Can you imagine being left with no choice but to surrender custody of your own child in order to get him help?  Consider a hypothetical family of four: mom, dad, one typical child, and one child with extreme and violent behaviors, all living together under one roof.  They've tried everything: school-based interventions, private therapy, brief periods of hospitalization, medication.  Still, the behaviors persist.  They can't get a waiver and they can't afford a private boarding facility.  So they lock their bedroom doors at night, or even send the typical child to live with other family members to ensure her safety.  They are scared.  They've been physically injured.  The police know them and have had to intervene many times...