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Held Hostage by the Mental Health “care” system

I feel like our son, and by extension, the whole family, is being held hostage by the mental health care system. Recently, he was accepted at a residential facility for treatment. It was approved by insurance and Medicaid. Then a company called Ascend Management got involved and denied coverage. If I try to discipline my son for doing something wrong, he runs away. If I try to talk to him about something he is doing he runs away. If I try to ignore his behaviors he gets in my face and increases the behaviors. We have done counseling. We do psychiatric care. We do community support. Evidently none of that is enough. We are supposed to travel 100 miles a day to enroll him in camps at the university in the city. I can’t afford that. So we are held hostage by a system of care that doesn’t care. Maybe

Frustrated with Doctors

His psychiatrist wrote up some fictional patient notes. Not sure where I was when the things she wrote happened in our appointment happened. They do this with impunity. How can they, in good conscience, tell the parent and child one thing, then write something else in the notes? It’s semantics I know, but here are some examples: David said he “could stab you if you want me to” David said “I have friends, I just can’t go play with them because I get into trouble.” David has no respite worker. The things that the doctor wrote: “Dad told the patient that he has no friends because all of the parents in the community felt that David was a bad influence.” “Dad asked the patient if he wanted to be given to the state” “Dad indicated that even if David had activities, he wouldn’t have the energy to get him there.”

Is Family Disruption Necessary in ND in Order for Children to Receive Long Term Residential Mental Health Care?

Say that I wanted to analyze the propensity of ND Medicaid to refuse funding beyond 365 days for PRTF/RTC level care. A component of this could include the psychiatrists telling parents that the best way to get the care a child needs is give up custody of their child. In part because in the psychiatrists experience the only way children receive the care required is through the voluntary disruption of parental custody. So question: Do children in state custody receive more than 365 days of inpatient mental health care paid for by ND Medicaid? Now given that this is a vulnerable population,how do I go about obtaining the data that I need? Follow-up questions could include: How many children in state custody for treatment of mental health issues ultimately end up in prison? Is the cost of care per child lower while the child is in custody of the state