Paying for Residential Programs for Teens
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My teen needs rehab but we have terrible insurance– Jul 6, 2022(13 replies)
In the process of trying to get a Single Case Agreement thru our mental health insurance- HMC Healthworks. (changed to Uprise recently) but the admin at Newport Academy said it doesn't look good because they probably won't pay their rates. I believe her and I believe when she calls me back tomorrow the answer will be no, after all the insurance company has only 1 psychiatrist that accepts their insurance near us. Does anyone have advice on next steps when they refuse the single case agreement? My 15 year old has been hospitalized twice in the past for depression and anxiety, and now she needs a rehab. (Think- oxy, weed, coke) She is dual diagnosis. Has a therapist and psychiatrist and is taking meds but she's out of control (lying, sneaking out, verbally abusive "I hope you die' 'I'd kill you in a purge', 'fuck off', etc.. cutting, trading pics and actual sex acts for drugs, (apparently they just VENMO each other for that!!,) skipped almost her entire sophomore year, OD'd last month, threatening suicide when I won't let her see her friends or when I take her phone... So she needs a higher level of care. I'm at a complete loss. We cannot afford to pay without insurance, we can't even afford a private consultant. Isn't there some kind of insurance law the company has to pay for care like this?Jul 6, 2022
IEP helping pay for therapeutic boarding school– Aug 26, 2019(10 replies)
We are at a loss with a 14 year old who really hasn't been able to attend public school since last year. The school did an evaluation and assigned an IEP for 'emotional disturbance' and after a long round of treatment we enrolled in 9th grade and sadly didn't make it two weeks before the self harm and suicidal thoughts came back. Was admitted to the hospital but will come out soon and we'll be looking at therapeutic boarding schools to help get through the next year or so. I've been told the IEP might help defray some of the cost. Is this true? What are the next steps from someone who has been through this before? Is it worth pursuing getting the district to help pay (I don't want to spend weeks/months to recoup $500...)? We live in Contra Costa County, if that matters.Aug 26, 2019
Getting insurance to approve duration of stay needed at an RTC?– Aug 22, 2018(3 replies)
My 13 year old is at Newport Academy in Orange, Ca. She has generalized anxiety disorder, major depressive disorder and suicidal ideation. The program is giving her respite from our dysfunction while we try and learn how to be more emotionally supportive and calm and she learns skills for coping. We are making lots of progress but when she seems better I start to worry that insurance will want a discharge rather than see stabilization all the way through. A parent mentioned on a previous thread that she knew some ways to get insurance to pay and prevent going through the outpatient to inpatient to RTC cycle again and again. I’m hoping I can find that knowledable parent and get some advice. Having a suicidal teen is scary. I just want her to be safe and happy.
thanks!Aug 22, 2018
Insurance is denying continued residential treatment for severely depressed 14yo– Jun 8, 2018(8 replies)
Hi, I am the parent of a 14 yo girl who struggles with terrible depression. She has been placed under 5150 several times in the past four months and is currently under residential treatment--however, our insurance is denying the treatment center's request to keep her there (although they are very clear that she is not safe to go home) and we are panicked and trying to figure out what next steps are. I've been reading this forum and it sounds like we may need to engage an educational consultant to help us navigate this process--bring her home? Get an IEP? Wilderness program?? I have no idea... But we have already spent thousands and thousands of dollars on her treatment and honestly I'm not sure where the money will come from for whatever comes next. Can anyone give me a ballpark on what an educational consultant costs?Jun 8, 2018
Archived Q&A and Reviews
Alternatives when insurance won't pay
RE: RTC for daughter with Conduct Disorder and Substance Abuse
Thank you to all who replied to my query, I appreciate your understanding and compassion. We've decided to move on from this idea for several reasons: a) Can't afford it at all (can't even afford a consultant or interventionist); b) insurance - we've asked and prodded and gotten our healthcare advocate involved, but Blue Cross won't chip in any money for this (but they will give us a couple of weeks of inpatient rehab); c) Risk of elopement - I wouldn't put my daughter anywhere where she'd be chained/locked in anyway, so given what we know from extensive testing and therapy, she would most likely run away. So we are continuing to work with a great local psychiatrist, are looking into rehab options (and making the insurance pay for that as much as possible), and are also looking into alternative public school programs for 12th grade next school year.
Will BUSD help pay for therapeutic boarding school?
Our 15-year old daughter has dropped out of Berkeley High School due to anxiety, severe depression, suicidal ideation and other related issues. After two years of seeking local (excellent) therapeutic solutions for our daughter and family, we are finally sending her to a therapeutic boarding school. It has been chosen for it's humane approach and targeted therapeutic offerings. Our daughter was relieved when her neuropsych evaluation recommended that she spend a year in treatment away from home, so please do not reply if your opinion is that a teen should never be sent to therapeutic boarding school--with all due respect, I have already read those posts.
Our question is: Has anyone in a similar situation ever had any success in getting BUSD to help pay for therapeutic boarding school? Or tried and failed? We know that school districts are under a mandate to provide access to education. Given her issues, our daughter would not be an appropriate candidate for BUSD independent study program--at least until she has been in treatment for awhile. I should add that unfortunately, we do not yet have an IEP for our daughter yet. We have the name of a good educational advocate and a lawyer (based in the Walnut Creek area) and are already working with an excellent educational consultant. We are also members of Willows in the Wind (support group). However, before we seriously consider approaching the district, we would like to hear about other parents' experience with BUSD. Also, if you were successful in working with BUSD and would be willing to share the name of your educational advocate/lawyer, that would be great. I tried to research this issue on BPN but couldn't find anything (search error?) Thank you in advance for any assistance you can provide.
Seeking access to education
Mike Zatopa is the attorney we (successfully) used with BUSD. We had a very complicated case. He would be able to give you an idea of whether you had a case. Typically, the school district likes to use their own resources before recommending residential care. If you have already decided upon that path it may be harder but I would still go ahead and ask. anon
Dear parent looking for therapeutic boarding school. I was able to get BUSD to pay for what is called a ''Non-public school''. These are schools/therapeutic treatment centers that partner with school districts to provide services of just the sort you describe: Helping children who cannot otherwise attend school for psychological, addiction, or other related issues.
You will need to get an IEP and will need to get a recommendation that she attend such a school. The process can be tedious. You MUST ask for an IEP in writing and you must do everything in writing. You must advocate strongly that she needs this (not the silly independent study or other options they will recommend).
You are unlikely to be able to send her to an out of state private boarding school -- and you might be glad of that. Some of those are quite abusive and hardly regulated. I would be very careful about sending a child to any of those. Check it out first.
The IEP process will take time - so start immediately and follow up at every turn. make sure they follow guidelines about when they will complete assessments, hold meetings etc. but each time they usually get 50 business days so it can really add up.
Best of luck to you and your daughter.... Been there
My step son went to a therapeutic boarding school within the Tamalpais Unified School District (Mill Valley) and they almost laughed when we asked. I don't think school districts pay for any portion of TBS. Good luck.
I just placed my son last week, different school district but can sure help you out with what I have learned during this nightmare. Ask the moderator for my contact information. And just a warning, I have NEVER had my heart torn apart like this, and I have been through a lot. A friend who has helped me through this process told me the tears I cried through some 12 years of anguish were just practice for the devastating sorrow and shame of having no other options than residential placement. I sobbed for days. Still hasn't stopped. If anyone is being less than supportive, seek help elsewhere. Hang in there. Sue