{"id":19161,"date":"2022-06-26T20:13:18","date_gmt":"2022-06-27T03:13:18","guid":{"rendered":"https:\/\/www.unsilenced.org\/?p=19161"},"modified":"2022-06-26T22:01:39","modified_gmt":"2022-06-27T05:01:39","slug":"north-carolina-legislation-report","status":"publish","type":"post","link":"https:\/\/www.unsilenced.org\/north-carolina-legislation-report\/","title":{"rendered":"North Carolina Legislation Report"},"content":{"rendered":"

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As you review this report, please consider donating. Your contribution will help us continue our work advocating for survivors and youth. Every donation makes an impact, no matter the size. Thank you for your support!<\/p>\n<\/div>

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Completed by:<\/p>\n

The Unsilenced Policy Team<\/p><\/h4><\/span>

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North Carolina Legislation Report<\/h1><\/span>
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2022<\/h1><\/span>
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2022<\/h1><\/span>
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Introduction<\/h1><\/span>
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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\u2019s lack of transparency and accountability has led to widespread abuse of youth, resulting in hospitalizations, prolonged trauma and death.<\/h3><\/span>
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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\u2019 individualized education programs, and by parents.<\/p>\n

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.<\/p>\n

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.<\/p>\n

It is overwhelmingly clear that our communities and agencies are over-relying on residential placements that are negatively impacting the youth they serve.<\/p>\n<\/div><\/div><\/div><\/div><\/div>

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Introduction<\/h1><\/span>
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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\u2019s lack of transparency and accountability has led to widespread abuse of youth, resulting in hospitalizations, prolonged trauma and death.<\/h3><\/span>
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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\u2019 individualized education programs, and by parents.<\/p>\n

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.<\/p>\n

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.<\/p>\n

It is overwhelmingly clear that our communities and agencies are over-relying on residential placements that are negatively impacting the youth they serve.<\/p>\n<\/div><\/div><\/div><\/div><\/div>

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North Carolina Legislation<\/h1><\/span>
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<\/i><\/i><\/span>Residential Treatment Centers<\/span><\/a><\/h4><\/div>
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\n General Oversight and Transparency <\/td>\n \n DSS Dept of Social Services: Effective Aug. 1, 2011 residential child care facilities have to be accredited for three years from either the Council on Accreditation (COA), the Joint Commission, formerly known as the Joint Commission on Accreditation of Healthcare Organizations (TJC), the Commission on Accreditation of Rehabilitation Facilities (CARF) or the Council on Quality and Leadership (CQL) before they can be licensed. North Carolina administrative rules for residential child-care are located in 10A NCAC 70I and 10A NCAC 70J and are available here. DSS Division of Social Services licenses group homes for children who are in need of foster care services. A residential child-care facility shall not be licensed under both G.S. 131D and G.S. 122C. SECTION .0700 - RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN AND ADOLESCENTS WHO ARE EMOTIONALLY DISTURBED OR WHO HAVE A MENTAL ILLNESS 10A NCAC 27B .0701 10A NCAC 27B .0703 CRITERIA Programs providing this service shall meet standards for Residential Treatment Programs for Children and Adolescents Who are Emotionally Disturbed or Who have a Mental Illness as codified in 10A NCAC 27G .1300.DEFINITION AND GOALS (a) Definition. (1) Primary Service. Residential treatment programs provide a structured living environment for children and adolescents with moderate to severe emotional problems who may also be the multiply handicapped. The children and adolescents in this program are those for whom removal from home is essential to facilitate treatment. Some children and adolescents may be able to receive services in a day treatment program, have a job placement, or attend public schools; for others, special education service may need to be offered within the residential setting. A residential treatment program provides healthy adult role models; group, individual and family resources; and social, emotional and cognitive training. Included in residential treatment are room and board costs for up to six consecutive months for any one placement; It means a residential child-care facility under the control, management, and supervision of a private non-profit or for-profit corporation, sole proprietorship, or partnership that operates independently of a licensed child-placing agency or any other residential child-care facility<\/a> <\/td>\n <\/tr>\n
\n Oversight Agency <\/td>\n \n The Division of Health Services Regulation licenses group homes for children requiring behavioral mental health treatment services. Information about licensure requirements can be found in Forms and Applications web page at the North Carolina Division of Health Service Regulation website under Mental Health Licensure and Certification Section. These are children who are assessed with Level II, Level III or Level IV needs or display behaviors requiring behavioral mental health treatment services. State-Operated Facilities as defined in G.S. 122C-3(14)f. (8) Residential Facilities as defined in G.S. 122C-3(14)e. (9) 24-Hour Facilities as defined in G.S. 122C-3(14)g (10) Licensable Facilities as defined in G.S. 122C-3(14)b.<\/a> <\/td>\n <\/tr>\n
\n Which state agency oversees investigations? <\/td>\n \n Division of Health Service Regulation <\/td>\n <\/tr>\n
\n Are investigations and outcomes visible to the public online? <\/td>\n \n Yes<\/a> <\/td>\n <\/tr>\n
\n Ban on Conversion Therapy for LGBTQA+ youth? <\/td>\n \n Partially<\/a> <\/td>\n <\/tr>\n <\/table>\n<\/div>