This report recognizes the problems faced by community-based placement as a result of deinstitutionalization of clients from rehabilitation and treatment centers for youth, and offers an alternative approach for serving these youth. The program described involves specialists in residential placement working with specialists in education/therapy work to provide a meaningful living and learning environment for youth. The Clearwater Youth Center/Fresh Start School at Eagle River, Wisconsin, is depicted as offering an intensive therapeutic milieu living and learning placement for youth who have been sexually abused and/or exploited. The three main components of the program are explained and the three basic goals of the whole placement sequence at Fresh Start are listed. A figure illustrating the eight dimensions of the program of therapeutic intervention at Fresh Start is followed by a discussion of each of the eight dimensions: (1) individual counseling; (2) one-to-one supportive relationships; (3) group counseling; (4) family meetings; (5) crisis intervention counseling; (6) behavior management systems; (7) consensus decision making groups; and (8) outdoor therapy. This multi-dimensional program of therapeutic intervention is advocated as a way of enhancing the growth, development, and adjustment of all youth-in-placement. (NB)