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The Unsilenced Policy Team

Michigan Legislation Report

2022

2022

Introduction

The ‘troubled teen’ industry is a network of residential programs that claim to provide treatment for the behavioral and developmental needs of youth. The industry’s lack of transparency and accountability has led to widespread abuse of youth, resulting in hospitalizations, prolonged trauma and death.

Today, there are an estimated 120,000 – 200,000 minors in residential programs across the United States. These youth are placed each year by state child welfare agencies, juvenile justice courts, mental health providers, refugee resettlement agencies, school districts’ individualized education programs, and by parents.

Many of these youth have trauma histories, which are only exacerbated by being removed from their communities and institutionalized. Youth with lived experience describe these programs as being carceral, harsh, and abusive.

An estimated $23 billion dollars of public funds annually are used to place youth in residential programs. Daily rates for residential treatment ranges from $250-$800, costing up to $292,000 per year, per child.

It is overwhelmingly clear that our communities and agencies are over-relying on residential placements that are negatively impacting the youth they serve.

Introduction

The ‘troubled teen’ industry is a network of residential programs that claim to provide treatment for the behavioral and developmental needs of youth. The industry’s lack of transparency and accountability has led to widespread abuse of youth, resulting in hospitalizations, prolonged trauma and death.

Today, there are an estimated 120,000 – 200,000 minors in residential programs across the United States. These youth are placed each year by state child welfare agencies, juvenile justice courts, mental health providers, refugee resettlement agencies, school districts’ individualized education programs, and by parents.

Many of these youth have trauma histories, which are only exacerbated by being removed from their communities and institutionalized. Youth with lived experience describe these programs as being carceral, harsh, and abusive.

An estimated $23 billion dollars of public funds annually are used to place youth in residential programs. Daily rates for residential treatment ranges from $250-$800, costing up to $292,000 per year, per child.

It is overwhelmingly clear that our communities and agencies are over-relying on residential placements that are negatively impacting the youth they serve.

Michigan Legislation

General Oversight and Transparency Department of Health & Human Services
Oversight Agency Department of Health & Human Services
Which state agency oversees investigations? Department of Child Welfare and Department of Health & Human Service
Are investigations and outcomes visible to the public online? Yes if you email and request information for specific complaints
Is this type of program required to be licensed by the state? Yes
Is a list of licensed facilities available to the public? Yes
Are regulations only applicable to facilities receiving public funds? Yes
Can complaints be filed online? Is the reporting portal easy to find? Yes
Does the state conduct unannounced site visits? How many per year? An inspection must be conducted by the local health department, and an approval granted indicating compliance with all of the rules in this part, except R 400.8330, 400.8335, and 400.8340, at all of the following times: (a) Before issuance of an original license. (b) Every 2 years, at the time of renewal, if the center has a private well or septic. (c) Every 2 years, at the time of renewal, if the center provides food service where the food is prepared and served on-site, unless the kitchen is currently licensed to provide food service. (d) Prior to adding a food service program. (e) Prior to adding an infant or toddler program. (f) When requested by the department.
Are background checks required, including volunteers? Yes. R 400.4112 Criminal history check, subject to requirements; staff qualifications - For both hired and volunteer workers
Is a full-time licensed clinician required to be on staff? Yes
Does the state require a guardian's consent to all treatment received? No changes to medication are allowed without consent from parent and physician
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? Facility must notify guardian within 12 hrs and the Department of Health & Human Services within 24 hrs with a written report if any restraints are used on the child
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? A licensee, licensee designee, or program director shall report to the department within 24 hours of notification by a parent that a child received medical treatment or was hospitalized for an injury, accident, or medical condition that occurred while the child was in care.
Is a licensed clinician required to perform a mental health evaluation upon intake? Yes
Does the state require mandatory child abuse response training for all staff working with children in residential settings? No
Does the state require medical response training for all staff working with children in residential settings? The institution shall establish written policies and procedures regarding routine and emergency medical/dental/behavioral health, R 400.4115 First aid; CPR – Page 14
Does state require 1:4 staffing ratio or higher? Yes
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? Admission requirements dependent on the facility
Are the guardian & admitted child required to be informed of their their rights? Yes
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? Yes
Does the state prohibit mail censorship? The facility will be ensured that children have communication with friends or family, but law does not have specific information on mail
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? An institution shall have and follow a written policy regarding communication that ensures that a child is able to communicate with family and friends in a manner appropriate to the child’s functioning and consistent with the child’s treatment plan and security level. However, there is nothing that is specific to phone access
Does the state require that children be allowed visitors in private during normal visiting hours? Rule 122 - An institution shall provide for visits between each resident and the resident’s parents, unless parental rights have been terminated or the resident’s record contains documentation that visitation is detrimental to the resident.
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? The initial treatment plan shall include all of the following: (a) An assessment of the resident’s and family’s strengths and needs. (b) Plans for parent and child visitation. (c) Treatment goals to remedy the problems of the resident and family, and time frames for achieving the goals. (d) Indicators of goal achievement. (e) The person responsible for coordinating and implementing the resident and family treatment goals. (f) Staff techniques for achieving the resident’s treatment goals, including a specific behavior management plan. The plan shall be designed to minimize seclusion and restraint and include a continuum of responses to problem behaviors. (g) Projected length of stay and next placement. (h) For youth who are permanent court wards or MCI wards, there must be documented coordination with the agency assigned to complete adoption or permanency planning for the youth. (i) For youth 14 years of age and over, a plan to prepare the youth for functional independence. (4) The social service worker shall sign and date the initial treatment plan. (5) The social service supervisor shall approve, countersign, and date the initial treatment plan.
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? No Information
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? An educational program may be provided, but the educational program does not have to be the primary purpose of the facility
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? No
Are youth provided with access to advocacy services and representation? No
Does the state require a guardian's consent to all treatment received? There are religious policies in place and give parent opportunity to state/restrict certain treatment if it is against their religion. Child caring institutions must abide by the parent's wishes.
Is a grievance procedure required for youth and families? Yes
Is youth consent required for all treatment received? No
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? Yes. Chemical restraint is defined in section 2b of 1973 PA 116, MCL 722.112b
Is there regulation for mechanical restraint? Yes. The approval of an administrator must be obtained before any use of material or mechanical restraint. It cannot be used on pregnant youth unless child is deemed serious threat of hurting self, staff or others
Is there regulation for seclusion? Yes. Michigan passed legislation in March 2021 to eliminate seclusion
Is there a Bill of Rights for youth in care? No
Additional Information Facility License Status Search

General Oversight and Transparency Department of Health & Human Services - Facility must be a QRTP to be contracted with the Department of Health & Human Services for services if it being used for foster placement
Oversight Agency Department of Health & Human Services
Which state agency oversees investigations? Department of Health & Human Services
Are investigations and outcomes visible to the public online? Yes if you email and request information for specific complaints
Is this type of program required to be licensed by the state? Yes
Is a list of licensed facilities available to the public? Yes
Are regulations only applicable to facilities receiving public funds? Yes
Can complaints be filed online? Is the reporting portal easy to find? Yes
Does the state conduct unannounced site visits? How many per year? Yes
Are background checks required, including volunteers? Yes
Is a full-time licensed clinician required to be on staff? Yes
Does the state require a guardian's consent to all treatment received? No
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? Yes
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? Yes
Is a licensed clinician required to perform a mental health evaluation upon intake? Yes
Does the state require mandatory child abuse response training for all staff working with children in residential settings? No Information
Does the state require medical response training for all staff working with children in residential settings? Yes
Does state require 1:4 staffing ratio or higher? Yes
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? Admission requirements depend on the facility. The foster care system uses these facilities most.
Are the guardian & admitted child required to be informed of their their rights? Yes
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? No Information
Does the state prohibit mail censorship? The facility will be ensured that children have communication with friends or family, but law does not have specific information on mail
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? An institution shall have and follow a written policy regarding communication that ensures that a child is able to communicate with family and friends in a manner appropriate to the child’s functioning and consistent with the child’s treatment plan and security level. However, there is nothing that is specific to phone access
Does the state require that children be allowed visitors in private during normal visiting hours? Rule 122 - An institution shall provide for visits between each resident and the resident’s parents, unless parental rights have been terminated or the resident’s record contains documentation that visitation is detrimental to the resident.
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? Yes
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? No Information
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? Yes
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? No
Are youth provided with access to advocacy services and representation? No
Does the state require a guardian's consent to all treatment received? There are religious policies in place and give parent opportunity to state/restrict certain treatment if it is against their religion. Child caring institutions must abide by the parent's wishes.
Is a grievance procedure required for youth and families? Yes
Is youth consent required for all treatment received? No
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? Yes
Is there regulation for mechanical restraint? Yes
Is there regulation for seclusion? Yes
Is there a Bill of Rights for youth in care? No

