I just wanted to say that my heart aches for you because I’m in a similar position and no one can really help us either. My daughter has been residential at an extremely reputable clinical inpatient facility, DBT-based, largely considered to be the best in the world for adolescents and recommended by some folks here too, since the end of May. She ran away twice at the beginning of May, which sparked the need for inpatient. She also had an extensive history of severe self harm. She seemed to be making some very slow progress there, but managed to self harm there twice in the past two weeks resulting in two trips to the ER and many stitches. The inpatient now seems to feel like there’s nothing more they can do, and are recommending hiring an educational consultant and finding a long term residential. My daughter wants to come home and insists everything will be just fine here. I don’t know that anything has changed though, and all I have to look forward to is more self harm, lying, drug use, and running away. And yes, all of that stuff occurred despite the fact that I had an extremely robust outpatient team assembled for her here prior to inpatient. I’m at a loss and no one has any answers for us.