How to Find Youth Residential Treatment Centers {Ultimate Guide} - Find Child & Youth Residential Treatment (2023)

Do you need to find treatment for a child in need and are wondering how to find youth residential treatment centers and facilities that would appropriate? Learn the types of treatment available for children and at-risk teens, how to find treatment facilities in your area, and what qualifies a child for different types of treatment.

Table Of Contents

  1. What is a Youth Residential Treatment Facility?
  2. What are the Reasons a Child is Placed in Residential Care?
  3. What Types of Treatment are Available for Children in Residential Care?
    • Residential Treatment Facility (RTF)
    • Residential Treatment Center (RTC)
    • Group Homes
    • Wilderness Programs
    • Therapeutic Boarding Schools
    • Specialized and Sexualized Behavior Treatment
    • Drug and Alcohol Treatment
    • Eating Disorder Treatment
    • Intellectually Disabled (ID)
    • Attachment Disorder Treatment
    • Criminal
    • Mental Health
    • Transitional
    • Autism /Pervasive Development Disorder
    • Behavioral
    • Therapeutic Foster Care and Teaching Family Homes
    • Crisis Residence
  4. How Do I Find Youth Residential Treatment Centers Near Me?
  5. What is In-Patient Care vs. Residential Care?
  6. What are the Best Child Residential Treatment Centers?
  7. What is Residential Treatment for Children Like?
  8. Does Residential Treatment Work for Children?

What is a Youth Residential Treatment Facility?

A youth or child residential treatment facility is one where a child or teen lives outside of the home and community, staying at the treatment center around the clock for care in a supervised situation.

According to the American Academy of Child and Adolescent Psychiatry,

Residential treatment programs provide intensive help for youth with serious emotional and behavior problems. While receiving residential treatment, children temporarily live outside of their homes and in a facility where they can be supervised and monitored by trained staff.

American Academy of Child and Adolescent Psychiatry

What are the Reasons a Child is Placed in Residential Care?

No parent desires for their child to stay at a residential treatment center, but there are times it is necessary for approrpiate treatment or the safety of the child.

Here are some reasons a child or youth is placed in residential care:

What determines that a child needs a residential placement?The followingmaybe what is necessary for a child to receive a long-term residential placement:

  • Danger to self (suicidal or extreme self-harm) or others
  • Safety issues
  • Psychosis
  • A crime is committed
  • Short-term hospitalization is not enough to stabilize the child’s mental health
  • Drug and alcohol abuse
  • Severe mental health issues that pose a risk of harm to self or others
  • Severe anxiety or Obsessive Compulsive Disorder (OCD) to the severity that the child cannot function at home or in society
  • Behavioral issues such as rage, violence, and aggression, including Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD)
  • Sexualized behavior
  • Drug and alcohol abuse
  • Eating disorders
  • Suicidal threats or attempts
  • Self-harming behaviors
  • Attachment disorders and Reactive Attachment Disorder (RAD)

The exception to this would be a facility where you privately pay. Private residential treatment centers, wilderness programs, boot camps for youth, military schools, and boarding schools who specialize in behavior issues will often accommodate accepting a child if payment can be arranged.

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What Types of Treatment are Available for Children in Residential Care?

There are many types of residential and group homes for kids. Here are some of the most widely available types of residential care for children. Keep in mind that names and types of treatment available will be different depending on where you live.

Residential Treatment Facility (RTF)

A residential treatment facility is a place where a child lives 24/7, outside of the home environment, while receiving mental health care. This care is part of the services offered by the Department of Mental Health for the state where you live. Funding is typically provided by insurance, Medicaid, and the foster care system. The focus of this type of treatment is to provide long-term mental health care.

Residential treatment differs from inpatient care in that residential care is meant to be for a longer amount of time. While some inpatient programs will keep children for 30 days or more, most offer short-term treatment of less than 30 days.

RTFs are considered a subclass of a sub-class of a psychiatric hospitalization. They are longer term and have all clinical services built in.

All residential treatment centers have the goal of the child staying in residential treatment for the shortest time as possible, typically no more than 9-12 months.

RTFs are licensed by OMH (Office of Mental Health).

