My father was living somewhat independently until a month ago but this arrangement was not safe for him due to chronic substance abuse and mental health issues. He was not paying bills on time (or at all), was paying for two different auto insurance policies for his car, frequently fell and had to call an ambulance, frequently tried to drive while intoxicated, could not remember how to turn the oven off, and ended up in the hospital twice in three months with injuries related to falls, malnutrition, and urinary tract infections. He was unable to speak clearly, walk, or remain oriented for weeks after these incidents. Two different doctors have now diagnosed him with dementia and have recommended 24/7 care/supervision. We tried in-home care and my father refused to let the people in. Following weeks of hospitalization, a SNF stay, and a stint on the psych unit of a hospital, my father is completely detoxed and his medication is regulated properly, so he is once again ambulatory and mostly lucid. My father is extremely intelligent and well educated and can carry on lengthy conversations about a range of topics. He is desperately unhappy in his current living situation (a memory care unit) and it is true that there is no other resident at the facility he can discuss politics, books, etc. with. He is a flight risk and would immediately leave any less restrictive setting in order to resume drinking, which would quickly result in this entire process starting over again. My siblings and I are at a complete loss as to what to do with him. With regard to his current cognitive/social functioning, he should be in an assisted living facility with other well educated, outgoing adults -- but he would quickly begin to drink again and his mental, physical, and emotional health would deteriorate rapidly, resulting in yet another hospitalization. . .