I think if you're going to commit to something such as longer term hospitalization again, you need a clearer understanding of your expectations - are you looking to make some considerable changes or just need a place to run too? The reason i ask is because i was in a similar position as yourself. Unfortunately there's no place to go. The choice we have is to try and face up to what's wrong or try and continue without the help we may desperately need. The difficulty a lot of the time is that our symptoms make it harder for us to make such decisions and subsequently deprive us of motivation anyway. What were the main issues with the previous hospital? If it was mainly lack of structure and/or decent therapy are you absolutely sure there are no other options at all? Sometimes you can get a better quality and/or amount of therapy on an outpatient basis. All i would encourage is you do as much research as possible - your doc might be better able to inform you about what's available. If you can express that this is what you require but this time it must be a more productive stay - i don't see why he wouldn't be in a position to take you seriously and acknowledge your needs. Perhaps he might be able to talk to the care providers from your previous hospital? From there you could develop a more appropriate care plan the second time around and even if the resources are limited you might derive more from the stay than just respite.