It seemed a throwback to the days of the country doctor: Go to the patients instead of having them come to you. As a young intern in the pediatrics department at the University of Virginia’s medical school in the mid-1970s, Scott Henggeler got that advice from his supervisor, a social worker on staff. He heeded it, taking the department’s van out for house calls into the natural beauty of the Shenandoah Valley in the Charlottesville area and soon had an epiphany about the folly of trying to treat some of the most troubled youngsters in an office setting. “I visited probably about six, seven homes, and in each case, all it really took was to just set foot inside the door and you realized how goofy your academic treatment plan was,” Henggeler told JJIE. “Doing the home-based stuff just removed the barriers, really removed most of the barriers and helped you better engage with the families, but also very importantly, you got much more accurate assessment data.