M.R.
I have to say, mainstreeming does not happen anymore, and if your son is mainstreemed, that is the problem. Mainstreeming means dumping kids with needs into the general edcuation population and letting them sink or swim. Inclusion is the IDEA standard, and your son is entitled to be in the Least Restrictive Enviornment appropriate for him.
If you are not getting quality medical care that is helping him, you may need more intensive psychiatric care. Not knowing what you mean by "everything" nor how many medications makes it difficult to tell you what you need to do now, but I would suggest that if you are depending on the school to tell you what "everything" is, you have not scratched the surface for what to try.
Questions:
*Do you have a private neuropsychological evaluation that is current?
*Has he had a Functional Behavioral Assessment (that you agree with) at school in the last 6 weeks?
*Does he have a behavoir plan that includes only positive behavioral interventions and supports?
*Has he been in either in school suspension or out of school suspension for more than ten days this school year?
*Do you see a private psychiatrist as often as HE needs it (weekly when medication issues are not going well)
*When you have a medication issue or need, can you see his psychiatrist THAT DAY?
*Does he attend private cognative behavioral therapy and/or play therapy every week?
*Does he attend a weekly Social skills class outside of school?
*Does he have IEP intervention for ALL academic weeknesses, even the ones that the school says are not "real" but are there because of his Bipolar?
*Do you understand what the evaluation data the school is using means?
*Has he had a full scale Language evaluation?
These are the questions I would ask first. He needs plenty of private services, and you need to know exactly what is going on, and what the evaluation data means to advocate for him, and I am not sure that you have all the knowledge you need at this point. It is my experience as an advocate, that when someone has tried everything, they list everything they have tried. It would be perfectly natural for you to be overwhelmed by a situation like this. Log on to www.wrightslaw.com and find an educational advocate in your area to help you. Find the yellowpages on wrightslaw, and find the page for California. There will be many providers, lawyers, and advocates listed who may be able to help you find better services so that you can get the care your son needs. Call the nearest childrens hospital, and ask if you may speak to a social worker to help you find providers that you may not have any idea how to find, they will.
Contact NAMI in SanDiego. They have resources to help you as well. They also have care taker classes. Call them, tell them that you are having trouble, ask what programs they have that can help your son and help you and your daughter live with a person with a brain illness.
M.