A LETTER WHICH
PARENTS CAN SIGN AND SEND TO CONGRESS
June 28, 2005
Honorable Members of Congress
United States House of Representatives and United States
Senate
Washington, DC 20515
Dear Members of Congress,
As parents concerned about
the emotional well-being of children, we join to express our
serious concern about the large number of youth with serious
mental disorders now housed in unlicensed and unmonitored
residential treatment facilities referred to as therapeutic
boarding schools. As parents, we usually refrain from
entering the public policy arena. Yet, we feel so strongly
about the threat posed by this new institutionalization of
children and the need for appropriate and effective services
that we must write at this time.
In the last fifteen years,
unlicensed privately run residential programs for youth with
mental and emotional problems have proliferated. Hundreds
of new programs now market aggressively over the Internet
preying upon desperate families who seek help for their
children. Many families pay enormous sums—facilities cost
up to $100,000 per year—to obtain “treatment” for their
troubled children. The programs are located around the
country, and even outside the country, and often times
children are transported hundreds, if not thousands, of
miles across state lines to these programs.
The reality of what occurs
in some of these programs is often quite different from the
highly individualized, highly structured programs advertised
to parents. These programs are troubling for a number of
reasons.
¨
Children are often prohibited from speaking
with their own families for up to six months, a practice
which has significant negative consequences for child and
parent relationships;
¨
Seclusion and restraint procedures are
significantly more restrictive than what is generally
accepted by mental health licensing and accrediting bodies.
These practices have resulted in several documented deaths;
¨
Even though the needs of the children in
these facilities are great, unqualified staff are charged
with implementing treatment plans and supervising children;
¨
The educational services provided to the
children often fail to meet even minimum standards;
¨
No research has demonstrated that these
programs have long-term benefits.
Even more alarming is that abuse and
neglect are all too common within these facilities.
There have been many highly public media accounts of
atrocious examples of sexual and physical abuse, and medical
neglect in these facilities. Yet, there is still little
to no public oversight, leaving these already emotionally
fragile children even more vulnerable. The lack of
oversight in these facilities also means that the full scope
of the problem is unknown.
Alternatives have been
developed to meet the needs of our children—options that
work better and cost less, but they are frequently not
available. As the Surgeon General’s Report on Mental Health
Reported in 1999, “the most convincing evidence of
effectiveness is for home-based services and therapeutic
foster care.” A comprehensive system of care would
dramatically reduce the number of children in these
facilities because children could be served in their own
communities, at a significantly reduced cost.
Today, we join with others
in calling on the General Accounting Office to conduct a
study into the issue of children housed in unlicensed
therapeutic boarding schools, and the conditions that they
are required to endure, so that the full extent of the
problems in these facilities can be understood. We also
urge Congress to enact legislation to increase protections
for children in therapeutic boarding programs in the United
States and abroad, and to improve access to essential
community and school-based mental health services.
Specifically, we urge
lawmakers to enact the following bipartisan, commonsense
proposals that would support the call from President Bush’s
New Freedom Commission on Mental Health to “swiftly
eliminate unnecessary and inappropriate
institutionalization,” and that would make the use of
therapeutic boarding schools both safe and rare:
¨
End Institutionalized Abuse Against Children
Act of 2005 (H.R. 1738);
¨
The Keeping Families Together Act (S. 1704,
H.R. 3243);
¨
The Mentally Ill Offender Treatment and Crime
Reduction Act (S. 1194, H.R. 2387).
Too little information is known
about the extent of the problems and abuses, and yet what is
known is the cause of great concern. As parents, we believe
that at best these programs do not meet the needs of many of
our children, and, at worst, they subject children to
abuse. The undersigned individuals look forward to working
with Members of Congress to enact these reforms.
ON BEHALF OF:
(If you would like to sign onto
this letter, contact Dr. Pinto at
apinto@fmhi.usf.edu
to give her your name and contact information.