There have been increasing demands in recent years for special provision for children and adolescents who present behaviour difficulties in school or in the community. The impact on the public of the visual images of young children defying the authority of the police, racing cars, killing the innocent, has been dramatic. There is an increasing sense of outrage at the thought that there is nothing that anyone can do. In part the outrage is directed at those in the caring professions who seem to refuse to do anything.