Unfortunately nothing is guaranteed in a third world country. Especially when it comes to medications. Example: a simple levothyroxine for a thyroid condition which is inexpensive and prevalent throughout the USA; sometimes just isnt available in Roatan. I’ve used GeniusRX for meds but that requires planning at least a month ahead for it to be delivered to you affordably. There are rarely any psychiatric providers here on the island. This island would not be a good solution for your son.