A friend's teen daugheter is currently inpatient (repeated self-harm and suicidal acts, combined with drug use).  This is a repeat hospitalization (third, I think, in the past month).  They've tried bringing her home and putting her back in school and she's nosedived back into self-harm and drug use.  

They've found a program for her out-of-state for treatment starting 2/2; they don't want to send her back to her regular school between when she's discharged and then.  They don't know how to handle this as they are expecting that after she returns home from the long out-of-state treatement that she may need an alternate placement, and they've been told that if they withdraw her from school to stay home or send her away without an IEP in place, they might lose their chance for the school to provide alternate placement when she returns.

They're in the NJ area, if that helps at all.

Anyone have ideas?  My kid was already IEP'd when he was first inpatient, so my experience isn't any help.

--

Ottoline (Kate), PTSD

G (suspected anxiety)

CJ: 8: loves writing and drawing, Diary of a Wimpy Kid, and math
***** currently magical grandiose delusions *****
* dx'd: mood disorder-NOS, SID/SPD, GAD, motor delays, speech delays (articulation and pragmatics), eye tracking/teaming issue, loose ligaments,
* suspected possible dx: eobp, OCD, attention and memory issues ; possibly seizure-prone, possible physical issues with nose/palate/etc affecting speech.
* outgrew PDD-NOS dx
* diet: GF/CF, no dyes or HFCS
* meds: 3mg melatonin at bedtime, 800 mg XR Tegretol, Lithium (1125mg), tapering off Zyprexa due to side effects before any help... also takes Omega-3 supplement
* private play therapy and OT
* IEP for 3rd grade with speech and OT each an hour a week, two hours in a special ed classroom every day for independent work and social skills etc, plus scheduled sensory breaks, pass to leave to resource room when overwhelmed, and extra modifications for med changes; working toward mainstreaming
*Past meds tried in order: Prozac; Risperdal (brand then generic); Zoloft & Concerta (at phosp); Abilify; Abilify + Tenex; Abilify + Tegretol; Seroquel XR + Tegretol; Seroquel XR + Tegretol XR + Strattera; Tegretol XR + Strattera + Benedryl; Tegretol XR + Strattera + Risperdal; Tegretol XR + Strattera + Zoloft; Tegretol XR + Strattera + Lithium; Tegretol XR+ Strattera + Lithium XR; Tegretol XR and Lithium XR; Tegretol XR + Lithium XR+ Neurontin
R: 6; loves reading, computer games and anything his older brother suggests
* anxiety-NOS, separation anxiety; trying therapy + Tenex
* multiple food intolerances (both cell-mediated and IgE allergies), occasional asthma, eczema
* suspected SID
* diet: limited foods (doing slow food trials to add to that list)
* fist grade with 504 plan for bathroom issues related to gut problems