My son's issues were not compatible with a psych hospital.
Mine had bona-fide, diagnosed mental health issues that were being treated on an outpatient basis. When his substance abuse issues became genuinely frightening, we tried to check him into in-patient detox/rehab locally and he was 100% willing and wanted help at that point. They wouldn't take him because of "dual diagnosis." They were
only in business to deal with substance abuse, not multiple problems. But his mental health issues were being treated with drugs & therapy and seemed to be pretty well under control -- it was the extreme substance abuse, which most likely began as a symptom of the other issues (before they were treated) that really needed attention. Fucking useless morons with fancy degrees!
When your kid says, "dad I want to stop, I don't want to keep living like this, but I don't know how," and when you're thinking that maybe you won't be there to rush him to the ER next time he comes too close to the edge, then you start to get desperate. When 12-step meetings turn out to be bullshit, and when the IOP turns out to be just a way to meet new dealers and develop new addictions to drugs he hadn't done yet, as a parent who loves your kid more than anything, you start to lose it. You start to think that maybe some really radical things might be in order.
And you become easy prey for The Industry.