That’s how it is here too. There’s no ip in my town, they have to drive you hours away and often out of state. When I first moved here 4-5 years ago there was an ongoing investigation reported in the newspaper about the lack of mental health care. As a result 5 counties got together and built a facility but it’s mostly outpatient and mostly for the one city that it’s located in. I would not want to go ip here. They do have a geriatric unit about 50 minutes away that I probably qualify for now, but that’s usually full too.