In this debate article, we provide our thoughts and reflections on the issues and uses of Therapeutic Residential Care (TRC) in child welfare systems in the US and England. We highlight the issues associated with the lack of clarity of how TRC is defined and when and how it is used. The premise for the article is that some of our most vulnerable young people are living in residential homes without there being a sufficient evidence base to understand whether their needs are being adequately met, or the best outcomes are being achieved. We set out some suggested elements to try to progress debates and decisions that will ultimately improve the services and placements that are provided.

中文翻译：

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辩论：需求越大，证据越少——年轻人的治疗性住院护理

在这篇辩论文章中，我们提供了我们对美国和英国儿童福利系统中治疗性住院护理 (TRC) 的问题和使用的想法和反思。我们强调了与 TRC 的定义方式以及何时以及如何使用缺乏明确性相关的问题。这篇文章的前提是，我们一些最脆弱的年轻人住在住宅中，却没有足够的证据基础来了解他们的需求是否得到充分满足，或者是否正在实现最佳结果。我们列出了一些建议要素，以尝试推进最终将改善所提供的服务和安置的辩论和决定。