Children in residential group home settings have usually experienced trauma or abuse. The therapeutic setting they need must be safe, informed by an understanding of impaired attachment and developmental needs. Toward that end, children's group homes offer a 24-hour residential environment with targeted therapeutic informed models of care. Staff oversight may include such things as having general supervisory responsibility of clients during the day or night, while clients are active, stationary, or involved in private functions.

Excellent staff supervision is essential, and can be challenging. Particularly challenging is cross-gender supervision. Numerous concerns arise:

• Will inappropriate relationships develop?