I'm sorry to hear you're having so much trouble finding a good daycare for your son. I personally would be concerned about putting any child, especially one who would need a lot of behavioral attention, with an at home caregiver. The reason I would be concerned is that at least at daycares, the caregiver should never be allowed to be by themselves with a child, or at least not out of the line of sight of someone else. An at home caregiver is usually by themselves and I could see where a child with behavioral issues could easily frustrate a caregiver and with them not having anyone to oversee their actions, they might do something drastic that you would not approve of to get your son to "behave". I'm sure there are some stellar at home caregivers out there who would never do anything to harm a child (I stayed with an at home caregiver from the age of 6 weeks to 9 years old so I know there are good people out there), but that would be my fear. I just like the accountability factor of a daycare. Given that, I think your only other option is to try another daycare unless you are able to find one of those wonderful at home caregivers who you truly trust. And while you can't afford some of the other treatments the psychologist recommends, there are multitudes of resources on-line and in the library on how to treat ADD/ADHD with diet so you might try that until your son is eligible to be treated with medication for the disorder. My son was diagnosed with ADHD when he was 6 and we were very resistant to medication at that age. But after doing our homework and seeing him struggle without it, we realized he needed it just like a diabetic needs insulin and it was cruel for us to keep him off of it. It's a chemical imbalance in the brain and all the behavioral reprogramming in the world will not make that go away. When he was older, he could tell us what a difference it made to him to be on the medication. He could concentrate so much better and felt much calmer when he took his meds. It just made life easier for him. So I wouldn't discount meds all together, but for now, with your son being so young, you could try some of the diet restrictions that are recommended to see if they can help at all until he's a little older. Good luck!