Residential Treatment Center (RTC)

Residential Treatment Centers are typically funded by the court system and may be called Juvenile Detention (“Juvie”), JJ, Department of Juvenile Justice, or Family Court. When a child is placed through the juvenile justice program, a crime has been committed and a judge determines placement. These placements are typically more of a jail-type setting and less therapeutic, but this is not always true.

RTCs are licensed by the Office of Child and Family Services (OCFS).

This explains the difference between an RTF and an RTC.

Group Homes

A group home for youth is a facility where the children or teens live in a family-type setting. The facility typically has a kitchen, living area, and bedrooms. Children are expected to complete chores and interact with other youth. Group homes can be for behavior issues, mental health issues, transitional, or for children with developmental delays or autism.

Typically, children in group homes participate in outings and community activities with supervision.

Wilderness Programs

Wilderness programs provide a treatment program for youth and teens in an outdoor environment. The goal of wilderness programs is to provide challenging experiences that bring about self-improvement and healing.

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Most nature programs have therapists and trained staff. Wilderness programs are almost always self-pay and not covered by insurance. Click here for a listing of wilderness programs by state.

Bootcamps & Military Schools

Military schools offer structure and discipline in a controlled environment. Teens live at the school. While not meant to be a rehabilitation program per say, some children with behavior challenges thrive because of the structure.

While some mental health services may be provided, this is not the main focus of a military school. Military school is a private, parochial school and is self-pay.

Click here for a listing of military schools by state and click here for a listing of military schools that accept girls.

Therapeutic Boarding Schools

Therapeutic boarding schools provide highly structured live-in school situations for children and youth with behavior issues. The goal is providing a nurturing environment where teens and young adults can learn the skills to live up to their full potential.

While some programs accept insurance, most are private and self-pay. Click here for more information on therapeutic boarding schools for children and teens.

Specialized and Sexualized Behavior Treatment

Specialized programs are for children with sexually deviant behavior. The programs may be part of a large treatment facility or may be a stand-alone program. These programs provide highly structured supervision and treatment specifically geared toward stopping the sexualized behavior.

Drug and Alcohol Treatment

Drug and Alcohol Treatment programs offer live-in support for youth and teens with substance abuse issues. These programs may be in a hospital, group home, or treatment facility.

Eating Disorder Treatment

Eating Disorder Treatment programs offer live-in support for youth and teens with bulimia, anorexia and other eating disorders. These programs may be in a hospital, group home, or treatment facility.

Click here to learn more about eating disorder treatment for children.

Intellectually Disabled (ID)

Treatment programs for Intellectual Disability is for children with an IQ of less than 70 and meet the criteria of this diagnosis. Typically, in order to be diagnosed as ID, a child must show deficits in accomplishing activities of daily living (ADL).

Focus is on creating a safe environment with the appropriate level of supervision while giving children as much freedom as possible. Treatment may include focus on life skills and engaging with the community.

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Attachment Disorder Treatment

Attachment Disorder Treatment is specifically for children with Reactive Attachment Disorder (RAD), Insecure and Avoidant Attachment Disorders. Most children with attachment issues come from the foster and adoptive system, but this isn’t always true.


If a child has committed a crime, the court system may place the child in a youth residential placement. Typically the type of treatment center will be one as mentioned above, especially RTF facilities.

Mental Health

A residential treatment placement for youth with mental health issues will be one as described above, with the focus on diagnosis, treatment management, and developing skills to copy with the mental health issue or disorder.


A transitional placement for youth, sometimes called a “half way house” or “step down” placement is one where the child is moving from a highly structured residential setting but is not yet ready to live at home or in the community.

Often transitional placements are in a group home. A student is given more freedom that the previous placement but still receives monitoring and supervision.

Autism /Pervasive Development Disorder

A placement for autism is a residential care setting for children with a diagnosis of Autism Spectrum Disorder or PDD. Click here for a listing of autism residential treatment by state.


A behavioral placement is one where the primary concern for the child is behavioral issues and not mental health or autism diagnosis. A youth who needs this setting is often violent or aggressive and may have committed a crime.

