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Most treatment centers prefer patients to self-refer. When a physician or nurse calls to make you an appointment, you’re less likely to complete treatment than if you actually arrange it yourself. The same goes for family members getting you into treatment. In addition, there are often a shortage of beds and treatment facilities, and there may not be a bed available for hours or days. The ER can not keep you until then. Hopefully, a family member can help you until you get into treatment. A social worker in the ER may also be able to help problem-solve the best option for you too. Finally, inpatient treatment may not be the best option for you. Most people succeed with outpatient treatment options, and I would encourage you to give those options a try.