Cultural Islands: The Subjective Experience of Treatment and Maltreatment within Insular Programs – This is a brief, selective summary of a thesis research project titled “Adult Perspectives on Totalistic Teen Treatment: Experiences and Impact.” This project was approved by the University of Florida Institutional Review Board Office (UF–IRB201701655). The summary presented here reports on findings most closely related to the topics of insularity, the potential for harm, and under-representation.