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Advocates say North Carolina's mental health care system would improve by providing more care in community and home-based settings. But an "institutional bias" in the state means that likely won't happen for years, or even decades.

A firsthand account of life inside psychiatric residential treatment facilities reveals how these care centers can do more harm than good.

A ¹ÏÉñapp investigation into the state's two-dozen psychiatric residential treatment facilities finds dozens of examples of neglect or abuse of children with severe mental and behavioral health needs.