#aah? ,,congress  #b;d ,session  ,s4    
#acea  ,,an ,,act  ,to /udy & prev5t    
*ild abuse 9 y\? resid5tial programs1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,/op ,in/itutional 
,*ild ,abuse ,act4  #b4 ,national       
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e ,/udy  7a7 ,9 g5]al ,n lat] ?an 
#de days aft] ! date ( enactm5t ( ?is   
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all seek to ent] into a       
contract ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to
 9 ?is section z ! ,national ,academies7
 to conduct a /udy to exam9e ! /ate (   
y\? 9 y\? resid5tial programs & make    
recomm5dations4  7b7 ,/udy compon5ts    
,pursuant to ! contract "u subsection   
7a71 ! ,national ,academies %all1 n lat]
 ?an #c ye>s aft] ! date ( enactm5t ( ! 
,/op ,in/itutional ,*ild ,abuse ,act1 & 
e #b ye>s !reaft] = a p]iod ( #aj ye>s1 
issue a report in=m$ by ! /udy conduct$ 
"u su* subsection t includes-- 7#a7     
id5tification ( ! nature1 preval5ce1    

sev]ity1 & scope ( *ild abuse1 neglect1 
& dea?s 9 y\? resid5tial programs1      
includ+ types ( abuse & neglect1 causes 
( abuse1 neglect1 & dea?s1 & crit]ia us$
 to assess abuse1 neglect1 & dea?s2     
7#b7 id5tification ( all ,f$]al & ,/ate 
fund+ s\rces = y\? resid5tial programs2 
7#c7 id5tification ( ,f$]al data        
collection s\rces on y\? 9 y\?          
resid5tial programs2  7#d7 id5tification
 ( exi/+ regulation ( y\? resid5tial    
programs1 includ+ alt]native lic5s+     
/&>ds or lic5s+ exemptions = y\?        
resid5tial programs2  7#e7 id5tification
 ( exi/+ /&>ds ( c>e ( national         
accr$itation entities t provide         
accr$itation or c]tification ( y\?      
resid5tial programs2  7#f7 id5tification
 ( exi/+ b>ri]s 9 policy = bl5d+ &      
braid+ ( fund+ s\rces to s]ve y\? 9     
community-bas$ sett+s2  7#g7            
recomm5dations = coord9ation by ag5cies 
( data on y\? 9 y\? resid5tial programs2
  7#h7 recomm5dations = ! improvem5t (  
ov]sight ( y\? resid5tial programs      

receiv+ ,f$]al fund+2  7#i7             
id5tification ( risk assessm5t tools1   
includ+ projects t provide = !          
developm5t ( rese>*-bas$ /rategies =    
risk assessm5ts relat+ to ! heal?1      
safety 7includ+ ) respect to ! use (    
seclusion & re/ra9ts71 & well-be+ ( y\? 
9 y\? resid5tial programs2  7#aj7       
recomm5dations to support ! developm5t &
 implem5tation ( education & tra9+      
res\rces = pr(essional & p>apr(essional 
p]sonnel 9 ! fields ( heal? c>e1 law    
en=cem5t1 judici>y1 social "w1 *ild     
protection 7includ+ ! prev5tion1        
id5tification1 & treatm5t ( *ild abuse &
 neglect71 education1 *ild c>e1 & o!r   
relevant fields1 & individuals su* z    
c\rt appo9t$ special advocates &        
gu>dians ad litem1 includ+ education &  
tra9+ res\rces reg>d+-- 7,a7 ! unique   
ne$s1 exp]i5ces1 & outcomes ( y\? ) liv$
 exp]i5ce 9 y\? resid5tial programs2    
7,b7 ! enhancem5t ( int]ag5cy           
communication among *ild protective     
s]vice ag5cies1 protection & advocacy   

sy/ems1 ,/ate lic5s+ ag5cies1 ,/ate     
,m$icaid ag5cies1 & accr$itation        
ag5cies2  7,c7 be/ practices to elim9ate
 ! use ( physical1 me*anical1 & *emical 
re/ra9t & seclusion1 & to promote ! use 
( positive behavioral int]v5tions &     
supports1 culturally & l+ui/ically      
s5sitive s]vices1 m5tal heal? supports1 
trauma- & grief-in=m$ c>e1 & crisis     
de-escalation int]v5tions2 &  7,d7 !    
legal duties ( su* pr(essional &        
p>apr(essional p]sonnel & y\? resid5tial
 program p]sonnel & ! responsibilities (
 su* pr(essionals & p]sonnel to protect 
! legal rights ( *ildr5 9 y\? resid5tial
 programs1 consi/5t ) applicable ,/ate &
 ,f$]al law2  7#aa7 recomm5dations to   
improve accessibility & developm5t (    
community-bas$ alt]natives to y\?       
resid5tial programs2  7#ab7             
recomm5dations = innovative programs    
design$ to provide community support &  
res\rces to at-risk y\?1 includ+        
programs t-- 7,a7 support cont9uity (   
education1 includ+ remov+ b>ri]s to     

