I've got a situation where my mother refuses all outside or paid help and wants only family to do things for her. There are a number of things family can't do her because of the people involved and distances, and a self-neglect situation is slowly building. I'm wondering when the apparently inevitable day comes when I call APS what will happen? How much legal control can they take over my mother's life and her home? I want her to get help or be forced to accept help (she sure won't listen to me!) but I fear her being railroaded or losing more independence than necessary. Will I be starting a process that could end badly? Please share your experiences with APS good and bad, thank you!
secure parents? Both live within 30 miles of their parents and are still working with families?
The only way you can get legal control of her is to petition the courts for guardianship (Conservatorship) and my mother's lawyer has already warned me that they don't get involved unless the elder is facing "imminent" eviction or medical crisis. As has already been mentioned, it can take years even if you qualify. The courts and the doctors are focused on protecting the "rights" of the elderly and unfortunately for the caregivers, their "rights" can destroy our health, sanity, finances and even our physical safety.
You are powerless until they are powerless. What a world.
If the person becomes tempermental- just walk away from the situation until you can get a witness. Try getting mediation first. If you call APS they may send the police and not necessarily inform the police of what all transpired ahead of time-- their role is to protect the elderly person at all costs-- if your voice sounds young over the phone, they are even more likely to send the police at your expense -- The older the person gets, the more demented they get, the higher the probability of them becoming both verbally and physically abusive-- so please take care of yourself first... Good luck!
There are other organizations around that can help, where the laws don't. I would ask someone at a local senior center, adult day car, elder care, police/sheriff, hospital or non-profit coordination group if you have one in your area, to get ideas on what, if anything, is available where your mother lives. Just the comments on here about APS...both good and bad...would lead me to only call them at last resort. I would investigate other services in your area and research the trials and tribulations of aging parents (many good articles & experiences shared on this site) before going to APS.
In that case, I just let go and let God...that is, other family finally jumped forward, believing her accusations, and came and got her out of our home.
It was an ugly process.
We'd already had Social Services out to the house to evaluate for 2 hours--they needed to stay just about 1/2 hour longer, to see her start her behaviors...she was able to put on a pretty good front for 2 hrs, then she started losing grip...but by then, they had gone.
She'd been in the hospital for an emergency situation [bleeding], yet, the psych eval failed to show the Doc her behaviors--she stayed only overnight, and staff is very busy. They had a sitter with her, due to her sometimes suicidal statements.
But the sitter failed to pick up on her behaviors either--but then, sitters are not trained in psychology, either.
So she escaped true evaluation there too.
We did make a few calls to 911 to request wellness checks, when Mom was in her own home. It didn't reveal anything then, except the huge mess they lived in, and the filthy chronic hoarding
--they were not able to get her out of there, until there was a fire--nothing huge, and no one was home, but firemen had to traipse thru the place
---which got reported to County, which meant the place was condemned for human habitation.
Which was how she was finally removed from her home, and step one of how she ended up living with us for 6 years...and it then took nearly an act of congress to get her out of our house, when she was endangering us.
.
Legal guardianship and POA's are a good thing, when done right.
Mom chose to give those to my siblings.
I just let it all go.
SOmetimes, one or more kids cannot cope with the elder's behaviors.
It is OK to let others take over care.
I hope you find a way that works for you..
Perhaps start by calling "Wellness Checks" on your Mom, via 911.
It can be anonymous.
Those reports have descriptions, and are legal records, and describe situation so others can use those reports as part of assessments of the elder.
If conditions inside the house and grounds are bad enough,
Social Services get called in.
Social Services are NOT APS, but, can involve that agency, if needed.
But usually Soc. Services try to work with family members.
- How is Social Services different from Adult Protective Services?
- I had wondered about 911, I thought you could only call if it were an emergency? I am in another state so would calling 911 for my mother's city work? I can picture this coming up.
My mother too is a hoarder and the state of her home is of concern to me. She has had some falls but apparently has really strong bones and not broken anything. She refuses to wear a life alert. She has crap all over the floor only very narrow clear spaces to walk. I have begged her to hire regular help for all the household stuff (including clearing walking spaces) that she's unwilling to do so - she adamantly refuses, tells me she doesn't want people in her space and how she lives is "good enough" and how she's "very careful". I'm not sure where the line is between respecting her rights as an independent person and allowing a dangerous situation to exist. She has always been a hoarder and had trouble with housekeeping so these are not new things - just more dangerous to her now that she's elderly.
When I called to make appointment for Social Services to come out, I started by contacting our Area Agency on Aging.
Hospitals have Social Workers, too.
If I intended to stir up a hornets nest, I would have called APS directly--kinda like calling CPS directly--or, started by calling 911 and filing a report that some sort of abuse or neglect might be happening---but since Mom was living under our roof, I knew there was no intentional abuse or harm to her--there was to ME though!
