Residential facilities providing religious, behavioral, and mental health treatment to children exist in all 50 states. Some of these facilities are known to be part of the Troubled Teen Industry, while others have not yet been verified. Any facility where children live and receive care requires additional oversight. This directory helps communities monitor local programs and advocate for accountability.
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Reporting abuse in Tennessee
Three Tennessee specifics. The abuse hotline stops taking calls at weekends - from 11pm Central Friday to 11pm Central Sunday it plays a recording sending you to the online portal - so if something happens on a Saturday, use the portal. Licensing splits on whether a program calls itself clinical: DCS licenses the non-clinical residential programs, the Health Facilities Commission licenses the healthcare facilities. And unlike most states, the Department of Health says it will not reveal a complainant's name to the practitioner.
The therapist's licensing board
Holds the individual clinician's licence and can suspend or revoke it.
Tennessee Department of Health, Health Related Boards, Office of Investigations
Multiple professions
Investigates complaints against every mental health practitioner the state licenses - professional counselors, marital and family therapists, clinical pastoral therapists, social workers and psychologists - through one Office of Investigations. A board consultant and a department attorney decide whether the statutes or rules were broken.
If they conclude there was no statutory violation the file is closed, and all you get is a letter telling you so.
Use this whenAny licensed or certified mental health practitioner in Tennessee.
HowComplete an Allegations Report form and the voluntary Release of Information form, attach your evidence, and send them in. Call the Office of Investigations first if you want to talk it through, or to ask whether the practitioner has been disciplined before.
Your name is not revealed to the practitioner - the Department says the complainant's identity is confidential. You are given a complaint number and written notice when the case reaches a disposition. A complaint only becomes public if the Department files a notice of charges. The Department's website was being relaunched when this was checked, so some of its pages have moved.
1-800-852-2187Office of Investigations. Board office 615-741-5735, or 1-800-778-4123 nationwide.
By postHealth Related Boards, 665 Mainstream Drive, 2nd Floor, Nashville, TN 37243
The agency that licenses the program
Inspects the facility itself and can cite, fine, suspend or close it.
Tennessee Health Facilities Commission, Complaint Intake Unit
Licenses and regulates healthcare facilities in Tennessee and takes complaints against licensed, certified and unlicensed ones alike - the unlicensed part matters in this industry. It publishes facility action and abuse reports, and survey deficiencies for any facility taking Medicare or TennCare.
Use this whenA facility providing clinical treatment, or one you believe is operating without a licence.
HowUse the public complaints portal, call the intake unit, or ask them to post you a complaint form.
The online Public Records and Complaints portal opened to the public in July 2025 and is the quickest route.
1-877-287-0010Toll free, Monday to Friday 8:00am to 4:30pm.
By postTennessee Health Facilities Commission, Andrew Jackson Building, 9th Floor, 502 Deaderick Street, Nashville, TN 37243
Tennessee DCS, Office of Child Welfare Licensing
Licenses and regulates Tennessee's non-clinical residential programs for children and youth, including private foster care programs, runaway houses and maternity homes, and takes complaints about them. Its board of review weighs the safety and best interests of the children, the training and character of the staff, and whether caregivers will actually protect children from harm.
It does not licence a facility providing clinical treatment; that is the Health Facilities Commission, or the Department of Mental Health and Substance Abuse Services.
Use this whenA non-clinical residential program, or a program you believe is operating without the licence it needs.
HowEmail the licensing office with the details, or call the child care complaint hotline.
Bodies with a right to investigate, and advocates who can act for you.
Disability Rights Tennessee
Tennessee's Protection and Advocacy agency, with federal authority to investigate abuse and neglect of people with disabilities in facilities, a right of access to them, and free legal advocacy.
Use this whenA Tennessee program where the young person has a disability or a mental health diagnosis.
HowContact the intake line.
1-800-342-1660Main line 615-298-1080; TTY 1-800-852-2852.