Therapeutic Foster Care and Teaching Family Homes

Therapeutic Foster Care is a foster care placement for a child who is unable to live at home. The goal of therapueutic foster care is to care for the child in a home setting with foster parents who are trained to manage the behavior.

Family Teaching Homes have the same goal and may be a foster care setting or may be through a private organization.

Crisis Residence

A Crisis Residence is for children who need a short-term placement outside of the family home. Typically these placements are less than 30 days and the goal is to either move the child back home or into a residential placement.

How Do I Find Youth Residential Treatment Centers Near Me?

Are you looking for residential treatment centers near you? Here are helpful resources.

  • SAMSA Treatment Locator – U. S. Substances Abuse and Mental Health Services Administration (SAMSA) has a helpful behavior treatment center locator you can access here. Type in your zip code and you will find a list of all the treatment centers in your area.
  • Department of Mental Health – Every county in the United States has a Department of Mental Health. Call the department from the county where you live and ask for help receiving services for a child in need.
  • Insurance – Whether it’s Medicaid or private insurance, a call to your insurance company will provide a list of treatment centers in your area that are covered with your plan.
  • Referral – Ask for a referral to location treatment centers from your therapist, doctor, pediatrician, psychiatrist, or fellow parents who have children with similar behaviors.
  • Hire an expert. Click here to learn more about hiring an attorney, advocate, or educational consultant for residential or boarding school placement and get a list of experts recommended by fellow parents.

What is In-Patient Care vs. Residential Care?

In-Patient services are 24/7 support and monitoring of a child in a hospital setting. While there are some exceptions (such as eating disorder treatment and drug and alcohol withdrawal management), most hospitals are not equipped for a child to stay for more than a few weeks.

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The goal of an in-patient setting is to stabilize the child’s behavior and medication and then move the youth into a more appropriate setting, whether that is home or residential care.

Click here to learn more about if your child need inpatient treatment.

What are the Best Child Residential Treatment Centers?

There is no one ranking system for the best residential treatment facilities for youth and children. You can call the National Institute of Mental Health or access their services here and SAMSA has a free 1-800 number you can call to ask further questions.

In my experience, referrals from fellow parents, doctors and therapists are the most helpful.

What is Residential Treatment for Children Like?

In residential treatment, children are in a controlled environment with high levels of supervision.

Here’s what that might look like:

  • Most residential facilities are locked, meaning the child cannot leave without supervision by staff, although this isn’t always the case especially with group homes or transitional placements.
  • Many centers have a small school within the program. The school legally must follow the guidelines of any other school and the Individual Education Plan (IEP) must be followed, if there is one.
  • Often children in residential treatment go on outings in the community in order to work on socialization.
  • Children may live in units or cottages.
  • Most programs include a behavior system with positive reinforcement, rewards, and consequences.
  • Most facilities have the legal right to restrain children physically if the child is dangerous to himself or others.
  • Unless circumstances dictate otherwise, most programs encourage family interaction and have standard visiting times. Therapists and program directions stay in communication with parents. There are regular meetings to discuss the child’s progress.

Does Residential Treatment Work for Children?

Although treatment can help some individuals, the truth is that residential treatment has overall poor success rates. Children do best in families and within the community. Because of this, all systems (government, insurance) are designed to keep a child at home whenever possible.

Residential treatment is also incredibly expensive and so is seen as a last resort and is reserved for those children most in need.

Mental health treatment tends to have higher success rates than juvenile justice system placements.

Still, there are times when residential treatment is necessary, especially when the child is in crisis or a danger to himself or others. We provide these resources to help you find an appropriate placement for the child in your care.

Do you have a child who needs residential care? Share about it in the comments below.

Click here for a free PDF printable checklist of the 7 steps to take when your child needs residential treatment.

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How many youth residential treatment centers are there in the US? ›

The Juvenile Residential Facility Census, a biennial survey conducted by the Office of Juvenile Justice and Delinquency Prevention (OJJDP), found that more than 900 facilities identified themselves as residential treatment centers.

Which of the following are treatments offered by residential rehabilitation Centres? ›

Rehabilitation centers offer occupational therapy, physical therapy, speech therapy, and other therapies including counseling focused on restoring independence.

