Interchange is a day treatment school program for elementary, middle, and high school students who are unable to make adequate adjustments to the traditional public school setting. Students are referred to Interchange from the Bristol and Washington County school systems via principals and school counselors. Students referred must meet the definition of seriously emotionally disturbed (SED). Student to teacher ratio at Interchange is much smaller than the traditional classroom, allowing for intensive focus and attention for the student. Counselors are present in the classrooms at all times and can deal immediately with disruptive behaviors using a number of appropriate intervention strategies. The teacher and the counselor work hand in hand to set the tone for the classroom. Interchange also offers a summer program for elementary and middle school children who are experiencing problems that could lead to the child being placed at Interchange for the school year. The summer program is nonacademic and focuses on teaching students skills in social interaction, team building, anger management, and conflict resolution.