General Oversight and Transparency Michigan’s boarding schools must be licensed by the Michigan Department of Education. Section 3 of the Revised School Code - MCL 380.3(4) defines a boarding school as “a place accepting for board, care, and instruction of 5 or more children under 16 years of age.” The Michigan Administrative Code Rules governing Boarding School Licenses. In addition to compliance with the rules for Boarding School Licenses, boarding schools must comply with the requirements of the Revised School Code that pertain to nonpublic schools.
Oversight Agency Department of Education must comply with Revised School Code pretaining to nonpublic schools. The superintendent of public instruction shall issue licenses for boarding schools.
Which state agency oversees investigations? Department of Education and Department of Health & Human Services
Are investigations and outcomes visible to the public online? Yes
Is this type of program required to be licensed by the state? The educational part of the school must be licensed under the Department of Education. The child residential facilities for the therapeutic aspect would be licensed by the Department of Health & Human Services
Is a list of licensed facilities available to the public? Yes
Are regulations only applicable to facilities receiving public funds? The Michigan Constitution prohibits public appropriations directly or indirectly to aid or maintain nonpublic pre-elementary, elementary or secondary schools.
Can complaints be filed online? Is the reporting portal easy to find? Yes
Does the state conduct unannounced site visits? How many per year? Yes. Visits are conducted to continue licensure. Depending on what type it is, it may be a yearly visit. No mention of unannounced visits.
Are background checks required, including volunteers? Yes
Is a full-time licensed clinician required to be on staff? 24/7 care is required but did not specify if it required a licensed clinician
Does the state require a guardian's consent to all treatment received? No
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? Yes
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? Yes
Is a licensed clinician required to perform a mental health evaluation upon intake? No Information
Does the state require mandatory child abuse response training for all staff working with children in residential settings? No
Does the state require medical response training for all staff working with children in residential settings? The institution shall establish written policies and procedures regarding routine and emergency medical/dental/behavioral health, R 400.4115 First aid; CPR – Page 14
Does state require 1:4 staffing ratio or higher? No Information
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? No Information
Are the guardian & admitted child required to be informed of their their rights? No Information
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? Yes
Does the state prohibit mail censorship? The facility will be ensured that children have communication with friends or family, but law does not have specific information on mail
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? An institution shall have and follow a written policy regarding communication that ensures that a child is able to communicate with family and friends in a manner appropriate to the child’s functioning and consistent with the child’s treatment plan and security level. However, there is nothing that is specific to phone access
Does the state require that children be allowed visitors in private during normal visiting hours? Rule 122 - An institution shall provide for visits between each resident and the resident’s parents, unless parental rights have been terminated or the resident’s record contains documentation that visitation is detrimental to the resident.
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? Yes
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? No Information
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? Yes
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? No
Are youth provided with access to advocacy services and representation? No Information
Does the state require a guardian's consent to all treatment received? There are religious policies in place and give parent opportunity to state/restrict certain treatment if it is against their religion. Child caring institutions must abide by the parent's wishes.
Is a grievance procedure required for youth and families? No
Is youth consent required for all treatment received? No
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? No Information
Is there regulation for mechanical restraint? No Information
Is there regulation for seclusion? Yes
Is there a Bill of Rights for youth in care? No

General Oversight and Transparency Bureau of Community and Health Systems
Oversight Agency Bureau of Community and Health Systems
Which state agency oversees investigations? Bureau of Community and Health Systems
Are investigations and outcomes visible to the public online? Licensing and Regulatory Affairs
Is this type of program required to be licensed by the state? Yes. Licensed as a child care organization under Act 116
Is a list of licensed facilities available to the public? No
Are regulations only applicable to facilities receiving public funds? No Information
Can complaints be filed online? Is the reporting portal easy to find? No Information
Does the state conduct unannounced site visits? How many per year? No Information
Are background checks required, including volunteers? Yes
Is a full-time licensed clinician required to be on staff? Depends on if 20% or more of the camper population have disabilities
Does the state require a guardian's consent to all treatment received? No Information
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? No Information
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? No
Is a licensed clinician required to perform a mental health evaluation upon intake? No
Does the state require mandatory child abuse response training for all staff working with children in residential settings? No Information
Does the state require medical response training for all staff working with children in residential settings? Yes
Does state require 1:4 staffing ratio or higher? No
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? No
Are the guardian & admitted child required to be informed of their their rights? No
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? No
Does the state prohibit mail censorship? No Information
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? No Information
Does the state require that children be allowed visitors in private during normal visiting hours? No
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? No
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? No Information
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? Yes
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? No
Are youth provided with access to advocacy services and representation? No Information
Does the state require a guardian's consent to all treatment received? Consent is taken prior to the start of camp
Is a grievance procedure required for youth and families? No
Is youth consent required for all treatment received? No
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? No Information
Is there regulation for mechanical restraint? No Information
Is there regulation for seclusion? No Information
Is there a Bill of Rights for youth in care? No

