This position statement is the second in a short series that articulates ADCS members’ collective aspirations for the care system. In particular, this statement reviews the key messages from evidence relating to models of adolescent care provision, examines whether there might be alternative models better suited to the needs of adolescents, looks at the balance of parenting responsibility between the state and a young person’s family, offers some propositions for debate, and makes some recommendations as to how we might move forward. The paper builds on the premise that “adolescence” is a construct that does not respect boundaries and asks whether we need to challenge the conceptual underpinning of our current range of services designed to meet the needs of young people.