My aunt is 73, we just saw her this past weekend, she came for a visit; my family and I believe she is living in a very unhealthy and dangerous home; we don't know the full extent because she doesn't invite us over however she has lost 30 lbs. in the last 6 weeks and we do not believe she is eating right or bathing and does not have proper running water or a working washer and dryer so her clothes always have a terrible odor. About a year and a half ago she got hit by a truck and had severe head damage but she survive although the accident has made her mentally unstable. She will not listen to any of our advice, we asked her to go to the doctor and to get some of the stuff fixed in her house but she just doesn't do anything. We are afraid that she is going to hurt herself or someone else will take advantage and hurt her. She will not accept any help so we are thinking that we have to get an outsider involved; do we contact the state? How do I go about doing that? She lives in a different area than my family, my mother lives the closest to her, and she’s an hour away so it’s been difficult for us.