Welcome to the forum and feel free to post on this part of the board any time you have questions or issues related to SA. About 1.5 years ago, I was in your same situation with my 14 year old son. Since then, we have been down a very long road and he is making progress, but our journey is not done. Some of the things that help are hard to do as a parent. The biggest turning point for us was that our son was caught with pot at school, arrested and expelled. Nightmare right? Well, it was necesary. Prior to that, he hated us as it was my husband and I versus him and his pot/other drugs. WHen I showed up to pick him up at the police station, he kicked himself for not working with us. Although that one event was very significant, it did not stop him. We have had a year and a half of progress and set backs but with each move forward, the slip back is a little less. At the worst of it, we sent our son to a therapeutic Wilderness program. I would say that was a very effective intervention. What that did was slow him down and get him to look inward a little more rather than raging at everyone around him. It still didn't completely stop the drug use either, but it did have a big impact. More recently, after another "slip" he went to a intensive IOP program near our home. This had a very big impact as he met several kids much further down the road of SA than him, so now we try again. I would say that if she is totally spiraling out of control and nothing you do or say can reach her and she is unwilling to go to an outpatient program, Wilderness may be the way to go. There are programs that take unwilling kids. they come to your home in the middle of the night to "escort" them to treatment. The group therapy they do at Wilderness daily is one of the best ways to reach them. this group of "broken" kids tell their stories and tell each other how out of control their behavior is. Again, it doesn't fix everything, but it slows them down and starts the process of introspection. They return to you able to communicate much better. It's a great start. If you don't have the funds for that (and who does - we used his college money), you must let a natural negative consequence occur, like and arrest or expulsion. This way, society will punish and you are the partner to help them through. Don't try to protect her from being caught. Being caught could be the one thing that gets through to her. Another idea may be that you mandate her to go to outpatient treatment. When I suggest this I oftern hear parents say that their kids won't go.....well, you have to MAKE them go. They want a phone, computer, rides, etc...right? Well, they can only have them if they attend treatment. I have heard many counselors say that treatment works just as well for those that are "forced" to go. The bottom line is, be firm and don't protect. You have some power as far as forcing treatment and if you can afford the big ticket of Wilderness, consider it. It will be a long road with lots of "programs" and support along the way, but it can be done. We are in a MUCH better place than we were 1 year ago....but we too are not done. BEST OF LUCK. Good books to read - "Intervention - Anything but My Own Skin" - "Teens Under the Influence" - "Changing for Good"