The Troubled Teen Industry is a loosely connected series of for-profit wilderness therapy programs, boot camps, therapeutic boarding schools , and residential treatment centers . These facilities house youth after parents sign away custody of their children. These children can be sent to these facilities for any reason, without committing a crime, without a trial, and without legal representation. Solitary confinement is used widely in these programs, including wilderness programs, where children are left alone for weeks in the wilderness. Some programs place children in solitary rooms. Other times, "code silence," or "comm block," is used, which means that the child is not allowed to speak, and the other inmates must ignore them and pretend they do not exist. This practice was documented at Island View . 
Solitary confinement should be distinguished from brief interventions such as "time out," which may be used as a component of a behavioral treatment program in facilities serving children and/or adolescents, or seclusion, which is a short term emergency procedure, the use of which is governed by federal, state and local laws and subject to regulations developed by the Joint Commission, CARF and supported by the National Commission of Correctional Healthcare (NCHHC), the American Correctional Association (ACA) and other accrediting entities.
With the exception of the death penalty, solitary confinement is the most extreme sanction which may be legally imposed on prisoners. Its adverse effects on the health and wellbeing of those subjected to it, particularly for prolonged periods, can be very serious. Yet, in recent years there has been an increase in the use of strict, and often prolonged, solitary confinement in prisons and other places of detention across the world. This is a worrying development with potentially harmful consequences, not only for the individual concerned but also for the wider communities to which they will eventually return.