When we moved over the summer, we had to transfer from one county MH clinic office to another. At the new office, they assigned difficult child to the counselor who was retiring - and because the therapist was retiring, I don't think she even bothered to crack open the file. She just met with us in a very detached, distracted sort of way...explaining that she would be gathering info for her replacement. Great. The office finally got a new therapist last week...and I got in to meet her yesterday. O she is WONDERFUL!!!! And the first thing she asked was "Why hasn't this child ever been referred to an Residential Treatment Center (RTC)???" I told her I was pretty sure it was a funding issue... Because this therapist was new, she had no idea how the office referred pts to Residential Treatment Center (RTC) - so she had to check with her supervisor...No surprise to learn that because the new Medicaid funding rules make the referring agency partially responsible for the cost of Residential Treatment Center (RTC) - the county MH agency has stopped doing Residential Treatment Center (RTC) referrals. So the therapist suggested that we could wait until difficult child commits a crime against someone outside the family (and hopefully it will be the right sort of crime) to get a Department of Juvenile Justice referral to Residential Treatment Center (RTC)... OR She recommended we go to Family Court and petition for a court-ordered Residential Treatment Center (RTC) placement. ?????????? There have been a handful of police reports about difficult child (runaway, threats, minor assault against a family member etc). I have spoken to Department of Juvenile Justice previously, and they told me that there are enough reports on record that the next one should be enough to get an admit/evaluation with their mental health people unless the nature of the crime was very violent (in which case it would be a criminal matter instead of a "Juvenile out of Control" matter. I have already inquired at Family Court and there is no "Child in Need of Services" provision in my state. There is a "Petition for Incorrigibility" - I think this is what the therapist was referring to. Has anyone gone to court for mental health services? If so - how does this work? Is this the same as surrendering your child to DSS? And I guess that part of my confusion is that without an "inciting incident" (like a crime) - just my stacks and stacks of paperwork from County MH, the police, school - would the court really intervene and order this placement (thus putting themselves on the hook for the costs) ? ...or would they just send us back to County MH with the reasoning that if we have been dealing with County MH all this time....and these records indicate the need for placement - then County MH should be making that referral. I get the feeling that the "court order" route as recommended by the County therapist is just a game to get the Family Court or DSS to foot the bill. What do you think?