What is the self medication model? ›

The self-medication hypothesis or model means that there's an underlying cause that leads someone to use drugs. In this context, substances are a way to cope with emotions, stressors, and mental health disorders. Importantly, individuals with mental health disorders are not the only people who self-medicate.

Which of these treatments has been found to be most effective in treating addiction? ›

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.

How many residential treatment centers are there in the US? ›

The number of residential treatment centers in the United States is currently estimated at 28,900 facilities.

What is a residential treatment facility children? ›

A residential treatment program is a 24 hour-a-day, year round program that provides intensive help for children or youth with serious emotional, behavioral, or mental health needs.

What are the four stages of rehabilitation? ›

The 4 Stages of Physical Rehabilitation Treatment
  • The Recovery Stage. The first stage of physical rehabilitation is the Recovery Stage. ...
  • The Repair Stage. After the healing process has begun, the next step is to start recovering movement and mobility. ...
  • The Strength Stage. ...
  • The Function Stage.
8 Oct 2021

What drugs are used in rehabilitation? ›

Medications for addiction treatment may be prescribed as part of an inpatient or outpatient rehab program.
Heroin And Opiate Addiction Medications
  • Methadone. Methadone is an Opiate used for moderate to severe Opiate addictions. ...
  • Buprenorphine (Suboxone) ...
  • Naltrexone.

What are the three elements of a substance abuse program? ›

Here are the three main elements of the substance abuse program.
  • Assessment.
  • Therapeutic drug treatment.
  • Experiential therapeutic programs.
  • About Magnolia Ranch Recovery Addiction Treatment Center.
27 Jul 2022

What is the downside of self-medication? ›

Potential risks of self-medication practices include: incorrect self-diagnosis, delays in seeking medical advice when needed, infrequent but severe adverse reactions, dangerous drug interactions, incorrect manner of administration, incorrect dosage, incorrect choice of therapy, masking of a severe disease and risk of ...

What is self-medication syndrome? ›

Self-medication is the practice in which a person misuses drugs or alcohol in an attempt to feel better – typically, to manage distress or pain caused by a health condition. Rather than seeking professional treatment or advice, many individuals will turn to drugs or alcohol to cope.

What is the most widely used assessment tool for addiction? ›

The CAGE, a very brief screen, is probably the most widely used and promoted for the detection of alcohol problems in the United States. It is one of the screens most consistently promoted for use among medical professionals to identify individuals likely to have substance use disorders.

What is the most common form of treatment for addictions? ›

Counseling and other behavioral therapies are the most commonly used forms of treatment. Medications are often an important part of treatment, especially when combined with behavioral therapies. Treatment plans must be reviewed often and modified to fit the patient's changing needs.

What is the most widely used treatment modality for addiction treatment? ›

Group therapy is the most widely used of the addiction treatment modalities. During group therapy, several individuals meet for 60-90 minutes with one or two therapists.

What is the highest level of care in treatment centers? ›

The lowest level of care would be early intervention, while the highest level of care is medically managed inpatient. Some clients may participate in all levels of care, while others may only participate in one. Continuum of care is flexible and intended to match treatment level with the needs of the patient.

What is the biggest psychiatric facility in the United States? ›

Department of State Hospitals (DSH)-Patton is the largest psychiatric hospital in the US based on bed size in 2021.

What is the success rate of rehab in the US? ›

Between 85 percent and 95 percent of all people who successfully complete drug rehab report still being abstinent from all drugs nine months after discharge. Roughly 80 percent of patients report benefiting from improved quality of life and health after completing drug and alcohol rehab.

Why might a child be placed in residential care? ›

Residential care for children/children's homes, are there to ensure that the needs of children are met when they cannot live with their own family. They are a place for children to develop and grow, as well as providing food, shelter, space for play and leisure in a caring environment.

What do you do with a mentally unstable child? ›

Common treatment options for children who have mental health conditions include: Psychotherapy. Psychotherapy is also known as talk therapy or behavior therapy. Psychotherapy is a way to address mental health concerns by talking with a psychologist or other mental health professional.

