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 <subject>Child abuse</subject>
 <subject>Crime victims</subject>
 <subject>Criminal liability</subject>
 <subject>Data collection</subject>
 <subject>Mental health care services</subject>
 <subject>Program evaluation</subject>
 <subject>Program management</subject>
 <subject>Regulation</subject>
 <subject>Reporting requirements</subject>
 <subject>Safety regulation</subject>
 <subject>State-administered programs</subject>
 <subject>Teenagers</subject>
 <subject>Program implementation</subject>
 <subject>Social programs</subject>
 <subject>National Child Abuse and Neglect Data</subject>
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 <title>Residential Treatment Programs: Concerns Regarding Abuse and Death in Certain Programs for Troubled Youth</title>
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<abstract>Residential treatment programs provide a range of services,
including drug and alcohol treatment, confidence building,	 
military-style discipline, and psychological counseling for	 
troubled boys and girls with a variety of addiction, behavioral, 
and emotional problems. This testimony concerns programs across  
the country referring to themselves as wilderness therapy	 
programs, boot camps, and academies, among other names. Many cite
positive outcomes associated with specific types of residential  
treatment. There are also allegations regarding the abuse and	 
death of youth enrolled in residential treatment programs. Given 
concerns about these allegations, particularly in reference to	 
private programs, the Committee asked the General Accountability 
Office (GAO) to (1) verify whether allegations of abuse and death
at residential treatment programs are widespread and (2) examine 
the facts and circumstances surrounding selected closed cases	 
where a teenager died while enrolled in a private program. To	 
achieve these objectives, GAO conducted numerous interviews and  
examined documents from closed cases dating as far back as 1990, 
including police reports, autopsy reports, and state agency	 
oversight reviews and investigations. GAO did not attempt to	 
evaluate the benefits of residential treatment programs or verify
the facts regarding the thousands of allegations it reviewed.</abstract>
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<note>Testimony</note>
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 <topic>Crime victims</topic>
 <topic>Criminal liability</topic>
 <topic>Data collection</topic>
 <topic>Mental health care services</topic>
 <topic>Program evaluation</topic>
 <topic>Program management</topic>
 <topic>Regulation</topic>
 <topic>Reporting requirements</topic>
 <topic>Safety regulation</topic>
 <topic>State-administered programs</topic>
 <topic>Teenagers</topic>
 <topic>Program implementation</topic>
 <topic>Social programs</topic>
 <topic>National Child Abuse and Neglect Data</topic>
 <topic>System</topic>
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