The popularity and success of positive behavioral interventions and supports (PBIS) in public schools across the United States has led professionals to advocate for its implementation in secure juvenile settings. Statewide implementation efforts have been mounted in several jurisdictions, and a number of secure facilities are applying it with success in specific programs within facilities or across entire facilities. However, information regarding the issues faced when attempting to adapt PBIS for secure 24/7 settings, and strategies for addressing these, is not widely available. In this article, we initiate a discussion of this process as a means to improve youth behavior. (Contains 1 table and 1 figure.)