It is estimated that at least 75% of children and youth in juvenile detention have mental or emotional disorders that should be treated. Many factors account for this situation: among them, recent trends toward more punitive laws and decreased state level funding for mental health services. In addition, most communities have insufficient capacity to identify and respond to problems early, thereby preventing some disorders from developing and others from becoming complicated by additional issues, such as substance use. And, yet, 75% of juvenile facilities do not meet basic suicide prevention guidelines, according to the Council for Juvenile Justice. These trends need to be reversed.