If you son's doctor is talking about sending him to a RTC, his issues are likely toward the extreme end.
Some things to consider...
1. Is your daughter physical and emotionally safe if he continues to live with you?
2. Are you safe?
3. Can dad (or step-mom, who is a legal stranger and under no obligation to help dad with your son) get him to regular therapy, doctors appts, deal with the schools, etc?
4. Is time with dad preferable to an RTC? Does dad agree with the possible need for an RTC? Can you afford an RTC (about $300/day)?
(A side note: ODD is a cop-out of a diagnosis. It simply lists the behaviors he is doing and gives no direction for treatment. Keep pushing the doctors -- a neuropsych evaluation is your best bet at getting a true diagnosis -- the why he is acting this way.)
Thank you PQN and all the other posters who have offered advice. I will be buying that book "the explosive child."
And regarding the questions posed by PQN - I didn't know RTCs cost money - for some reason I thought they were covered by insurance. So that's out. His psychiatrist today recommended pushing the school district to send him to a therapeutic HS.
Yes, I am scared of him sometimes. I don't want to anger him. He has broken things in the house and threatened to kill himself (when an anti-depressant dosage was raised)
And my daughter needs time away from him. I don't believe she is in physical danger at this time (knowing that things can change) because I keep a close eye on them both. Emotionally safe is more of an issue. I keep them apart as much as possible and she's a strong girl emotionally.
One of you stated a 4,000 student HS would be a disaster. His psychologist agreed.
It sounds like a lot of you have inside/personal experience with situations like this. It helps to not feel alone! Excuse the mushy stuff, just had to get that out!