Systems issues in psychiatric treatment of adolescents in their community

The psychiatric treatment of adolescents is analyzed as having, on the one hand, staff and client subsystems interacting continuously and, on the other hand, cross-boundary transactions between the treatment program and two other systems, the neighborhood and the community mental health system of which the program is a part. Through the use of the concepts of boundaries and mirroring, it is possible to explain more clearly how certain dramatic events relate to adolescent psychology and to the treatment tasks.