with these students. A clear set of criteria for school selection, referral and screening procedures creates a service contract which enables development of a successful program.