A new report from the PA Association of County Commissioners found over 250 youths and minors with complex behavioral health needs were forced to sleep somewhere other than a licensed child placement facility. The CCAP created the Complex Case Work Group to report these findings and make recommendations off that report. These cases also require more time to find a placement or treatment regime than most cases and have seen an increase in the amount of children in county custody sleeping in hotels and child welfare offices. Responsible parties: state, counties and behavioral health-managed care organizations