Q5. Are government-operated facilities, including county-operated facilities, required to have any of the following to provide residential health, mental health, or substance abuse services to youth?

  Required for all Required for most Required for some Not required Don't know No response Number
of States
a. State license to provide a residence for youth 18 4 2 6 0 1 31
b. State license to provide specific services (e.g., medical, behavioral) 15 5 3 6 0 1 30
c. State certification to provide specific services (e.g., medical, behavioral) 13 3 1 11 1 0 29
d. State certification to provide education 12 1 3 3 6 3 28
e. Independent accreditation to provide services, such as Council on Accreditation (COA), Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 9 1 6 12 2 0 30