Involuntary youth transport (IYT) is a controversial practice used to admit adolescents into residential care. Critics point out that IYT is in need of regulation and is best used as a last resort. This article examines the risks and benefits of IYT, especially the longterm effects on the client, in order to ensure that all facets of a client’s treatment are trauma-informed and guided by research-based practices and ethical principles. Practices that re-traumatize youth need to be replaced with informed practices that facilitate positive outcomes. This article utilizes an ethical decision-making framework developed for behavioral health professionals to assess and improve the ethical use of IYT. Based on this ethical framework, a more effective and collaborative model is presented that results in less restrictive approaches, greater levels of willingness by the adolescent to enter treatment, and trauma-informed management of difficult emotional or physical behaviors. This model also guides professionals and caregivers on how to proceed when IYT services are deemed necessary. The article presents past research and addresses ethical guidelines and best practices for IYT. Steps for practitioners and future directions are discussed.

非自愿青年运输 (IYT) 是一种有争议的做法，用于接纳青少年入住寄宿照料。批评者指出，IYT 需要监管，最好作为最后的手段。本文研究了 IYT 的风险和益处，尤其是对客户的长期影响，以确保客户治疗的所有方面都以研究为基础的实践和道德原则为指导，并以创伤为导向。需要用有利于取得积极成果的知情实践来取代重新伤害青年的做法。本文利用为行为健康专业人员开发的道德决策框架来评估和改进 IYT 的道德使用。基于此道德框架，提出了一种更有效和协作的模型，从而减少了限制性方法，青少年更愿意接受治疗，以及对困难的情绪或身体行为进行创伤知情管理。该模型还指导专业人员和护理人员在认为需要 IYT 服务时如何进行。本文介绍了过去的研究，并阐述了 IYT 的道德准则和最佳实践。讨论了从业者的步骤和未来的方向。