yea. first they send me involuntary to one in dallas and at any time at their discretion they can send you to this state hospital. which is probably 3-4 hours or more away from where i live. prob 4-5. the first hospital in dallas alone is an hour away. all of local ones are actually. im not sure meds can keep me out. well i guess really strong meds. but not just any med or any dosage.