But APS was not concerned about protecting me, even though I am disabled--I am abled enough, they figured I should be fine. .
Anyone with an at-risk friend or family, can call 911 IN the tTown where the at-risk person is; ask sheriff/police/911 people to do a health/wellness check on the at-risk person. Tell them your concerns, they go check at that address.
They report if the person let them in, talked with them, or otherwise needed help or refused it. They write their report. They include [supposed to] what they saw in or around the home.
They might also speak with neighbors about the at-risk person.
ADVICE:
Hoarders do not "do" maintenance like cleaning / making order of chaos--probably most of their lives. Order is beyond them.
There are many causes.
Hoarders do not call or allow help, unless they cannot cope--and often, not even then. Piles of junk can cave in on them, and it makes no difference. They can injure themselves on the junk, complain terribly of injuries, yet refuse to clean up.
Their fear of change, invasion, losing control, fear...you get the picture.
Their fears do not allow them to let people in, much less to allow cleaning to happen.
They will usually feel terrible about the mess, but powerless change, barring catastrophe--and even then, will return to pathological hoarding as soon as they can manage to do it, as that is their comfort zone. .
In Mom's case, she & her DH had lived as they did, for almost 30 years...being careful. Then he had a heart attack, got hospitalized. While they were both out of house, someone turned on the gas heater in the bathroom...one of the few appliances that almost still worked...it could have been Mom taking a bath, but it coulda been someone else--not naming names--but someone intending to put a stop to them moving back home for good and all.
The next day, we went to pick up a few things she wanted; the gas on the kitchen stove was on to several burners--another attempt to blow the place up
...not saying it was a certain person, but it seemed to point that way
...for all the right reasons, the wrong thing.
It nearly blew us up, as one of us was smoking when the front door was opened...
We were all trying to respect her rights to privacy--but at some point, it had to come down to whether to allow them to die in that terrible mess,
or make it impossible for them to move back home, by taking advantage of the circumstances.
Not all elders in that mess, have an emergency situation yet.
But sooner or later, one happens.
IF an elder like that is hospitalized, one might take advantage of that, by reporting it to Social Services at that point, letting them know that now the elder is in the care of the hospital, they really need to make sure the elder never returns home--perhaps move them to some level of elder care home...just not their own home now...the hospital that allows an elder who is not thinking clearly, to move back to unsafe conditions, might be accused of elder neglect, or "patient abandonment"
IF the hospital does it, THEY are the "bad guy" in your Mom's eyes.
If you did it, she'd be furious at you.
My Mom didn't blame her kids for her house fire; one of them might have turned on the gas on the stove...trying to help things get closed down.
The hospital that treated her DH, was OK sending him to shelter in my sibling's home, with hospice called in. That worked until Mom begged me to bring them 2 States away to live with us...
THAT was a big mistake.
I was willing to put up with a certain amount of her hoarding, and a certain amount of her filth, but when she caused a burner fire, kept lighting candles in her room with the piles of stuff, escalated being emotionally, verbally & physically abusive, it was past-time for her to get moved out.
It was amazingly hard to get any agency to help that process.
LUCKILY, though, her own mouth and propensity for saying horrible things about a target person [me] ended up getting her moved out of here by my siblings
--who bought into her rantings hook-line-&-sinker.
I dislike what they did, but there is not much I can do about it
...and the end result was, she no longer lives here.
IF no other people are around to take her in, & you are out of state,
that might be your opening to get Social Services to help find her safer shelter near where she currently is, instead of making you take her in--I highly advise that taking her in, given her habits, could be dangerous for you, as she WILL do at your place, as she did at her place.
Social Services is not necessarily APS, and, they should not prevent you from getting POA or Guardianship...no proof you caused your Mom harm.
She has not been living under your roof yet, though--if she was, they wouldn't be helping find her alternate shelter.
It sounds like they would only be stepping in to make sure she is safe, then moving her into safer shelter where there could be some assistance when they can see she needs it--but States are broke--they will put it off as long as possible.
IF you are the only child, you still could end up with POA and guardianship, even if APS handles the case.
Hoarding cases are very tough...not so much demented people, just very fearful. not rational, but not necessarily mentally ill...though some could easily debate that, since anyone who hoards badly, has SOMEthing unbalanced, particularly when they are not doing anything constructive with their hoarded stuff.
Mom mostly sifted thru her stuff; rarely did anything with it by the time she got to our place...she did move as much to other storage places as allowed
--she finally went ballistic when I refused to help her hoard one more thing...
I drove her up to visit her hoarded junk at a rural site, left her there,
then informed my sibling where she was, that he was needed to give her a ride now, that I was refusing to give her rides now, since she had started using any rides as a place to attack me.
Then I walked out and drove away.
He brought her home later, but things got worse yet.
Sibling not happy. Mom furious.
