This descriptive case study reports on the positive impact of a consultative review methodology used to conduct quality assurance reviews as part of the Residential Treatment Center Evaluation Project. The study details improvement in the quality of services provided to youth in unmonitored residential treatment facilities. Improvements were observed in the areas of treatment planning and care, educational planning and services, and aftercare planning. Psychiatric practice improved and aversive and negative disciplinary practices were minimized. Improvement in service quality was achieved through a strength-based, consistent, and periodic consultative review process. Policy recommendations are discussed. (Contains 5 tables.)