Transforming Systems to Reduce Reliance on Congregate Care

This document is a guide that discusses the systemic issues surrounding the reliance on congregate care for youth in residential treatment facilities. It outlines the findings from a Senate Committee investigation into allegations of abuse and neglect in such facilities, highlighting the need for improved conditions and the prioritization of community-based behavioral health services. The guide details federal financial restrictions aimed at disincentivizing congregate care and promoting alternatives, such as Qualified Residential Treatment Programs (QRTP). It presents evidence of states' progress in reducing congregate care usage while noting challenges such as workforce shortages and the need for enhanced behavioral health services. The document also recommends practical steps for states to further reduce reliance on congregate care, including reallocating funds towards community-based support services and improving coordination among various child welfare and behavioral health systems. It emphasizes the importance of monitoring and ensuring quality treatment in congregate care settings when necessary.