The need for system reform for child and adolescent mental health services, long recognized as a vital issue, continues to challenge mental health professionals. While past legislation has not adequately addressed the issues, the 2003 President's New Freedom Commission may begin to reorient mental health systems toward recovery. Supported by this legislation, the "systems of care" movement promotes interagency mental health delivery systems with a family focus. Occupational therapists, though perhaps often overlooked as treatment teams are developed, can be valuable interdisciplinary team members in systems of care programs. Increased communication and collaboration are needed to achieve a coordinated, collaborative interdisciplinary approach. This is particularly critical to effect successful community reintegration of children and adolescents who are returning from residential treatment.