Each year over one million children leave or are forced out of their homes. The majority of these children are isolated, depressed and have poor communication with their parents. Many have suffered from physical or sexual abuse, as well as various forms of neglect and deprivation in their family units and in their environment. Some runaway children receive help from the child welfare system. Most, however, come to large cities where they beg, steal, are raped, and work as prostitutes. Most runaway young people do not receive help from private practitioners because of denial of their problems, nomadism, no third-party insurance coverage and, at times, the lack of flexibility of individual systems of therapy.Alternative treatment models are discussed: short-term group homes, host homes, counseling centers that trace their history to the runaway centers, free clinics, and crisis hotlines that arose in the mid * Requests for reprints should be sent to: Herbert J. Freudenberger, 18 East 87th Street, New York, NY 10028.The authors are particularly indebted to Lisa B. Freudenberger for her invaluable assistance in gathering relevant data and references for this article; and to Patrick Golden, Covenant House, and Barbara L. Smythe, College For Human Services, for their helpful comments and editorial assistance.