Why do children end up in residential care? ›

While the majority of children and young people placed in Children's Residential Services are there because of family problems and others have experienced neglect or some other form of abuse, most are placed in Residential Care because of their behaviour is too challenging to be managed in any other care setting.

What is the most difficult part of the rehabilitation process? ›

According to Hayward, the most difficult part of the rehab process was mental, not physical. “The hardest part of the whole process has been the mental challenge… I think you find the fight within yourself.”

What are the 5 types of rehabilitation programs? ›

These different types of rehab programs aim to improve fitness, energy management, speech, mobility and memory and cognitive functions.
  • Physical therapy (PT) ...
  • Occupational therapy (OT) ...
  • Vocational rehabilitation. ...
  • Speech-language pathology. ...
  • Cognitive rehabilitation.
21 Jan 2014

What are the 5 pillars of recovery? ›

The Five Pillars of Recovery from Trauma and Addiction
  • Maintain rigorous honesty. In addiction, our lives were built upon lies and false narratives we told ourselves and others. ...
  • Expose your secrets. ...
  • Let go. ...
  • Remember you aren't alone. ...
  • Know you matter.
7 Oct 2020

What are the 7 drug therapy problems? ›

Drug-related problems are classified into seven categories, which are unnecessary drug therapy, needs additional drug, ineffective drug, dose too low, dose too high, adverse drug reaction, and noncompliance.

What medication is prescribed for addiction? ›

Some of the most well-known medications that are used during addiction treatment are Naltrexone or Buprenorphine.
Medications that are commonly used to treat addiction include the following:
  • Naltrexone or Vivitrol.
  • Buprenorphine, Suboxone, and Methadone.
  • Disulfiram or Antabuse.
  • Acamprosate or Campral.

What is the best psychotherapy for substance abuse? ›

Behavioral therapy is perhaps the most commonly utilized types of treatment for addiction that is frequently used during substance rehabilitation. A general behavioral therapeutic approach has been adapted into a variety of effective techniques.

What are the 4 phases of addiction? ›

There are four levels of addiction: physical, emotional, mental, and spiritual. We will discuss each level in-depth and provide tips for overcoming addiction. Most people who try drugs or engage in risky behaviors don't become addicted.

What are the 4 elements of addiction? ›

The four C's of addiction are a helpful tool in distinguishing between addiction as a mental health disorder demanding treatment and other types of addictive behaviors. The four C's are compulsion, cravings, consequences, and control.

What are the 6 steps of addiction? ›

Stage 1: Introduction to Drugs
  • Stage 2: Experimentation. If someone moves along to Experimentation, they typically do so in specific social situations: ...
  • Stage 3: Regular Usage. ...
  • Stage 4: Problem Use. ...
  • Stage 5: Drug Dependence. ...
  • Stage 6: Active Dependency.

Can self-medication cause drug resistance? ›

Self-medication with antimicrobial is frequently noted as one of the major factors contributing to drug resistance [1]. The World Health Organization (WHO) defines self-medication as “the selection and use of medicines by individuals to treat self-recognized illnesses or symptoms” [2].

Why we should never self medicate with antibiotics? ›

The most well-known danger of using unprescribed antibiotics is the hastening of the development of antibiotic-resistant “superbugs” which could limit the ability to treat even benign infections.

Is self-medicating a form of self harm? ›

It was why she wore long sleeves, to cover all the scabs and marks. Self-medicating through self-harming is a way to use physical pain to cover over psychological pain. It's a way to feel cleansed of internal distress through the physical release of wounding.

Why do bipolar people self-medicate? ›

People with these issues find they use drugs to relieve their pain and seek treatment only if they cannot function any longer. In some cases, they try to use medication for self-esteem boosts and make relationship issues seem less painful. It can often lead to addiction and other problems.

What are the characteristics of a person that has been addicted to drugs? ›

A drug abuser increases his/her drug use in multiples of 2 over time. Results: Emotional change: The drug-dependent person experiences mood swings related to drug use. Gradually there is a personality change and all activity and thoughts revolve around drugs. Judgment and insight are also impaired.

