Structure and process. The Intervention for Health Enhancement after Leaving structure and process facilitated change: “The structure kept me [survivor] on track, out of that fog. It wasn’t just talking, it was doing practical things.” The tools promoted reflection and discovery: “I didn’t realize how much I was affected by the abuse until the exercises and the little charts.” Women worked through deep, difficult emotions, finding the work hard, but not intrusive. They gained new capacities for taking action: “Now I have tools to work with.” The interventionists observed that the Intervention for Health Enhancement after Leaving process did not increase system dependency but “sustained survivors so that they could take it from there,” an assertion consistent with the quantitative outcomes and survivors’ comments.