Does anyone have any advice for how to get insurance companies to pay for Residential Treatment Center (RTC)? My girlfriend's Difficult Child was hospitalized for threatening me with a knife. He was in for 2 weeks, then sent home with no changes but an upping of the medications. The insurance company would not pay for Residential Treatment Center (RTC). Difficult Child has been diagnosed with ODD since early childhood and now has full-blown CD, with behaviors such as assaulting people, stealing, lying, running away, cruelty, etc. Difficult Child will now not speak to latest therapist, and the therapist suggested hospitalization. No one will pay for it. A psychiatrist friend said that insurance companies typically will pay for Residential Treatment Center (RTC) after 3-4 hospitalizations. What have people here done that successfully got an insurance company to pay for Residential Treatment Center (RTC)? Does it take police intervention multiple times? Difficult Child has terrorized his younger brother. If the younger brother can describe dangerous abuse to a therapist, does that carry any weight? Thanks everyone.