As you all know - we have been begging and pleading for help for difficult child to anybody with ears for the past several years... Because difficult child has Medicaid, her MH treatment has been through County MH. She has been treated by County MH for the past three years. During this time, tdocs have seen her cutting, suicide threats, "kill lists", notes in which she writes about killing her family and others, disturbing drawings, etc etc. And because regular therapy does not seem to be accomplishing squat - we have begged and pleaded for further assistance...to which County MH have assured us that they have done EVERYTHING they could possibly do and there is nothing more available. Now, difficult child has been assigned a caseworker through the state. Two weeks ago we had a meeting between caseworker, her regional manager, and therapist from County MH. At the meeting, therapist told RM that there was nothing more available from County MH. RM said state would help arrange Residential Treatment Center (RTC) if County MH made the referral. We left that meeting with nothing accomplished, but therapist seemed to have a plan to get difficult child referred to Residential Treatment Center (RTC).... Yesterday, difficult child has her regular appointment with therapist. therapist pulls me aside to tell me that Residential Treatment Center (RTC) is completely off the table because difficult child's diagnosis is "behavioral" and not a "mental illness". IOW - since difficult child does not have Schizophrenia or a condition in which she is completely out of touch with reality....County MH cannot make a referral to Residential Treatment Center (RTC). But guess what? County MH does have a wonderful program available that they've had TONS of success with and it's perfect for difficult child. They can have a behavioral specialist come out to the house 10 hours a week and teach us some parenting skills that will help get difficult child's behaviors under control. therapist even suggested that since County MH will be providing that service - we can have the state "close" our case... WTH????? I feel as though we have just stepped into a new level of the Twilight Zone... Where has this "wonderful program" been these last few years? Why is County MH interested in having the state close our case? Since when is the only diagnosis eligible for Residential Treatment Center (RTC) schizophrenia? I think there was some kind of meeting without husband or I present and some things were "decided" by County MH. It makes me wonder if therapist was actually reprimanded for recommending Residential Treatment Center (RTC) ? I wonder if this new thing is just to get husband and I "off their backs" ?