there are parent organizations who monitor these types of programs one is in MA and is making national headway, they organization is affiliated with at PTI but truly does the work of God when it comes to residential they know their stuff, I volunteer there sometimes, they push the programs, and the state agencies to do the right thing, parents and children are considered consumers, they also are the ones who originally reported Desisto as being non licenesed and are working with other states to form same types of organizations I think they are still called parents for residential reform