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 Texas
Texas folds the psychology, counseling, social work and marriage and family therapy boards into one council, BHEC, so one form covers most therapists; psychiatrists are separate, under the Medical Board. Texas is also one of the few states that publishes its filing deadline plainly, and it is longer than most: five years, and longer still for sexual misconduct.
The therapist's licensing board
Holds the individual clinician's licence and can suspend or revoke it.
Texas Behavioral Health Executive Council (BHEC)
Multiple professions
Investigates and prosecutes professional misconduct by psychologists, psychological associates, licensed specialists in school psychology, professional counselors, marriage and family therapists and social workers. It can discipline a licence up to revoking it.
It will not open an investigation at all unless the complaint arrives on its own form, and the whole complaint file is confidential by statute, so you cannot later obtain the investigation report.
Use this whenA therapist holding any Texas behavioral health licence. If the person is a psychiatrist, use the Medical Board instead.
HowFill in the Council's complaint form and email it to Enforcement@bhec.texas.gov or post it. Send supporting material with it; the Council asks for it.
DeadlineGenerally five years from the date services ended. For sexual misconduct, seven years from the date services ended or five years from the client's 18th birthday, whichever is later.
The licensee is sent a copy of the complaint including your name, unless you file anonymously. File anonymously and you will not be told the outcome. The Council aims to resolve complaints in six to twelve months.
1-800-821-320524-hour toll-free complaints line. Main office 512-305-7700.
By postTexas Behavioral Health Executive Council, 1801 Congress Ave., Ste. 7.300, Austin, TX 78701
Texas Medical Board
Psychiatrist
Licenses and disciplines physicians, which in this industry means the psychiatrist who signed off the medication or the medical director whose name is on the program.
Use this whenA doctor, including a psychiatrist. Not a therapist or counselor - those go to BHEC.
HowFile through the online complaint portal, or call the hotline and follow the prompts to be sent a paper form. It must be in writing.
The Board does not accept anonymous complaints, but your identity is confidential by law once you file.
1-800-201-9353Complaint hotline. Main line 512-305-7100; help with the online portal on 512-305-7030.
Inspects the facility itself and can cite, fine, suspend or close it.
Texas HHS Complaint and Incident Intake
The single intake point for complaints about any provider Texas HHS regulates, including allegations of abuse, neglect and exploitation by the provider. It routes them to the regulatory division that can inspect the facility and act on its licence.
Use this whenThe program itself: how it is run, how it is staffed, what it does to the young people in it.
HowReport online through the Texas Unified Licensure Information Portal (TULIP), or call. Email is accepted for complaints, though not for urgent ones.
For an inpatient substance use facility specifically, HHSC Health Care Regulation has its own line on 1-888-973-0022.
Child protection, the Attorney General, and the criminal side.
Texas Abuse Hotline (Department of Family and Protective Services)
The statutory report line for child abuse and neglect in Texas, including abuse of children in child care facilities and treatment centers, which DFPS investigates through its Child Care Investigations division.
Use this whenA child at a Texas program right now. If the danger is immediate, call 911 first.
HowCall the hotline, or report through the secure website, which promises a response within 24 hours. DFPS will not take a report by email and cannot accept photos or recordings that way.
1-800-252-540024 hours a day, every day, from anywhere in the country.
Texas Attorney General, Medicaid Fraud Control Unit
Criminally investigates abuse and neglect of patients in facilities that take Medicaid, along with misappropriation of a patient's money or property, and Medicaid provider fraud. It can bring criminal charges.
Use this whenA Medicaid-funded program where a young person was abused or neglected, or where money or property went missing.
HowCall the unit. It has field offices in Austin, Corpus Christi, El Paso, Grand Prairie, Houston, Lubbock, Pharr and San Antonio.
By postMedicaid Fraud Control Unit, Office of the Attorney General, PO Box 12548, Austin, TX 78711-2548
Oversight and advocacy
Bodies with a right to investigate, and advocates who can act for you.
Disability Rights Texas
Texas's federally mandated Protection and Advocacy agency. It can investigate abuse and neglect where a person with a disability receives services, has a right of access to the facility, and provides free legal advocacy. It publishes its own guide to complaining about inpatient mental health services.
Use this whenA Texas program where the young person has a disability or a mental health diagnosis.
HowApply for help through the website or the intake line.
1-800-252-9108Main line 512-454-4816 voice/TDD; video phone 866-362-2851.
Helps resolve a complaint about behavioral health services and makes sure it reaches the body that oversees whoever is paying for the care. It publishes a rights handbook for people receiving mental health services, including a version written for teenagers.
It is a route through the system rather than an enforcement body. An immediate risk of abuse goes to the Abuse Hotline, not here.
Use this whenSomeone who cannot get behavioral health care, or cannot get a complaint about it taken seriously.
HowCall, or submit online.
1-800-252-81548am to 5pm, Monday to Friday. Relay Texas on 711 or 1-800-735-2989.