She started running away from home last year, but she would leave for 1 noght and she would go to school the next day. Now she is not coming home from school, and not returning home till we find her. She is sexually active and aparently she doesn't care about her body, and sometimes she evenn jumps out the window in the middle of the night. Now she has no respect for my mother what so ever, she started cussing at her and embarrassing her anywhere, what should they do? They gave tried counceling, a half day program @ a hospital, she even moved in w/ me a while, but eventually my parents wanted her to move back in w/ them... I need some really good advice, my mom can't take it anymore, her mother passed away not even a month ago and my sister really isn't helping the situation... We need help!!

Did something happen last year when all this started?

Some serious tough love is needed,put locks on the windows so she can't get out,bring her to school making sure she gets into class,walk her into class if you can.

Collect her from school,she does not get a say in anything she does until she starts behaving and following the rules.

Its hard to keep it up,but it will work.

No TV no phone no computer,no privacy, example she gets to be on her own when she's in bed,no light bulb! Straight to sleep and a bed time, bare minimum in her room,food clothes and oxygen is all she is allowed.

As her behaviour improves she can be allowed some breathing space.

Get her to the doctor for a full work up,including tested for sti/std's.

She will kick up a fuss when this is implimated,but you/your parents will have to stick it out it your to turn this around,at 13 now it will only get worse as she gets older.

Councilling,a must.

A babysitter for when your parents need a break.

A list of house rules that everyone sticks to and the consequences listed,she has to pull her weight in the house.

If she thinks she being hard done by with no phone,computer,TV,you can get quite creative example,one set of clothes,no 'nice' food,example icecream,choclate,it all adds up.

After a while of this and it won't take long, she will start to tow the line.

This is hard core parenting,and your parents will need support to follow through.

Just to add to what red said, I would also have her tested for drugs.

What was she like when she lived with you?

Did something happen to her before she started acting this way?

You parents might want to take her to the doctor, have her tested for drugs and STD. If they can, they really should keep up the counselling.