Exposing a Billion Dollar Industry that Harms Children
When families place their children in therapeutic boarding schools, residential treatment centers, wilderness programs, or other so-called reform institutions, they do so out of desperation and love. These programs promise transformation, claiming to provide customized therapy, education, and a path toward a better future. Instead, far too many children leave these programs traumatized — not healed.
At Mark David Shirian P.C., we are committed to holding this multi-billion dollar industry accountable. We fight to uncover the truth, demand justice, and give survivors the voice they deserve.

What Is the Troubled Teen Industry?
The troubled teen industry is a sprawling, unregulated network of private programs worth more than $23 billion annually. These programs include therapeutic boarding schools, wilderness therapy camps, residential treatment centers, boot camps, and religious academies.
Over 120,000 to 200,000 children are placed in some form of residential youth program each year. As many as 50,000 of these placements are private, arranged by parents who are persuaded by aggressive marketing campaigns and promises of life-changing results.
Despite decades of abuse allegations and multiple government investigations, there is no consistent federal regulation. Some states even exempt religious boarding schools from licensing requirements and oversight entirely, allowing these programs to operate with little accountability.
Why These Cases Are Complex
Bringing these cases to court is challenging. Facilities often destroy records, falsify reports, and cover up wrongdoing. Many of the abusive practices, such as isolation or forced labor disguised as therapy, are not explicitly illegal under current law.
But there is hope. Class actions under the federal Trafficking Victims Protection Act are being certified for the first time, holding programs accountable for forced labor. Parents are winning claims for fraud, negligent misrepresentation, and emotional distress when they can show they were misled about the programs’ promises.
The Reality
Survivors, whistleblowers, and Senate investigations have revealed widespread abuse. Documentaries like The Program and Teen Torture, Inc. have exposed the disturbing truth:
70% of teens report worsened mental health symptoms after attending certain programs
- Physical Abuse: teens are restrained, beaten, or forced into unpaid labor
- Psychological Torture: humiliation, isolation from family, gaslighting, threats
- Sexual Exploitation: harassment, coercion, and assault in some facilities
- Neglect: denial of food, water, medical care, or adequate education
- Violation of Rights: banned from speaking with family, stripped of privacy
The harm is profound. Survivors often suffer from post traumatic stress disorder, depression, anxiety, eating disorders, substance abuse, and lifelong trust issues.
A National Movement for Justice
Senate reports have called out the industry’s lack of oversight.
Survivor-led campaigns like Breaking Code Silence are mobilizing thousands to demand reform.
Taking legal action is about more than compensation; it is about joining a nationwide movement to stop systemic abuse.


