a broad coalition of grass roots efforts, prominent medical and psychological organizations that including members of Alliance for the Safe, Therapeutic and Appropriate use of Residential Treatment (ASTART) and the Community Alliance for the Ethical Treatment of Youth (CAFETY), provided testimony and support that led to the creation of the Stop Child Abuse in Residential Programs for Teens Act of 2008 by the United States Congress Committee on Education and Labor. Jon Martin-Crawford and Kathryn Whitehead of CAFETY testified at a hearing of the United States Congress Committee on Education and Labor on April 24, 2008, where they described abusive practices they had experienced at the Family Foundation School and Mission Mountain School, both therapeutic boarding schools. One recent acknowledgement has been that long term care does not equate with better outcomes. To reduce the tendency for abuse, a strong push has occurred to certify or license behavior modifiers or to have such practices limited to licensed psychologists. In particular psychologists with behavioral training American psychological association offers a diplomat (post Ph.D. and licensed certification) in behavioral psychology. Often the practice of behavior modification in facilities comes into question (see recent interest in Judge Rotenberg Educational Center, Aspen Education Group and the World Wide Association of Specialty Programs and Schools). Often these types of restrictive issues are discussed as part of ethical and legal standards (see Professional practice of behavior analysis). Recent research has identified some best practices for use in such facilities In general policies in such facilities require the presence of a treatment team to ensure that abuses do not occur especially if facilities are attempting to use punishment programs. Regulations In the U.S. residential treatment programs are all monitored at the state level and many are JACHO accredited. States vary in requirements to open such centers. Due to the absence of regulation of these programs by the federal government and because many are not subject to state licensing or monitoring, the Federal Trade Commission has issued a guide for parents considering such placement. Due to irregular licensing practices and differences in the kinds of labels that facilities use themselves, it is unclear how many facilities exist in the United States. Organizations Residential therapist who are behavior modifiers should join professional organizations and be professionally affiliated. Many organizations exist for behavior therapists around the world. The World Association for Behavior Analysis offers a certification in behavior therapy In