access2  7,b7 provide m5tor%ip2  7,c7   
support ! provision ( crisis int]v5tion 
s]vices & 9-home or outpati5t m5tal     
heal? & sub/ance use disord] treatm5t2 &
  7,d7 provide o!r res\rces to families 
& p>5ts or gu>dians t assi/ 9 prev5t+ ! 
ne$ = out-(-home placem5t ( y\? 9 y\?   
resid5tial programs2  7#ac7             
recomm5dations relat+ to ! developm5t1  
dissem9ation1 outrea*1 engagem5t1 or    
tra9+ associat$ ) advanc+               
lea/-re/rictive1 evid5ce-bas$1 trauma & 
grief-in=m$1 & developm5tally &         
culturally compet5t c>e = y\? 9 y\?     
resid5tial programs & y\? at risk ( be+ 
plac$ 9 su* programs2  7#ad7            
recomm5dations on be/ practices reg>d+ !
 heal? & safety 7includ+ r$uction or    
elim9ation ( use ( seclusion &          
re/ra9ts71 c>e1 & treatm5t ( y\? 9 y\?  
resid5tial programs to convey to ,/ates2
  7#ae7 recomm5dations to improve !     
coord9ation1 dissem9ation1 &            
implem5tation ( be/ practices reg>d+ !  
heal? & safety 7includ+ use1 r$uction1  

or elim9ation ( seclusion & re/ra9ts71  
c>e1 & treatm5t ( y\? 9 y\? resid5tial  
programs among *ild welf>e sy/ems1      
lic5s+ ag5cies1 accr$itation            
organizations1 o!r relevant monitor+ &  
en=cem5t entities1 ,/ate *ild welf>e    
ag5cies1 ,/ate ,m$icaid ag5cies1 ,/ate  
m5tal & behavioral heal? ag5cies1       
consum]s1 & ,/ate protection advocacy   
c5t]s2 &  7#af7 id5tification (         
aggregate data1 includ+ process-ori5t$  
data su* z l5g? ( /ay & use ( re/ra9ts1 
& seclusion & outcome-ori5t$ data su* z 
dis*>ge sett+ & ability to be safely    
ma9ta9$ 9 s*ool & community at lea/ #ab 
mon?s aft] dis*>ge1 includ+-- 7,a7      
recomm5dations on h[ su* data %\ld be   
%>$ across *ild-plac+ ag5cies &         
/akehold]s1 includ+ individuals receiv+ 
s]vices1 families ( su* individuals1 &  
advocates2 &  7,b7 id5tification (      
b>ri]s to %>+ in=mation across          
*ild-plac+ ag5cies4  7c7 ,consultation  
,9 c>ry+ out ! duties describ$ 9        
subsection 7b71 ! ,national ,academies  

%all consult )-- 7#a7 *ild advocates1   
includ+ attorneys exp]i5c$ 9 work+ ) y\?
 ov]repres5t$ 9 ! *ild welf>e sy/em or !
 juv5ile ju/ice sy/em2  7#b7 heal?      
pr(essionals1 includ+ m5tal heal? &     
sub/ance use disord] pr(essionals1      
nurses1 physicians1 social work]s1 & o!r
 heal? c>e provid]s :o provide s]vices  
to y\? :o may be s]v$ by resid5tial     
programs2  7#c7 protection & advocacy   
sy/ems2  7#d7 individuals exp]i5c$ 9    
work+ ) y\? ) disabilities1 includ+     
emotional1 m5tal heal?1 & sub/ance use  
disord]s2  7#e7 individuals ) liv$      
exp]i5ce z *ildr5 & y\? 9 y\? resid5tial
 programs1 includ+ individuals )        
intellectual or developm5tal            
disabilities & individuals ) emotional1 
m5tal heal?1 or sub/ance use disord]s2  
7#f7 repres5tatives ( ,/ate & local *ild
 protective s]vices ag5cies & o!r       
relevant public ag5cies2  7#g7 p>5ts or 
gu>dians ( *ildr5 & y\? ) emotional1    
m5tal heal?1 or sub/ance use disord]    
ne$s2  7#h7 p>5ts ( *ildr5 & y\? )      

intellectual disabilities & autism2     
7#i7 exp]ts on issues relat$ to *ild    
abuse & neglect 9 y\? resid5tial        
programs2  7#aj7 adm9i/rators ( y\?     
resid5tial programs2  7#aa7 education   
pr(essionals :o provide s]vices to y\? )
 complex ne$s 9 y\? resid5tial programs2
  7#ab7 ,/ate educational ag5cies2      
7#ac7 local educational ag5cies2  7#ad7 
,indian ,tribes & ,tribal organizations2
  7#ae7 ,/ate legislators2  7#af7 ,/ate 
lic5s+ ag5cies2  7#ag7 ! ,adm9i/ration =
 ,*ildr5 & ,families2  7#ah7 !          
,adm9i/ration = ,community ,liv+2  7#ai7
 ! ,sub/ance ,abuse & ,m5tal ,heal?     
,s]vices ,adm9i/ration2  7#bj7 !        
,dep>tm5t ( ,ju/ice2  7#ba7 ! ,indian   
,heal? ,s]vice2  7#bb7 ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices2  7#bc7 !    
,national ,c\ncil on ,disability2 &     
7#bd7 o!rs1 z appropriate4  7d7 ,report 
submission & publication ,! ,national   
,academies %all submit to ! ,secret>y = 
dissem9ation to relevant ,/ate ag5cies1 
& make publicly available1 a report on !

