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I have spent the last year trying to find an attorney, aging agency contact or social contact to help me with my issue and there is nothing! I have been estranged from emotionally abusive, narcissistic mother for years. Not enough space to add the details but, after her fall, I now find myself having to take care of her and I can't do it anymore. There is no help from siblings. They are out of state (on purpose) so I am left holding the bag, so to speak. I could go on for days as to what this has cost me financially, physically, emotionally and mentally. I can't get away from her and can't leave her sitting homebound with medical needs she refuses to pay for. I refuse to get guardianship. Please don't go into "Filial Law" as it's been exhausted. Four attorneys later and there has been no help. They tell me while I can't be "forced" to be her caregiver, there are laws against abandonment and neglect. I'm damned if I stay and also if I walk away, which I really, really need to do. I am needing some solid legal advice and there is none to be had in Arkansas. I am not an appointed (or voluntary) caregiver, conservator or guardian. She does not qualify for Medicaid or any social services and cannot drive/is homebound but still mentally able to handle her own affairs (just too lazy to do so). She refuses to make Dr. appointments and do things that are crucial which results in me doing them for her because someone has to. Please, constructive, helpful answers only. Thanks!

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I think I missed any medical dx/illness besides a recent fall & 'sitting homebound'.

Is there a cognitive issue suspected? Any mental reason that judgement may be affected?
(History of head injury, stroke, heart failure, uncontrolled diabetes, kidney failure, other??)
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It was the same situation for you back almost 7 months ago, when you posted this in response to another post: https://www.agingcare.com/questions/i-am-exhausted-and-frustrated-with-caring-for-my-mother-it-is-never-enough-471068.htm?orderby=recent&page=1�

At that time you seemed to think this forum wasn't helpful. What do you think you will find different this time?

You need to accept that you are not responsible for your mother. You are the one who seems to think that you are. Why? Your siblings have backed away. Why don't you?
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This has me flummoxed. An experienced elder law attorney should be able to determine if your mother is competent to handle her affairs. Many will go to the person's home. I don't know why you've had such a hard time finding an attorney who will work with you.

As far as filial responsibility laws, Arkansas does have a statute and if you're not going to use an attorney, familiarize yourself with the requirements of this law. You may not be as much on the hook as you think.

If your mother is competent to handle her medical and financial affairs, I don't see any reason why you need to be involved. If she is not mentally ill or incompetent and she is financially secure she is free to do as she wishes. If she truly is in control of her faculties and chooses not to take care of her medical care, so be it. It would be good to get her to her PCP or a physician if you can to have her physically and mentally examined but it you can't you can't. I don't know Arkansas law but I can't see how one can abandon or neglect a competent individual.

Being the child of a narcissistic parent is a terrible burden. If your mother is safe enough as she is, step away and get some therapy for yourself. The fact that you're having a hard time finding legal or social services that will answer your questions suggests to me that you may need to sort out your boundaries more. Then you will be better able to sort out the facts. Once you have the facts in front of you, you will more likely be able to come up with a plan you can live with.
Suggestions only and not legal advice.
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Convenient, you are not responsible to step in because her decision is to NOT pay for care.

Call the cops when you aren't there for a Wellness check. Tell them she is able but, seems unwilling and you get abused by her for trying to help her and you can't do it anymore. End of! Font offer any information about what advice you have received from an attorney, cause frankly, they are not always correct.

This will get her on the radar of the local police. If it's bad, they will call you, you tell them YOU CAN NOT DO IT, PERIOD. This will get them to involve APS and get her off your hands.

You matter and just because she has decided or said no, DOES NOT OBLIGATE YOU TO SAY YES!
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I can't see why you could be held neglectful. Is she homebound by choice? As said, everyone will fall eventually. Your Moms seems competent to care for herself and can afford to pay for help. Neglect is when you leave a vulnerable adult with no heat or food.

I think you need to talk to someone at APS face to face and tell them that Mom can do for herself she just refuses to do it. You setting boundries is not neglect. Tell them she needs a higher level of care than she is getting and she can afford to pay for. That you don't understand that by unwilling to pay for things she can afford to pay for, thats neglect. She chooses to live the way she does. If you weren't around and APS investigated, they would say "she chooses to live that way"
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Put her in the car and drive to a hospital ER. Once you are there tell the triage nurse that you need a 'Social Admit' for your mother because you cannot provide care and a safe environment for her.
They will send a social worker down to talk to you. Tell them that she is not coping on her own and you cannot and will not be her caregiver. Give the social worker the names and contact information of your siblings too.
They will admit her to the hospital for evaluation and is she is considered incompetent, they will place her. If they find she's sound they will send her home. Either way you are not guilty of abandonment because you brougt her to the hospital. Make sure you refuse to be appointed POA, conservator, or guardian for her. