Increasingly, western developed countries are committed to improving prevention and early intervention strategies that address risks in all areas of children's lives. This article considers the "how" and "why" of such refocusing activity. Five sets of strategies for refocusing are described: developing and using local evidence; designing, implementing and evaluating new services (alongside de-commissioning); fiscal control; mainstreaming reforms and ensuring sustainability; and structural reorganisation. Five benefits of such reforms are outlined: improved outcomes; better inter-agency working; greater efficiency; improved practice and outputs; and enhanced user and staff satisfaction. The article notes ways of mitigating the risks of refocusing and the need for practical methods that connect strategies and overcome obstacles in order to achieve the identified benefits.