How is it going? I had a brother who was somewhat like your brother. He lived in squalor. Was in and out of hospitals. Last year, he overdosed, so he's gone now.

As far as getting him transferred, the hospital social workers should have been working on that. I'm sure they did, to some extent. But I know hospitals will dump that on family, if they can. (I have a good bit of experience dealing with hospital social workers.).

I respect the doctor's refusal to transfer your brother to a homeless shelter. Just staying at the acute care hospital may have been the best thing for him . . . while it lasted. If an accepting, subacute facility can't be found, let that be the hospital's problem. It's not your responsibility to make up for a healthcare system that is refusing to accommodate your brother's need for care.

I'ld be interested in how this got resolved. I've known of other situations where individuals were not placed in facilities appropriate to their needs. I've known of individuals with serious dementia who were left living on their own, despite gross self-neglect. The system is corrupt. (And it's all about money.) Sometimes the best way to advocate for a family member is to hang back and refuse to solve the problem for the hospital. Let them solve it. There's people who have put less effort into "placing" their own parents, who had none of your brother's issues.