I have an older neighbor (60's) who is physically unkempt, mentally challenged and home is totally roach infested. What agencies can help?

Adult Protective Services is the place to start. Since this problem is so obvious, there shouldn't be any problem with them doing something once they conduct a welfare check. Thanks for caring!
Carol

Jacquie, I would just call your Dept. of aging. Once you tell them the facts, they will know which Dept. you need. Your neighbor is blessed that you care enough to get help for her.

JacquieS, call in your local social services without a qualm. This lady needs help, and she's lucky that you're paying attention. But if you're still worried about acting on your own initiative, would your church's minister be willing to intervene perhaps?

JacquieS, is there anyway the church that you and she attend can help out?

You can call 211 in almost any community and be provided with a list of agencies and resources in your area. God bless you for caring.

It's the town and/or county health department that enforces ordinances. Copy your township manager and/or homeowners association on your written complaint and follow up with phone calls. Take pictures and/or video. Start documenting but do not trespass to do so. Good luck.

Have nothing to add except God Bless you for caring. Most people, including your church apparently, would just ignore the situation. Good luck.

She has refused help from senior services; she won't let them in her house.

I then social services has to petition the courts for consevtorship.

My mail just came and it made me think that might be a good time for you to document her condition without having to trespass. Unless her mail gets delivered to her door, she'll have to come to her mailbox. If her mail is delivered to the door you might ask the mailman if he feels safe doing so. If the house is in such disrepair that the mailman has to run an obstacle course to avoid roaches then that's a work hazard he'd probably love to get rid of. It's a long shot no doubt but the mail is federal and that trumps local. Many states have forced people with aggressive dogs to get curbside mailboxes so as to protect the mailman. They take safety seriously.