Maxine confronts the D. C. F. commissioner over his budget cuts when she discovers that young girls in the foster care system are being moved from group homes into a locked psychiatric facility to save money that is evidently being redirected towards decoratating the commissioner's office; when Todd is about to be fired for bucking hospital protocol in an effort to save a young boy's hand, Kyle stands up for him despite their ongoing conflicts; after an Amish teenager becomes pregnant during rumspringa and decides to return to her community with her daughter, the child's father countersues for sole custody, and Amy must make the incredibly difficult choice between having the mother be shunned by her family and the father never seeing his child again; fearing that Maxine is spinning so out of control that his job is in jeopardy, Sean cuts back her hours and strongly urges her to see a therapist; concerned about the effect that peer pressure at her public school is having on Lauren, Amy go