In the wake of a U.S. Justice Department investigation that found widespread use of excessive force by staff at upstate psychiatric care facilities for mentally ill children, this new edition of Child Welfare Watch identifies shortcomings in mental health services and explores possible solutions, including the expansion of alternatives to incarceration for juvenile delinquents. Contents include: (1) Recommendations and Solutions; (2) Where the Sick get Sicker; (3) Private Institutions, Public Costs; (4) Admissions of Juvenile Delinquents and Juvenile Offenders to Institutions 1998-2008; (5) How New York's Juvenile Justice System Works; (6) Homes for Teens, Not Lock-Ups; (7) Keeping it in the Family; (8) On the Same Page; (9) What are the Alternatives?; (10) Snapshot of Juvenile Justice in NYC 2008; and (11) Watching the Numbers.