A closer look is being taken at where some New Hampshire children are being sent for mental health treatment.Out-of-state placements continue to take place, but there's increased scrutiny over those placements after issues were discovered last year at a Tennessee facility.Last summer, New Hampshire's child advocate shared details about her visit to a youth center in Tennessee, where two boys from the Granite State had been sent. She said it was the "worst site visit" she has ever had, with unsanitary conditions and dehumanizing practices.Now, a new bill in the state legislature is pushing for the standard to be in-state placement unless an out-of-state placement can provide special programming that can't be offered in New Hampshire.>> Download the free WMUR app to get updates on the go: Apple | Google Play <<The bill also pushes for an order of preference on placement with the child's siblings and as close as possible to the child's community."This is not a standalone. Unfortunately, as was also mentioned, there are many lawsuits," said child advocate Cassandra Sanchez. "This has been an ongoing issue where we don't always see the most adequate level of care provided to our highest-need children who are placed in residential facilities."Advocates said any out-of-state placements must not be for long, and they must be subject to increased oversight.