The community psychiatry policy (1960) as well as the mental health policy (1990), two major institutional reforms lead by French public authorities, have introduced profound transformations within the field of psychiatry, contributing to the extension of its scope of action and to the renewal of the conception of care. However, these evolutions have remained marginally studied, particularly in regard of teenagers whose infantojuvenile psychiatric care has been delayed. This paper examines the changes introduced within the sector child psychiatry through the recent experiences and experimentations undertaken toward theses “suffering” teenagers. As they are outside the reach of prevention measures and of care, few of them ask for help or support. They are also confronted with difficulties at the margin of many domains of action (education, social, child psychiatry, etc.) which blurs the strict division of roles between professionals and institutions. Starting from empirical sociological approaches of monitoring initiatives introduced in different “intersecteurs” of the Ile-de-France region, the analysis of transformations on multiple levels, those of the actors (professional stances and dispositions, qualifications and skills, redistribution of roles between each actors within the mental health domain), those of working methods (frames of action, etc.) and of associated values (autonomy and empowerment) allow the reconstitution of the part played by this new conception of recovery which gives place to a dynamic account of these “suffering” teenagers.