In general, it is difficult for family members to get their loved ones transferred from one inpatient facility to another. There are certain factors that may impact, including the type of care the person is receiving, who is paying for the care, and whether the care is being provided in a public or private facility. Achieving a transfer will be difficult under any scenario.
If the care is being provided in a public facility (e.g., a state hospital) and is state financed, you will have limited leverage to request a transfer. An option may be to contact the state mental health agency or the local agency responsible for mental health care in the county to explore options that are available.
If the care is being provided by a private facility and is covered by private insurance, you may be able to work with the insurance company to request a transfer, particularly if you can make the case that transferring your loved one to a facility closer to home will improve treatment outcomes and potentially reduce costs. Generally, this will be limited to intermediate care facilities, such as Residential Treatment Centers (RTCs). You might wish to contact your insurance company to explore the possibility of a transfer using the insurance company’s grievance/appeals process. But, even this will not be easy. And, the difficulties are compounded by the overall lack of available inpatient beds.
If there is evidence of mistreatment (e.g. overuse of restraint or neglect or failure to get medical care) or abuse in the facility your loved one is currently in, then the transfer may be more possible. You may wish to contact your state’s mental health authority and/or your state’s protection and advocacy agency, since they are responsible under federal law for investigating allegations of abuse and neglect. You may also wish to contact the patient rights ombudsperson at the hospital itself, if one exists. Finally, as a last resort, a possibility might be to contact the local field office of your U.S. Representative or State Representative, since an inquiry from a Congressional office can sometimes spur positive action.