So I talked to wrap coordinator and found out how this process works. Since difficult child would be going from home and not a hospital to Residential Treatment Center (RTC), it is more complicated. Next tuesday we will be having a meeting with the state psychiatrist and he will have the documentation from therapist, the letter from psychiatrist, and what interventions have been tried by wrap services (all they have funding for). I an going to include all my documentation. That goes back to 2nd grade (he is in 8th now). I am also getting his discipline records from school for this year and last, a list of medications we have tried and the results, different therapies tried, including social skills group. The poor wrap lady will not know what hit her when she gets all this documentation. I am also going to write a letter about how his behavior has escalated. At that point the state psychiatric has a con (certificate of need) and if he agrees with all of the recommendations, he signs it and we look for a bed. I will use secure transport to take him and I will follow. Depending on the facility his stay could be from 2 weeks to 6 months. therapist really likes the facility that would have the longer stay. She said she had seen kids stay there up to a year. This is still hard, but having all this info and knowing how the process works is really helpful.