Summary of the Article:

In a recently published article, Residential Treatment Programs Can Be a Lifeline—But They’re Under Attack” by Christina Buttons, highlights how residential treatment programs—long a critical resource for youth with serious emotional or behavioral challenges—are facing sharp declines in availability. It shares personal success stories while citing data showing a steep drop in the number of programs in recent years. The piece attributes this trend to both a shift toward community-based care and high-profile advocacy campaigns that, while seeking to address legitimate concerns, have sometimes led to broad reforms without provider input. These reforms have, in some cases, reduced treatment capacity and left vulnerable youth with fewer safe, effective care options. The author calls for balanced, evidence-based policy that strengthens oversight without dismantling essential services. 

NATSAP’s Response:

NATSAP believes residential treatment is a vital part of the mental health care continuum and must remain accessible to the youth who need it most. The Association advocates for legislative reforms—both at the federal and state levels—that enhance transparency, ensure strong oversight, and protect the rights and safety of young people. At the same time, NATSAP urges lawmakers to recognize the necessity of maintaining program capacity so that families in crisis have viable treatment options.

NATSAP’s mission is to work collaboratively with policymakers, stakeholders, and communities to ensure that legislation is informed by evidence, reflects modern best practices, and distinguishes between outdated and well-regulated models of care. The Association’s commitment is to advance reforms that safeguard youth, strengthen public trust, and preserve the essential role residential programs play in the broader behavioral health system.