They have a special care unit in the nursing home where Daddy is but if they become combative or really restless, or holler like Daddy does they make them go to the mental hospital so they can adjust their meds. If they are still acting the same when they come back they will ship them off to a mental hospital for good. I don't want my Daddy to be instituionilized. So far I cannot see anything different that they have done that they didn't do in the nursing home. He is still acting the same, but they have 5 more days so maybe he will get better.