I have personal experience with this as someone in my home had a psychotic break last year. We brought her to the ER twice in 3 days, but they wouldn't keep her. Local mental health administration ignored my emergency calls, her family wasn't local to us and was unsure of what to do. Took her to an ER 40 miles away and they were able to make arrangements to get her into a facility. It took almost 2 months of inpatient treatment to get her to come out of it. I wish my kids hadn't seen what they had to see but we literally had nowhere to go. Scariest and most frustrating thing that I've ever been a part of.