Does self-medicating with alcohol make you an alcoholic? ›

Self-medicating with alcohol can lead to alcohol use disorder. People with alcohol use disorder have difficulty controlling their drinking. They may experience health and relationship problems because of their alcohol use.

What are three signs symptoms that someone may have a drug problem? ›

Physical warning signs of drug abuse
  • Bloodshot eyes, pupils larger or smaller than usual.
  • Changes in appetite, sleep patterns, physical appearance.
  • Unusual smells on breath, body, or clothing, or impaired coordination.

How can you tell if someone is mentally ill on drugs? ›

Symptoms Of Dual Diagnosis
  1. Distance from friends and family.
  2. A sudden change in behavior.
  3. Abusing Using substances using even in unsafe conditions.
  4. Risk-taking behavior.
  5. The need to use taking control.
  6. Higher tolerance and more significant withdrawal symptoms.
  7. Unable to function without the preferred drug.
28 Feb 2020

What is the best medicine for stress? ›

The most common medications to manage symptoms of stress are tranquilizers, beta-blockers, and selective serotonin reuptake inhibitors (SSRIs), among others. Additional treatments may include acupuncture and herbal remedies.
Common types
  • alprazolam (Xanax)
  • clonazepam (Klonopin)
  • lorazepam (Ativan)
  • diazepam (Valium)
30 Aug 2022

How many treatment centers are in the US? ›

Drug and alcohol addiction rehab in the United States is big business — worth $42 billion this year. There are now 15,000+ private treatment facilities and growing.

What is the difference between RTF and RTC? ›

Residential Treatment Facility (RTF): An RTF is similar to an RTC, but it provides more intense treatment and more services. RTFs are also generally smaller placements with more staff and mental health professionals on-site.

How many sites does the Priory Group have? ›

The group operates at more than 500 sites with over 7,000 beds.

Why were residential treatment centers first established? ›

Residential treatment centers were first established in the United States in the early 1900's as an answer to the question of what to do with mentally ill children. Before that time, they were often placed in jail with adults when they could not remain in their homes.

What percent of drug users drop out of treatment programs? ›

A recent study researching drop-out rates of substance abuse treatment programs found that almost one-third of all participants drop-out and, therefore, do not complete their treatment.

How many people in the US go to rehab? ›

Statistics on Addiction Treatment. In 2017, an estimated 20.7 million people age 12 and older needed treatment for a substance use disorder. Only 4 million people received treatment, or about 19% of those who needed it.

When should I use RTF? ›

Rich Text Format (RTF) is a file format that lets you exchange text files between different word processors in different operating systems (OSes). For example, you can create a file in Microsoft Word and then open it in another word processor, such as Apple Pages or Google Docs.

Why would a child go into residential care? ›

Residential care for children/children's homes, are there to ensure that the needs of children are met when they cannot live with their own family. They are a place for children to develop and grow, as well as providing food, shelter, space for play and leisure in a caring environment.

What is RTF good for? ›

RTF (Rhizomatous Tall Fescue) is the only Tall Fescue with true rhizomes. Rhizomes help RTF quickly fill in damaged and bare spots in your turf with new shoots of grass. This results in less over-seeding, fewer weed problems and no wide-leafed ugly clumps of grass like other tall fescues can form.

How much does the Priory cost per week? ›

Private patients pay around £3,640 a week, but half of the patients at the 107-bed clinic are referred there by the NHS and do not pay. Some are sectioned under the Mental Health Act.

Will the NHS pay for the Priory? ›

NHS Funding

It is possible that an individual's health needs are such that the NHS will fully fund a person's support package. The funding package is agreed following an assessment of the person's needs and covers both accommodation and support.

Who goes to the Priory? ›

The school specialises in caring for and educating children with autistic spectrum disorders, in particular Asperger's Syndrome and associated learning difficulties and charges fees of £65,000 per year.

What is the difference between foster care and residential care? ›

Here's what's different. A residential unit is larger than a foster home. There are more adults in a residential Unit, who are professional staff. They do not live in the home but work there on shifts.

What is the most common type of substance use disorder? ›

Alcohol use disorder is still the most common form of substance use disorder in America, fueled by widespread legal access and social approval of moderate drinking.


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