Lucy escaped shortly before three.

I should’ve seen it coming. She’d started the day remarkably calm. By eight a.m., she’d eaten dry Cheerios without throwing the cup at anyone passing by. At eight-thirty, she crept out of her room long enough to swipe a toy car Benny had left in the hall. She’d tucked it under her chin as she scampered on all fours to a corner of her room. Then she’d set the Hot Wheel on the floor and proceeded to bat it around like a cat toy.

Benny cried when he discovered the car gone, then stopped crying when he saw the crazy naked girl smiling over it. She caught him watching her, too, and simply went back to playing, versus throwing feces at him.

I was so pleased by this progress, I decided to make an attempt at basic hygiene.

We don’t force our kids to shower. We don’t force them to eat, brush their teeth, or even get dressed. We understand that some of these kids, because of sensory issues, feel the spray of a shower as a thousand needles stinging their skin. We understand some of these kids, because of various compulsions, can only eat frozen food, or mashed-up food, or yellow food, or prepackaged food. We understand that some of these kids, because of limited social skills, can’t walk down the hallway without picking a fight.

Hygiene’s complicated. Mealtimes are complicated. Just getting up each morning is complicated.

So we take a broad approach. This is our schedule. We’d like you to follow it, but we’re willing to work with you. Tell us what you need. Together, we can make this happen.

Some parents hate us. They view our ward as nothing but summer camp, kowtowing to their problem child’s every whim.

Of course, half of these parents are as traumatized as the kids. They’ve spent years being kicked, hit, bit, screamed at, and otherwise verbally abused by their own child. Maybe on Mother’s Day, their ten-year-old drew a picture of Mommy being stabbed to death, and signed it Die Bitch Die. Now a part of them wants to see their son finally be held accountable for his actions, or feel that their daughter is being ground to dust. We’re the professionals. We should force each child to color within the lines. But we don’t. We let the kids watch TV. We bring them Game Boys, we engage them in board games, we let them rollerblade down the hall.

We’re acute care. Our goal is to reduce agitation so a kid can finally get through the day without exploding. Then, once the child is “workable,” we hope to gain insight into that kid’s behavior that will be valuable for long-term care.

There are two questions we’re trying to answer with each child:

What’s going on in this child’s head that I wish weren’t (e.g., cognitive distortions)? What isn’t going on in this child’s head that I wish were (e.g., cognitive deficiencies)? You answer these two questions, you can learn a lot about a kid.

Twenty-four hours later, I needed to learn a lot more about Lucy.

First, I filled a giant bucket with water, then carried it to her room. I didn’t look at her when I entered, didn’t acknowledge her in any way. I set down the bucket, then gave her my back.

I counted to ten.

When she didn’t attack, I moved to phase two: I pulled a small sponge out of my pocket, dipped it into the water, and starting scrubbing the nearest wall. I still didn’t look at her. If attention is one of her triggers, then my job’s not to give her any attention.

After another minute, I started to hum. Something low and melodic. Some children respond positively to rhythmic music; I was curious about Lucy.

She still didn’t react, so I grew more serious. I scrubbed feces and blood off all four walls. Then I picked up my bucket and disappeared.

Now the moment of judgment: Will Lucy leave the space as is, or will she feel a need to trash her room again, to violate her personal space as she seems to feel a need to violate herself?

When twenty minutes passed without any drama, I brought her lunch. Cut-up vegetables, a cheese stick, some fresh bread, a cup of water. I stood in the hallway where I could monitor her reflection in the silver ceiling globe without being seen.

Lucy went after the bread first. She picked it up between her hands and squished it into a ball, then placed it on the floor and watched it slowly expand. Then she resquished it, until the bread was balled tight enough to bat around on the carpet.

She played with her food for a bit, content in her catlike alter ego. I wondered why a cat. What was it about felines that she thought would keep her safe?

After a bit, she picked up the bread ball between her cupped hands and ate it. She licked her hands afterward, then lapped up some water from the cup. The cheese suffered the same fate as the bread. She didn’t eat the vegetables but hid them under her mattress. I wasn’t surprised. Lots of kids hoarded food, maybe due to compulsion, or from a long history of going hungry. I left the vegetables for now, if only to see what she’d do with them later.

Thirty minutes later, I entered Lucy’s room to fetch her plate and cup. I kept my back to her. No displays, so we were making progress.

Back in the kitchen, I filled a smaller bowl with warm water and found a clean sponge. This time when I entered Lucy’s room, I sat sideways to her. She was by the window, studying a giant square of light on her floor, formed by the sun. She splayed her fingers in the sunbeam, watching the shadow made by her fingers. Then she turned toward the window, closing her eyes and letting the sun fall upon her face.

For an instant, she wore an expression that could almost be called happiness.

I gave her a bit. When she finally seemed to be tiring of sun and shadows, I picked up the sponge, dipped it in the bowl of water, and held it over my bare forearm. I squeezed out droplets, letting the water trickle down. I wanted her to notice this new, intriguing game.

I played for a bit. I dropped water here and there, making dark patterns on my clothes, the flooring, wherever I felt like it. When working with kids, it’s always helpful to be childish.

After a while, I could tell Lucy was watching me. She wouldn’t draw closer, but she was curious. So I stretched it out five more minutes. I splashed water on my face, trickled it in my hair. Then I got up and walked out of the room, leaving the water and sponge behind.

It was tempting to stop and watch. But she was a child, not an exhibit at the zoo. So I kept marching. One of our recent charges, Jorge, ran up to me. I agreed to play dominoes with him. Then it was craft time with Aimee, a twelve-year-old girl admitted for attempted suicide. She sat with her body collapsed on itself, drawing a black sky with black rain. I suggested she add color, so she dotted red on top of the black. Now the sky was bleeding.

I hugged her before I headed back down the hall.

I found Lucy, sitting back in the sunbeam. She had the water bowl beside her, the sponge in her hand.

Her face was finally clean. She’d wiped off streaks of feces, used the water to smooth back her matted hair. She sat now, with her clean face held up to the sun, and the small curve of her lips almost made my heart break.

The next time I checked in, she was gone. The empty water bowl and sponge were stacked neatly in the sunbeam. Otherwise, the room was empty. Lucy had flown the coop.

I didn’t worry at first. We’re a lockdown ward, meaning Lucy was here somewhere. I just had to find her.

I contacted the milieu counselor in charge of “checks”-accounting for every child’s position every five minutes. Greg had the duty, meaning he’d been roaming the unit for the past hour. He hadn’t seen Lucy-she was the exception to our five-minute check rule; her assigned staff member, namely me, was supposed to write down her location every twenty minutes. Greg passed the word along, and soon we were all on a Lucy hunt.