Patient is presented to the Peds ED from his elementary school, where he became physically aggressive towards staff and students, and eloped from his school. Patient was placed in the care of paternal aunt about two years ago, but removed a couple of months ago due to alleged abuse toward patient. Patient’s mother and aunt are allowed supervised visits. Patient has been in four foster home placements in the last six weeks. Patient’s most current foster placement refuses to take him back. Patient has hypersexual behavior and sexual knowledge not appropriate for his age. There are concerns for sexual abuse