Our difficult child needs to be in an Residential Treatment Center (RTC). He needs intensive cognitive therapy, behavior modification, cause and effect consistent consequences, and a thorough, complete evaluation. Yet, he doesn't tantrum or destroy the property of anyone outside the house. He's off probation for his legal troubles. The school doesn't have much trouble with him (of course not, they've waived the requirement that he do homework, get an agenda signed each day, and wear the uniform--they say they'll work on those problems later, but we suspect they are buying his sob story that 'someone' at home is out to get him and 'steals' his agenda and clothes and homework). He seldom self harms and hasn't spoken of suicide in a couple years (he did once at age 9--and was shocked when he found himself in psychiatric-care, hastily backtracked and said he did it to make people feel sorry for him). We can pay for one ourselves, but they cost $5000 plus a month. Health insurance doesn't pay (I checked out all the insurance programs the Fed Gov offers at our last open season, nothing). And the courts won't commit him for no reason. I think he could benefit although I don't think the need is crisis-critical, it could wait until summer, I think it's critical to prevent or maybe thwart future problems. There's just something very wrong, almost scary wrong, but if he's on good behavior as he is outside the home, it's impossible to get others to see it. Altho maybe he shouldn't be in one and I misunderstand what they can do. I imagine it being just one very long, very intense therapy session that the child cannot escape from. Like being at school, except instead of learning about the world, kids in Residential Treatment Center (RTC) learn about themselves and their problems and how to handle their problems and to be happier and more productive.