In the US, 9% of children in foster care are placed in congregate, group home, institutional, or residential care. The Family First Prevention Services Act allows states to use federal Title 3 IV-E funds to provide time-limited, clinically appropriate use of congregate care, including qualified residential treatment programs, for youth in foster care. Authors conducted a mixed-methods study to obtain a baseline understanding of implementation barriers, successes, and recommendations to inform co
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