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<classification authority="sudocs">GA 1.13:GAO-08-696T</classification>
<identifier type="uri">https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-696T</identifier>
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 <subject>Accountability</subject>
 <subject>Child abuse</subject>
 <subject>Data collection</subject>
 <subject>Data integrity</subject>
 <subject>Educational facilities</subject>
 <subject>Federal agencies</subject>
 <subject>Federal aid for criminal justice</subject>
 <subject>Federal aid to states</subject>
 <subject>Federal funds</subject>
 <subject>Federal regulations</subject>
 <subject>Federal/state relations</subject>
 <subject>Health and behavioral care standards</subject>
 <subject>Health care facilities</subject>
 <subject>Investigations by federal agencies</subject>
 <subject>Juvenile correctional facilities</subject>
 <subject>Mental care facilities</subject>
 <subject>Reporting requirements</subject>
 <subject>Risk management</subject>
 <subject>Sexual abuse</subject>
 <subject>Staff utilization</subject>
 <subject>Standards</subject>
 <subject>State programs</subject>
 <subject>Suicide prevention</subject>
 <subject>Surveys</subject>
 <subject>Teenagers</subject>
 <subject>Wrongful death</subject>
 <subject>Youth</subject>
 <subject>program goals or objectives</subject>
 <subject>Program implementation</subject>
 <type>Testimony</type>
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<titleInfo>
 <title>Residential Facilities: State and Federal Oversight Gaps May Increase Risk to Youth Well-Being</title>
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<abstract>Nationwide, federal funding to states supported more than 200,000
youth in facilities seeking help for behavioral or emotional	 
challenges in 2004. Recent federal reviews and investigations	 
highlighted maltreatment in some facilities, resulting in	 
hospitalizations and deaths. This testimony discusses (1) what is
known about incidents that adversely affect youth well-being in  
residential facilities, (2) the extent that state oversight	 
ensures youth well-being in these facilities, and (3) the factors
that affect the ability of federal agencies to hold states	 
accountable for youth well-being in residential facilities. This 
testimony is based on GAO&apos;s ongoing work, which included national
surveys to state agencies of child welfare, health and mental	 
health, and juvenile justice for the year 2006. GAO achieved an  
85 percent response rate for each of the three surveys. The work 
also included site visits to four states (California, Florida,	 
Maryland, and Utah) and discussions with the Departments of	 
Education (Education), Justice (DOJ), and Health and Human	 
Services (HHS). Interim work related to this testimony was	 
completed between November 2006 and March 2008, in accordance	 
with generally accepted government auditing standards.</abstract>
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<identifier type="preferred citation">GAO-08-696T</identifier>
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<note>Testimony</note>
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 <searchTitle>GAO-08-696T; Residential Facilities: State and Federal Oversight Gaps May Increase Risk to Youth Well-Being;
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<subject>
 <topic>Accountability</topic>
 <topic>Child abuse</topic>
 <topic>Data collection</topic>
 <topic>Data integrity</topic>
 <topic>Educational facilities</topic>
 <topic>Federal agencies</topic>
 <topic>Federal aid for criminal justice</topic>
 <topic>Federal aid to states</topic>
 <topic>Federal funds</topic>
 <topic>Federal regulations</topic>
 <topic>Federal/state relations</topic>
 <topic>Health and behavioral care standards</topic>
 <topic>Health care facilities</topic>
 <topic>Investigations by federal agencies</topic>
 <topic>Juvenile correctional facilities</topic>
 <topic>Mental care facilities</topic>
 <topic>Reporting requirements</topic>
 <topic>Risk management</topic>
 <topic>Sexual abuse</topic>
 <topic>Staff utilization</topic>
 <topic>Standards</topic>
 <topic>State programs</topic>
 <topic>Suicide prevention</topic>
 <topic>Surveys</topic>
 <topic>Teenagers</topic>
 <topic>Wrongful death</topic>
 <topic>Youth</topic>
 <topic>program goals or objectives</topic>
 <topic>Program implementation</topic>
</subject>
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 <titleInfo>
  <title>United States Public Law 310 (106th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 106-310</identifier>
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