When you have a 16 y/o who has been in psychiatric care twice, and still haven't learned what do you do?

She's 16 but behaves like a 5year old sometimes 12 on a good day, oh and she's in Intensive Outpatient Therapy, and sees a shrink, is on Abilify for Mixed BiPolar Disorder but you secretly believe her to be a narcissistic borderline personality, who has no respect, no manners, even though you taught her, is a monumental brat (your fault because you overcompensated for divorcing her Daddy whom she was always closer to) who is a pharm freak and basically does whatever pharmaceutical drug (Xanax, Valium, Ritalin, etc) she can get her hands on, and refuses to follow the rules, manipulates, lies straight faced and has eves without a soul, do you kick her butt into rehab even though you know it won't do any good and her birth father won't help by taking her off your hands so you can focus on your two other children, kick her out, give her up to the state or get all touchy feely and try to help her even though you get egg on your face every time you do and you know that she won't change and grow the hell up until she finally faces herself