Social workers had been to the house about 2 weeks prior.
Within about a week, she was moved to another state with another sibling.
==Might call that a "perfect storm" of events, that ended up with the necessary results.
It was hell to go thru, but it worked.
Because of Mom's terrible habit of making awful false accusations, all my siblings refuse to include me in family anything, for several years now.
Last time Mom tried to call, was several months ago--drunk, trying to get me hooked back into doing her dysfunctional bidding.
They have all said and done some rotten things.
I forgive them, but not required to let them back into my life to keep doing that stuff.
I can best honor Mom by doing what is needed to heal my hurts, & remember the good things she did do...hold onto those & let memories of the bad stuff fall away...just not allow myself to get sucked back into that ever again.
I pray you find the best way for your Mom to get help.
She will not likely seek it herself, unless something forces the issue.
I do not mind answering your question.
She is my Mom.
I love her unconditionally, always have.
She has no memories of that--at least in the personality she often locked into.
I know how she got the way she is.
I know how mentally ill she has been all her life--even her family worried, but they never helped her get help--they helped her optimize her abilities--which were considerable.
She cannot help how she is.
I thought that living in smaller area, would limit her junk.
I had also promised her mother, my Gma, that I would do what I could when Mom needed helped later, since Gma was so stressed what was to become of her daughter when she was gone.
I believe in keeping promises as well as possible.
In the intervening decades, I developed health issues, became disabled.
BUT, didn't think it was going to be as bad as it got.
My siblings never said anything to stop it or to advise otherwise.
Mom was adamant, begging me to move her here--I believed her.
[[OK, it was stupid to believe her, but one had to have been there...]]
--None of them wanted her in their homes either...well, not exactly
--one of them took her in for a few months, & as soon as it was possible, moved her back here; as soon as she was here, that room at the siblings home was stripped & remodeled into something other than a bedroom.
The same sibling ended up taking Mom to their place when she had to leave here 6 years later.
That sibling is in a state of denial larger than I was about Mom's severity of behaviors.
Sibling says "everything's fine".
Mostly, she refuses to say anything.
I never bargained on how vindictive my siblings were when behaving badly. They are basically good people, loving, caring.
They are also heavily programmed by Mom, as they all lived with her far longer than I did.
They believe her accusations. Just as I believed Mom's assertion that she felt unsafe staying with them at the beginning of this Odyssey.
I thought there had been enough years gone by, we could manage to live under same roof.
I had no other information to direct the choices
--I didn't want Mom to become a street person.
I saw no other option at that time.
My siblings never stepped forward to volunteer to take her in then.
Nor did anyone suggest there was any other place she could go, otherwise.
You see, it is never quite a simple solution up front.
Things are complicated.
We make decisions based on what we know at a given time.
But hindsight is 20/20; it seems I should have been able to make a better, more informed decision...just not so simple at that time.
Later was too late.
Once a family member takes an elder in, State feels they are best left there, barring catastrophe
--they do not consider Prevention.
The State waits until catastrophe happens, THEN might step in.
In other words, if I had let the house burn down when that burner fire started, they would have stepped in then; they might have stepped in, if she had been making her worst accusations when they came to the house, but I was the one with the bruises on the arms, not her..
But they refused to help, if it was merely a matter of nasty living conditions.
Mom refused to allow the Social Workers to look into her room.
I showed them a photo, but that was not much considered.
I had already got rid of the mess she'd made in the hallway, as it blocked anyone else using the bathroom.
In the eyes of the State, she was OK where she was.
None would listen to me about her abuse upon me
Caregivers are not well-protected from that at all, not in their home, & not in institutions.
There are holes in our Systems--need work to get them working better.
I finally had to get out of that trench & take a different path, for my own safety, and to better care for my own family..
I took that responsibility as long as able to do so, but no longer.
I pray my siblings do not have to go thru what we did at our place. OTH, maybe they should...maybe then, they will see thru her delusional accusations...but the damages are pretty much done--
I do not feel safe letting them into my life anymore--they devolve into Mom's behaviors targeted at me...
I chose to change--they have not, as far as I can see.
That causes people to behave oddly, when one person they are used to seeing behave like them, suddenly changes...they must change, or must leave me out of their lives, since I no longer want to act like them.
Sound familiar?
It is--it's repeated often in Dependent/Co-dependent healing circles: A person can change, & those around them must also change, or these must part ways.
My family members parted ways from me, the one who chose change.
It might help if you prepare the social Worker by telling them what you have observed in your elder person....give them some clues what he's been doing, and, what has been done that might cause him to be unsafe if left to his own devices.
That way, the Soc. Worker can look for those behaviors, or try to get the person to act out the same way.
With any luck, he wll jsut do his behaviors for teh Soc worker.
But they are so good at hiding it when they need to...
Sure hope things go well to get him the help he needs!