Residential Treatment Works—Let’s Make It Better
A Statement from the National Association of Therapeutic Schools and Programs (NATSAP)

The National Association of Therapeutic Schools and Programs (NATSAP) recognizes the recent report from the Manhattan Institute as a thoughtful and important contribution to the national conversation on youth mental health and residential treatment. This piece brings needed clarity to the benefits of residential programs while acknowledging areas that demand continued attention and progress.

NATSAP supports the growing acknowledgement that residential treatment can and does change lives when delivered with care, oversight, and evidence-based practices. Thousands of families have experienced meaningful healing through therapeutic schools and programs, and this report validates the need to protect and improve those services—not dismantle them.

The discussion must move beyond a binary debate. It is not a question of being for or against residential treatment. It is about being for better care, stronger systems, and more effective solutions. The Manhattan Institute’s article highlights many of the same priorities that NATSAP has long advocated for: increased accountability, family-centered care, and thoughtful reform rooted in real data and real outcomes.

NATSAP believes advocacy is an ongoing responsibility. Ensuring that lawmakers and the public understand both the successes and the complexities of residential treatment is central to protecting access and improving quality across the field.

Addendum: NATSAP Advocacy Day 2025
NATSAP Advocacy Day 2025 will be held April 28–30 in Washington, DC. NATSAP members, program alumni, and families will speak directly with lawmakers, share outcome data, and advocate for responsible reform and support for residential treatment. Those committed to ensuring therapeutic programs are both effective and accountable are encouraged to participate and help shape the future of care.