General Oversight and Transparency Department of Health & Human Services
Oversight Agency Department of Health & Human Services
Which state agency oversees investigations? Department of Child Welfare Licensing
Are investigations and outcomes visible to the public online? Investigations and outcomes are available on the Bay Pine and Shawono Center pages
Is this type of program required to be licensed by the state? Yes
Is a list of licensed facilities available to the public? Yes
Are regulations only applicable to facilities receiving public funds? Yes
Can complaints be filed online? Is the reporting portal easy to find? Yes
Does the state conduct unannounced site visits? How many per year? Inspection done prior to occupancy
Are background checks required, including volunteers? Yes
Is a full-time licensed clinician required to be on staff? It's based on the ratio of how many children are in care
Does the state require a guardian's consent to all treatment received? There is consent authorization is given upon entry for duration of the residents stay
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? Within 12 hours at both Shawono Center and Bay Pines
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? No Information
Is a licensed clinician required to perform a mental health evaluation upon intake? A physical examination must be conducted by or under the supervision of a licensed medical professional
Does the state require mandatory child abuse response training for all staff working with children in residential settings? The state requires the following training: child management techniques, crisis intervention, de-escalation techniques, and child handling
Does the state require medical response training for all staff working with children in residential settings? The state requires training on first aid and cardiopulmonary resuscitation
Does state require 1:4 staffing ratio or higher? The state requires 1:8 when clients are awake and 1:20 when clients are asleep
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? Yes. For Bay Pines Center, it is for children awaiting a court decision and a residential treatment program for youth adjudicated for criminal offenses. For Shawono Center, it is for male juveniles between the ages of 12 and 21 who have been adjudicated for one or more felony counts
Are the guardian & admitted child required to be informed of their their rights? The resident will receive a copy of the report if a facility violated discipline policies.
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? The facility shall not allow any of the following discipline: Corporal punishment, humiliation, mental abuse, punitive interference with daily physiological facilities. Anyone who goes against this policy will be imposed for "minor misbehavior and major violation."
Does the state prohibit mail censorship? Residents are only permitted to send sealed letters to the court, counsel, officials of the confining authority, administrators of grievance systems, and Members of the releasing authority
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? There is no statue on telephone communication other than in the event of a fire or evacuation. Use of it will be conducted via facility staff
Does the state require that children be allowed visitors in private during normal visiting hours? The policy shall provide for visits at least weekly between each resident and the resident's parents, except where parental rights have been terminated or the resident's record contains documentation that visitation is detrimental to the resident. (2) The policy shall specify that visitors must register upon entry and shall indicate the circumstances under which visitors are searched.
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? No Information
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? The center receives medical consent at intake for each child
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? A facility shall provide, or arrange for the provision of, an educational program through either of the following means: (a) Employ staff and operate a private school in accordance with the provisions of Act No. 302 of the Public Acts of 1921, as amended, being S388.551 et seq. of the Michigan Compiled Laws. (b) Contract or arrange with a local or intermediate school district to operate an onsite school program or provide education elsewhere.
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? There is no sexual education. However, the policy states facility shall arrange for resident to ""maintain or receive personal care, hygiene, and grooming appropriate for the resident's age, sex, race, cultural background, and health needs."
Are youth provided with access to advocacy services and representation? No
Does the state require a guardian's consent to all treatment received? Obtained at intake
Is a grievance procedure required for youth and families? Rule 137. (1) A facility shall have and follow a written grievance procedure. (2) The grievance procedure shall be explained and made available to residents and their parents. (3) The grievance procedure shall allow for the progression of a grievance to at least 1 level beyond the supervisor of the direct care worker. (4) In place of meeting the requirement specified in subrule (3) of this rule, a grievance shall progressively extend to at least the level of the chief administrator.
Is youth consent required for all treatment received? No
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? No injection or tear gas may be used
Is there regulation for mechanical restraint? No, the only regulation is that mechanical restraint must be observed by a staff member, documentation will be provided including: client name, staff name who applied restraint and observed, name of staff who approved restraint, time of restraint, staff who stayed with client, time when restraint was removed
Is there regulation for seclusion? Yes
Is there a Bill of Rights for youth in care? No

