Firstly, I'm sorry that you are dealing with so many issues. I hope you can get this under control. Secondly, I assume you have a psychiatrist. I would make sure you have consistent follow-up with someone who knows what they are doing. Unfortunately I am not familiar with any major medical centers in south carolina to recommend anyone specific (the closest center I know of is UNC, and that may be way too far for you). In any case, a good psychiatrist will work closely with a social worker, who should be able to help you sort out your concerns regarding the practical aspects of obtaining care. Furthermore, it sounds like you could benefit from occupational therapy and counseling, which the social worker and psychiatrists should be able to set you up with. Don't worry about insurance right now. If needed, you can get Medicaid to cover your mental health bills. The important thing is to get good follow-up, and make a plan of how you are going to integrate yourself into the society to the best of your ability. Desiring to get committed is not productive, and I don't think anyone is happy at a state psychiatric facility.