Transforming Systems to Reduce Reliance on Congregate Care

This document is a report detailing the findings and recommendations from an investigation into youth residential treatment programs conducted by the Senate Committee on Finance. The report outlines systemic issues such as abuse and neglect within these facilities and emphasizes the need for legislative changes to improve conditions. It discusses federal financial restrictions aimed at reducing reliance on congregate care and promoting community-based alternatives, particularly through the Family First Prevention Services Act (FFPSA). The report presents evidence from various studies, including the American Academy of Pediatrics' review, which indicates a shift towards kinship foster care but highlights ongoing challenges in treatment quality and service capacity. Recommendations include reallocating funds to community-based services, enhancing access to behavioral health services, and improving monitoring of congregate care settings. The report advocates for collaborative efforts among state agencies to create a comprehensive continuum of care, addressing the complex needs of youth and ensuring safety and quality in treatment environments.