General Oversight and Transparency Department of Health & Human Services
Oversight Agency Department of Health & Human Services
Which state agency oversees investigations? Department of Mental Health and Licensing and Regulatory Affairs
Are investigations and outcomes visible to the public online? Yes
Is this type of program required to be licensed by the state? Yes
Is a list of licensed facilities available to the public? Yes
Are regulations only applicable to facilities receiving public funds? Yes
Can complaints be filed online? Is the reporting portal easy to find? Yes
Does the state conduct unannounced site visits? How many per year? Yes but the regulation does not specify whether the visits are unannounced. It only states that visits are completed annually
Are background checks required, including volunteers? Yes
Is a full-time licensed clinician required to be on staff? Yes
Does the state require a guardian's consent to all treatment received? Written consent is required at time of admission. If the hospital cannot obtain consent, the director of the hospital may proceed under the estate or protected individual code for the best interest of the minor
Does the state require that the guardian be notified of an emergency involving their child within 24-hours of the incident occurring? No Information
Does the state require notification within 24-hours of a program admitting, discharging or major treatment change for children under its care? The appropriate guardian of minor will be notified of discharge within 7 days before it occurs. If parents or guardian refuses to take custody, facility will notify juvenile courts to obtain appropriate management, care and residence of child
Is a licensed clinician required to perform a mental health evaluation upon intake? Yes. Within 48 hours of admission
Does the state require mandatory child abuse response training for all staff working with children in residential settings? No Information
Does the state require medical response training for all staff working with children in residential settings? Yes
Does state require 1:4 staffing ratio or higher? No Information
Ban on Conversion Therapy for LGBTQA+ youth? Previously, there was a partial ban. A new law has just passed that created a full ban
Are there admissions requirements? Yes
Are the guardian & admitted child required to be informed of their their rights? Yes. Except as provided in section 707, applicants for and recipients of mental health services and in the case of minors, the applicant's or recipient's parent or guardian, shall be notified by the providers of those services of the rights guaranteed by this chapter. Notice shall be accomplished by providing an accurate summary of this chapter
Does the state define institutional abuse and neglect? No
Are there civil penalties for violations of institutional child abuse and neglect? Yes. Under Section 136b of Act No. 328 of the Public Acts of 1931 and section 750.136b of the Michigan Compiled Laws
Does the state prohibit mail censorship? No. The limitations only come from "authorization in the resident's individual plan of services"
Do the youth have unrestricted access to guardians, legal counsel, welfare advocates, religious clergy, friends and family via telephone? Yes. Residents are entitled to private and uncensored communication via telephone except if it goes against the plan of services
Does the state require that children be allowed visitors in private during normal visiting hours? Reasonable times and places for the use of telephones or visits may be established and posted in each living unit of the program
Is the facility required to provide an individualized treatment plan? Is the plan reviewed regularly? Yes
Is medical and psychological experimentation on youth prohibited without the express consent of all involved parties? Consent can come from parents or legal guardians/standby guardians. Facility is not liable for any of the routine/emergency/extraordinary procedures result in harm as long as they acted in good faith
Is it required that youth receive education that is of the same quality and outcomes as their assigned public school? Education is completed based on the resident in question
Is it required that youth receive age-appropriate sexual education, access to sexual healthcare, and menstruation supplies? No
Are youth provided with access to advocacy services and representation? Yes
Does the state require a guardian's consent to all treatment received? A minor 14 years of age or older may request and receive mental health services and a mental health professional may provide mental health services, on an outpatient basis, excluding pregnancy termination referral services and the use of psychotropic drugs, without the consent or knowledge of the minor's parent, guardian, or person in loco parent. Except as otherwise provided in this section, the minor's parent, guardian, or person in loco, parent shall not be informed of the services without the consent of the minor unless the mental health professional treating the minor determines that there is a compelling need
Is a grievance procedure required for youth and families? No Information
Is youth consent required for all treatment received? No. Consent is agreed with resident but provisions for cognitive delay may complicate things
Does the state have zoning and occupancy requirements for structures being used to house youth in residential settings? Yes
Is there regulation for physical restraint? Yes
Is there regulation for chemical restraint? No Information
Is there regulation for mechanical restraint? No Information
Is there regulation for seclusion? Yes
Is there a Bill of Rights for youth in care? No

Additional Information

Unsilenced Program Database: Michigan Programs

Contact: info@unsilenced.org

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