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My father is incompetent, threat to himself and others, delusional, and needs immediate psychiatric assessment. All documented by his family physician. Dad refuses to get any help and I can't get any help to get him out of the house to get the assessment. What do I do? The house is mine.

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Have a DURABLE Power of Attorney drawn up IMMEDIATELY - & I MEAN NOW - ASAP - BUT it HAS to say DURABLE - that word is incredibly important - I have one for my mother & I've had to use it many times - but do it NOW.
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Well, a DOoA would be useful around now, but for any power of attorney to be valid, the person signing it has to be both willing and competent to sign it. If he has lucid/competent periods, you might be able to get him to sign it during one of those. Is anyone likely to challenge the signature? If your father is really already incompetent then it's too late. At that point you have to get a court-ordered guardianship and that can be a challenge to accomplish. The main thing you have going for you is that it's your house, so legally you get to say who's in it. If he's a threat to himself and others then he should be in a professional facility, which is not your house. You need a strong stomach for this: if you say "you can't stay here any more, it's just not ok the way things are" that will require other options to be looked into. You'll have to deal with your own heart or other people saying you're "kicking him out" but in fact it may be the best possible thing for him. Find the best possible alternative destination for him and then enlist the help of your local social services AND his physician in getting him to go, more or less willingly. Get yourself a good elder care attorney while you're at it, who can also help you establish guardianship.
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I had to arrange for the the assessment to come to the home, by a psychiatric evaluation by a certified personal, or you can have the human wellfare society come in from the area, but if they have to intervene, I highly suggest you get the facility picked out and pull 10 years of financial records together before you go ahead with your plan. Because if you let either one of them reccommend a facility they will not send him to a healthly enviroment and it will haunt you for the rest of you life, ask tons of questions and ask to see complaint records and search the internet and this is a good resouce for facilities. YOU WILL NOT GET DURABLE POWER OF ATTORNEY WITHOUT YOU FATHERS CONSENT AND SIGNATURE AND THAT WILL NOT HAPPEN FROM WHAT YOU SAID. YOU CAN ALSO HIRE AN ATTORNEY AND YOU WILL WIND UP GOING FOR LEAGAL GAURDIANSHIP AND IT WILL TAKE ABOUT 6 MONTHS TO A YEAR TO AQUIRE. MY FATHER THOUGHT HE COULD TAKE CARE OF MY MOM WHO HAD BRAIN DAMAGE AND I WAS POWERLESS WHILE HE WAS CONSIDERED CAPABLE BY DOCTORS, IF A DOCTOR HAS ALREADY DEAMED HIM A THREAT TO HIMSELF AND OTHERS ALL YOU NEED IS ONE OTHER PERSON OF DOCTORIC TO SIGN A PAPER ALSO AND YOU CAN GO FOR LEAGAL GURADIANSHIP WITH GIVES YOU FULL POWER TO HAVE HIM REMOVED FROM THE HOME AND PLACED UNDER PROTECTIVE CARE BY A CARE FACILITY, i SEARCH OUT A SENIOR PLANNING ORGANIZATION FOR HELP, WARNING IT WILL COST YOU A MINIMUM BETWEEN OF $3000 TO GET THIS ALL DONE AND NOT COUNTING THE OUTRAGOUS COST OF THE EVALUATION BY A CERTIFIED EVAUATION, i AM USE YOU FATHER WILL NOT LET YOU USE HIS INSURANCE CARD TO DEAM HIM INCAPABLE TO TAKE CARE OF HIMSELF, AND THE COURTS WILL APPOINT A GUARDIAN EN LITEM TO EVALUATE HIM AND YOUR INTENSIONS AND IF THE FINANCES ARE NOT THERE FROM THE PARENTS THEY WILL PLACE HIM ON TITLE 19 AND THE FACILITY WILL EXPECT YOU TO PAY OUT OF POCKET EXPENSES TILL TITLE 19 TAKES AFFECT AND IF YOU DO NOT HAVE THEM DOWN TO $2000 OR LESS IN INCOME BEFORE TITLE 19 TAKES AFFECT AND IF YOU DO NOT GET GUARDIANSHIP BEFORE THE TITLE 19 TAKES AFFECT THEY WILL DEAM YOU OF MISAPPROPIATING FUNDS AND TAKE AWAY TITLE 19 AND WILL NOT REIEMBURSE YOU FOR ANY EXPENSES CONCURRED AND EVEN IF YOU DO ARBATRATION TO PROVE YOUR GOOD INTENTIONS THEY DON'T CARE AND THEY WILL TELL YOU IT'S OK AND THEN SOMEONE GOES ON VACATION AND SOMEONE ELSE STEPS IN AND SCEWS YOU OVER BECAUSE THEY STUCK THERE NOSE IN WHERE IT DIDNT BELONG AND THEN YOUR SCREWED. BECAUSE ONCE IT IS FINAL THEY DON'T CARE AND YOU WIND UP 13 THOUSAND INDET TRYING TO HELP A BAD SITUATION AND KEEP YOUR PARENTS SAFE. TALKING FROM UP CLOSE AND PERSONAL EXPERIENCE.
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You can call his doctor or write him and explain. They can send over the VNA association to assess right in your home. When I couldn't get mom out the dr sent them to us, now for bloodwork if needed also so good to have. Have patience , it I'll work out and he senses your feelings. Tough to get old:0)
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I just went through similar situation myself with both of my parents and a DPOA. I had to get an attorney and petition for Guardianship. Get an attorney that will get you an immediate emergency Guardianship. Then the court will send to your home professionals that will go to and evaluate your father and report to the court. In the meantime you will have temporary emergency guardianship. The whole process can take 60days until the court determines the level of Guardianship. Info yourself of all that entails.
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This sounds like a rough road ahead
Be sure to care for yourself
Dont ignore warning signs that are there telling you he is a danger to himself and others
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OR, you can apply to be your Dad's guardian - not the best route, but...
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