In 2022, I was on a phone call with a desperate parent. She was asking for referrals to a higher level of care for her child, who did not qualify for most residential treatment settings. I named IOPs, therapeutic modalities, educational consultants, but they had already tried them all without getting the help they needed. Where does a family go for treatment when the level of care they need does not exist? Maybe a month later, I got on the phone with Heidi Fixler-Verges, LCSW