 compreh5sive review conduct$ "u        
subsection 7b71 includ+ ! f9d+s ( !     
,national ,academies "u subsection 7b72 
7e7 ,def9itions ,9 ?is section3 7#a7    
,*ild abuse & neglect ,! t]m *ild abuse 
& neglect has ! mean+ giv5 su* t]m 9    
section #c ( ! ,*ild ,abuse ,prev5tion &
 ,treatm5t ,act 7#db ,u4,s4,c4 #eaja    
note74  7#b7 ,culturally compet5t ,! t]m
 culturally compet5t has ! mean+ giv5   
su* t]m 9 section #ajb ( ! ,developm5tal
 ,disabilities ,assi/ance & ,bill (     
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb74  7#c7 ,indian ,tribe2 ,tribal  
organization ,! t]ms ,indian ,tribe &   
,tribal organization h ! mean+s giv5 su*
 t]ms 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#d7 ,protection & advocacy sy/ems ,!   
t]m protection & advocacy sy/em means a 
sy/em e/abli%$ by a ,/ate or ,indian    
,tribe "u section #adc ( ! ,developm5tal
 ,disabilities ,assi/ance & ,bill (     
,rights ,act ( #bjjj 7#db ,u4,s4,c4     

#aejdc74  7#e7 ,/ate ,! t]m ,/ate means 
ea* ( ! sev]al ,/ates1 ! ,di/rict (     
,columbia1 ! ,commonweal? ( ,pu]to      
,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican 
,samoa1 & ! ,commonweal? ( ! ,nor!rn    
,m>iana ,isl&s4  7#f7 ,y\? ,! t]m y\?   
means an individual :o has n atta9$ !   
age ( #bb4  7#g7 ,y\? resid5tial program
  7,a7 ,9 g5]al ,! t]m y\? resid5tial   
program means ea* location ( a facility 
or program op]at$ by a public or private
 entity t1 ) respect to "o or m y\? :o  
are unrelat$ to ! own] or op]ator ( !   
facility or program-- 7i7 provides a    
resid5tial environm5t1 su* z-- 7,i7 a   
program ) a wild]ness or outdoor        
exp]i5ce1 exp$ition1 or int]v5tion2     
7,,ii7 a boot camp exp]i5ce or o!r      
exp]i5ce design$ to simulate *>act]i/ics
 ( basic milit>y tra9+ or correctional  
regimes2  7,,iii7 an education or       
!rapeutic bo>d+ s*ool2  7,,iv7 a        
behavioral modification program2  7,v7 a
 resid5tial treatm5t c5t] or facility2  
7,,vi7 a qualifi$ resid5tial treatm5t   

program 7z def9$ 9 section #dgb7k77#d7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #fgb7k77#d7772  7,,vii7 a psy*iatric   
resid5tial treatm5t program t meets !   
requirem5ts ( subp>t ,d ( "p #dda (     
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulations72         
7,,viii7 a gr\p home s]v+ *ildr5 & y\?  
plac$ by any plac+ au?ority2  7,,ix7 an 
int]m$iate c>e facility = individuals ) 
intellectual disabilities2 or  7,x7 any 
resid5tial program t is utiliz$ z an    
alt]native to inc>c]ation = ju/ice      
involv$ y\?1 adjudicat$ y\?1 or y\?     
deem$ del9qu5t2 &  7ii7 s]ves y\? :o h a
 hi/ory or diagnosis (-- 7,i7 an        
emotional1 behavioral1 or m5tal heal?   
disord]2  7,,ii7 a sub/ance misuse or   
use disord]1 includ+ alcohol misuse or  
use disord]s2 or  7,,iii7 an            
intellectual1 developm5tal1 physical1 or
 s5sory disability4  7,b7 ,exclusion ,! 
t]m y\? resid5tial program does n       
include-- 7i7 a hospital lic5s$ by a    
,/ate2 or  7ii7 a fo/] family home t--  

7,i7 provides #bd-;h\r sub/itute c>e =  
*ildr5 plac$ away f _! p>5ts or gu>dians
 & = :om ! ,/ate *ild welf>e s]vices    
ag5cy has placem5t & c>e responsibility2
 &  7,,ii7 is lic5s$ & regulat$ by !    
,/ate z a fo/] family home4  ,pass$ !   
,s5ate ,decemb] #aa1 #bjbd4,secret>y