What to do when no one can help anymore

My Dr wants to put me in a long term facility because I can't do anything anymore. It takes me all day to get out of bed and I feel horrible when I go out. I'll be damned if I have to go to a group home. He said people there will help me. BS! I was in a halfway house in the 90's after I got ECT and I had teams come to my house 10 yrs ago and it was all a complete waste - none of them tried to help me. None of them were educated and they would come to my house and not say anything or else they would push me around so I told the team Director I was quitting! And I've been to tons of day programs which were a waste of time - the people who run those place don't try and help anyone. (It was like the blind leading the blind.)

I don't know why I haven't been able to pull myself together the last 45 yrs but my main problem of not being able to identify with myself (and my mood disorder) started in my teens/20's when I started dissociating and nobody has been helping me with this the last 20 years.
I've done TONS of things in my life to try and get better: go to college, work, exercise extensively, travel, therapy, meds, hobbies, etc. and none of it ever helped..