We, as parents, are very concerned. Our daughter has been in and out of phospitals ten times in the past year and now is at a psychiatric residential treatment facility with a 180 day (6 month) stay. We had hoped this would be key to helping her get better and putting a halt to her endless cycle of suicidal impulses, gestures, self-injury, and pretending to be better, and then worse. This program came very highly recommended and sounds very good - they utilize positive peer culture so that the kids are held accountable to each other for improvements in attitude and behavior. BUT, she has spent the first 1/6th of her time there not doing much. They do have consequences for not participating, following rules, etc. But she is very smart and has figured out how to "fly below the radar". If something isn't important to her, she simply doesn't do it. She has been refusing school, groups and other therapies. She has been testing to see what would happen if she displayed different symptoms such as hallucinations, self-injury, etc. And now, that she is on the verge of earning off-campus privileges with the other patients, we fear she may be an elopement risk. Has anyone else been in this situation where you fear that your child will make it all the way through an intense program and come out no better than when they went in?? She acts (at times) like a model kid and eagerly speaks to us by phone whenever we call. But when it comes time for family therapy sessions, either in person or via conference call, she either shuts down or is angry and manipulative. We are contemplating suggesting no family contact outside of therapy sessions to try to encourage her to participate fully. We also send her lots of encouraging letters and sometimes care packages. Perhaps we should withhold those too, or have the staff only give them to her IF she participates in the family sessions. Her volatility is hard to handle... on one day she claims to be completely suicidal - and will kill herself if she has the chance. Then the next day, she is just "fine"! and demanding to be treated like a VIP because her dad is so and so and she really doesn't belong there. I guess we need to let time take its course and trust that this secure placement will really keep her safe and teach her new coping skills. But we really want our loving, smart, and personable girl back - after months in phospitals with lots of highly dysfunctional and criminal kids, will she ever go back to "normal"??????