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My brother ended with living with me because his wife threw him out. His dementia has gotten worse. I need some advice on how to set up some conditions for him to living in my house that I rent.

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People with dementia are not capable of adhering to a program of of "set conditions". I am so sorry.

I think it was a grave mistake to take your brother in. Apparently his wife was unable to deal with his dementia. She is however his wife and responsible to provide him the care he requires, or allow the state to do so.

I doubt you are qualified now to provide to your brother 24/7 care of several shifts with several workers each to keep him safe and relatively content. Are you?
So it is time now to work with his wife. If she is divorcing you may need temporary guardicanship in order to place your brother.
Trading in "beloved sister" for "caregiver" is a grave mistake that will not cure anything nor make it happier for anyone, including bro and yourself.
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Reply to AlvaDeer
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He won't be able to deal with those conditions. You need to find a care facility for him to live in.
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Reply to JustAnon
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Your landlord may not be happy with your brother living there. Check your lease! The lease may not allow it.

I had a next-door neighbor who rented a house from another neighbor. My neighbor mostly lived elsewhere with her boyfriend. One day the mentally ill adult son of my next-door neighbor showed up. He'd previously been living in a mental hospital. On his first day there, the son started freaking out, yelling as he kicked the outside of the house, and so on. The neighbor who owned the house got rid of him pronto, terminated the lease with his mom, and put the house up for sale. He said that he couldn't risk the disturbance of the peace or allow the son to be in danger from angry neighbors who were afraid for their kids when the son was around. Nor could the landlord take the risk that the children would be harmed.

You've embarked upon an entirely new situation here. You might have set yourself up to be the default caregiver, but I doubt that you are prepared to provide 24/7 care for a frontal lobe dementia patient. Have compassion for your brother but don't expect that you can caregive someone with such grave needs. He needs institutional care.
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Reply to Fawnby
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You need to get him into a memory care asap. You likely have no rights managing him or access to his finances. Please contact his wife and tell her she needs to make major decisions now. She is likely getting his social security disability! She has all his insurance information. I would tell her "Either you work WITH me & get him help OR I am signing him up for Medicaid and Medicaid will come after every penny of your estate to pay for his care."
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Reply to Caregiveronce
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olddude Nov 12, 2025
Exactly. Send him back to his wife. He needs to be in a facility, but you cannot do this. The wife needs to handle this.

Takes a real brass pair to do what his wife did.
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Frontotemporal dementia (FTD) can result in impulsive, unpredictable, and even reckless behavior. Your brother needs some medications to bring his behavior under control. Call Adult Protective Services and tell them he can't safely live with you. Hopefully they can get him hospitalized to help stabilize him and then work with his wife on what happens going forward. It was good of you to take him in and I'm sorry it is so challenging.
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Reply to MG8522
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I am assuming you mean frontotemporal dementia (FTD). My father had it, the behavioral variant.

Please see: https://www.theaftd.org/

and consider joining:

https://www.ftdsupportforum.com/

FTD is terrible to deal with, especially if the person is not medicated. Rage, destructive behaviors, manic obsessions, or by contrast total apathy, lying, and total lack of empathy or caring are common. it is very common for them to not know or care that they have dementia and also to lose the ability to understand that other people are people, with feelings and perspectives of their own. It’s quite likely his wife kicked him out for good reason, but he won’t see it that way. He may no longer care about her.

If he has FTD, most likely you can’t set up any conditions. They will be meaningless to him. He may nod or agree and then continue to do exactly as he pleases, which could be behaviors dangerous to himself, you, and others. It could involve doing things that damage the house or property, put himself or you at risk or are even illegal. I’m speaking from experience!
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Reply to Suzy23
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Call APS and have him placed.
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Reply to JoAnn29
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