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My mom was recently hospitalized for the third time this year. Last admission in June, she did well post discharge until recently. She decided to sell her home last month and planned on moving out of state closer to her friend. She has wanted to do this for years but never had the courage to go through with it. She finally did and in the interim of moving she started to lose sleep and became suspicious and paranoid. I talked her into going to the hospital. Now she does not want the hospital to contact me. But the social worker did today after 6 days from admission because the Dr. "overruled" and said to call the family. She is still paranoid and wants to go to a nursing home. She does not have a POA but she also has no place to go once discharged. She will end up coming to my house until other arrangements are made.

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How old is she? Does she have a history of depression and/or paranoia? Have you asked them to evaluate for dementia? Do you have reason to believe that this might be what is going on? Write down every example you can think of as it may help get to the bottom of what's happening.

What kind of arrangements are you thinking should be made? I would not move her into your house. If you think she needs to be placed somewhere, by far the easiest way for that to happen is from a current facility. Let them know in no uncertain terms that you are not taking her to your home. It will be so hard to find a place and get her moved out of your house, unless she is 110% on board with it. Even if she says she is now, she could change her mind and make it reallllly difficult.
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Talk to the social worker again and make sure they know she is an "unsafe discharge". Hospitals and rehabs will do and say and promise just about anything just so they get the family to come and collect the patient.

You don't give any info in your profile, like if you'll have any help if you take your mom into your home, if you are still working, have a spouse/family, and whether she has the financial resources to pay for her care. Please think long and hard about taking her in -- eventually her care needs may overwhelm you on more than one level.

I'm not sure it was a typo or not, but does your Mom really want to go to a nursing home? If so, then help her do that. If not, keep talking to social services to get them to transition her to facility care. I wish you all the best.
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My mom told the social worker she wanted to go to a nursing home. My mom is 76 years old and does not meet nursing home criteria. She has been forgetful about taking her meds but only recently when she started to become suspicious/paranoid again. She accused me of taking her cane then she found it. Then she accused me of taking her purse and she found that too. Two weeks prior she was doing really well. Having normal conversations, she was excited about moving back to her home town. Although she was determined to move, the sell of her home was too much I believe.
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I hope a full round of bloods & tests has been done to rule out other conditions?

I would keep pushing hard for answers (although sadly I know not always found or treatable 😥)

I would also push back hard against a discharge to your home, because if your Mom feels she needs round the clock support right now I'd believe her. It may be very hard for just you. But then again, you may want to just wrap her up & bring her home ❤️ - I get that too.

I hope some answers are found soon.
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Moving into your house isn’t a good idea because she may never leave. Are you ready for that? The last thing you need is a paranoid person with other probable issues in your home. It’s one thing dealing with paranoia on a limited basis as you’re doing now and another thing living with it. She’s mentally ill. You have no idea where that will go, but it shouldn’t go where you live, Tell the hospital and everyone else that you don’t have the resources to handle her, and help them make other plans. You’ll be glad you did.
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