It examines the major structural similarities and differences they exhibit with respect to the design of service components as well as the commonalities and variations in techniques and styles they employ in delivering services. The four programs were selected for their innovative approaches and their highly structured intervention approaches that are aimed at inducing substantial degrees of change in the client population. The focus of the analysis is on three aspects of organization and design: therapeutic orientations, educational strategies, and reintegrative techniques. The programs discussed include two residential models: Alternative Rehabilitation Communities at Woodlawn (Harrisburg, Pa.) and Vindicate Society (Newark, N.J.). The models of nonresidential programs derive from the Jefferson Parish Juvenile Court Transition Center in Gretna, La., and Key Tracking Plus in Springfield, Mass. Whether approached through a therapeutic milieu, therapeutic day treatment, or intensive community intervention, all the programs pursued with great intensity the development of maximally comprehensive and intensive intervention involving virtually all aspects of social interaction, personnel conduct, and the psychological well-being. This contrasts with programs that are primarily for socialization and aim for more moderate changes in behaviors of less deviant clients. A total of 21 references are provided.