Although the evidence base for the effectiveness of residential treatment is still very limited, a review of the literature reveals family-centered residential care as an emerging best practice. Synthesizing knowledge from research, families, youth, professionals, as well as values put forth in the standards by accrediting organizations, this article shows a convergence of views that supports a shift toward family-centered residential care. Existing examples of family-centered initiatives and programs are provided, and key components for family-centered residential care are outlined.