Safety of Residential Treatment and Therapeutic Boarding Schools

Safety at Telos — Our Standards & Commitments

  • Telos goes above and beyond state-required minimums.
  • Our organization is nationally accredited by the Joint Commission
  • Maintained its coveted Gold Status since 2004.
  • Telos belongs to the National Association of Therapeutic Schools and Programs
  • Founding member of Choose Mental Health

Listen to our staff describe how safety is assured at Telos.

Student Safety is Top Priority

I’ve seen some negative press about treatment programs.  Why is that?

While out of home treatment settings have been a positive experience for most, there are some who have experienced abuse or neglect. In the 1980s and 90s many programs operated under an antiquated behavior modification approach, using consequences and rewards to shape behavior. Sometimes these interventions were implemented by inexperienced or untrained staff. Some programs had little or no traditional therapy. Others were run by faith-based organizations with a strong religious agenda. In these settings some young people were misunderstood, mistreated, or abused.

Recently the celebrity Paris Hilton, who was placed in a behavior modification program in the 1990s, joined other survivors to raise awareness of institutional abuse. This garnered media attention resulting in legislation passed in Utah and other states to increase regulation and oversight of therapeutic programs.

Because media coverage favors salacious stories of harm, most people have a lopsided view of residential treatment. The facts about ethical, quality care rarely, if ever, make headlines.

Have programs changed since the 1990s?

Yes. Like every other profession and practice, treatment programs have evolved over the past 30 years. Generally, treatment programs are now state licensed, evidence-based, overseen by medical professionals and licensed mental health clinicians, focus on compassionate care, and are accredited by national associations dedicated to safety, quality, and effectiveness.

Student Safety is Critical

Does abuse in institutional settings still exist?

Some young people continue to emerge from therapeutic settings having had negative experiences. Telos believes programs unable to treat youth safely should be corrected or closed. All young people, especially those who are vulnerable, have a right to safe, humane mental health care.

How does the State of Utah assure programs are safe?

All therapeutic programs in Utah are licensed by the State Office of Licensing, a division of the Department of Human Services. Programs follow stringent safety and effectiveness standards called Congregate Care Core and Categorical rules. Specially trained State licensors are assigned to inspect and oversee all Utah programs. These licensors inspect each program four times per year. Half of these inspections are planned, the other half are unannounced, assuring programs are evaluated as they “really are.” Additionally, programs are required to report safety related incidents to the Office of Licensing, which investigates all critical incidents. Programs that can’t maintain a track record of safety and effectiveness are sanctioned or shut down. The last five years of Telos’ State Inspection results can be found here for the youth program and here for the young adult program.

A group of people with bicycles pose in front of mountains at Wasatch Peaks View Trailhead, Highland, Utah, on a sunny day, celebrating the positive impact that Telos U and outpatient treatment have had on their journey. at Telos

Student Safety at Telos

Is Telos safe?

Yes. Telos was founded in 2004 by a child and adolescent psychiatrist, and four Masters-level mental health clinicians. Having witnessed the problems and limitations of programs in the 90s, Telos founders developed a treatment environment characterized by evidence-based best practices, clinical sophistication, and a philosophy that puts inspiring interpersonal relationships first. Telos doesn’t have a complex system of punishments and rewards designed to shape behavior. Instead, students are treated with the utmost dignity and respect. As they learn more about themselves, students are invited and inspired to experiment with new beliefs and behaviors that support greater happiness. Cutting edge therapeutic modalities are used to teach skills and build competencies, always with the best interest of the students in mind.

Telos staff are at the top of their profession. The clinicians, teachers, and administrators are professionally trained and fully licensed. Telos supervisory staff are composed of paraprofessionals who are:

  • Certified in CPR and 1stAid
  • Cleared to work with youth by a national background check
  • Trained in the latest de-escalation and safety techniques
  • Enrolled in Clinical Deep Dive Training Levels 1, 2 and 3
  • Engaged in ongoing weekly trainings on the 10 Pillars and Mentor Essentials
  • Overseen by licensed clinicians

Telos goes above and beyond state-required minimums. Our organization is accredited by the Joint Commission and has maintained its highest Gold Status since 2004. Telos belongs to the National Association of Therapeutic Schools and Programs and is a founding member of Choose Mental Health, a nonprofit network of programs providing a client-centered higher standard of care. Telos hosts politicians, legislators, and visiting dignitaries interested in learning what state of the art residential treatment looks like.

Telos has never had a known incident of abuse or neglect. The campus is watched over by active owner-operators who guard the safety of their students as they would their own children.

Is Telos effective?

Telos is one of 19 national programs that maintain NATSAP’s Research Designated Program Gold Status. Our outcome data is collected using standardized, valid scientific assessment tools handled by third-party researchers at the University of New Hampshire. With thousands of data points, an ongoing 20-year study demonstrates the effectiveness of our model.

In addition to the testimonials on Telos, we encourage you to visit the therapeutic program alumni movement www.thrivingnow.me to hear more success stories from those who have benefitted from therapeutic programs across the nation.

Therapeutic Holds at Telos

A Commitment to Transparency

At Telos Academy, we believe families deserve to see the full picture of their child’s care — not just the parts that are easy to talk about. That’s why, as part of our ongoing commitment to leadership and transparency, we’re publishing our client restraint data. A restraint — also called a therapeutic hold — happens when a staff member physically steps in to keep a client safe when they’re at risk of hurting themselves or someone else. It is never used as punishment, and it is never for staff convenience. Every restraint exists for one reason only: to protect the people in our care. All of our staff are nationally certified by the Crisis Prevention Institute in de-escalation and safe physical intervention, and de-escalation always comes first — restraint is a last resort, not a first response. We share this data because we want parents to feel confident, informed, and genuinely partnered with us in their child’s care.

  • North Campus:
    • 2026 Quarter 1: 2.77
    • 2026 Quarter 2: 2.50
    • 2026 Quarter 3:
    • 2026 Quarter 4:
  • Geneva
    • 2026 Quarter 3:
    • 2026 Quarter 4:
  • Telos U
    • 2026 Quarter 3:
    • 2026 Quarter 4:

Understanding the Numbers

The numbers above show restraints per 1,000 client days for each quarter — and we know that phrase alone can be confusing, so here’s what it means. A “client day” is simply one day of care for one client. So if we have 50 clients in our program for a full 90-day quarter, that adds up to 4,500 client days. We use this rate, rather than a simple count of restraints, because our number of clients changes from quarter to quarter — and a straight count wouldn’t tell you much on its own. This way, whether we have 20 clients or 50, you can compare quarters fairly and get a true sense of how often physical intervention is happening relative to how many young people are in our care. Watching this number over time helps our clinical team — and you — see that de-escalation is working, and it helps us hold ourselves accountable to doing better every quarter.