I am currently re-reading the book. When I originally read it, I was shocked and sometimes sickened by the treatment of Justine at "Come Clean". It was also fustrating how she couldn't get away, and how the simple neccessities of life were often denied to her and the rest.
But, when I came to re-read it, I took the time to read the author's statement at the front- "For my sister, and other Straight inc. Survivors"
Horrified at what this could mean, I instantly went onto Google and was disgusted at how sickeningly accurate and completely TRUE "Come Clean" is.
There was, and still is, (probably) an organisation that actually sunk so low as to submit youths to the psychological and physical tortures described in the book. READ IT.
(And Google "Straight Incorporated")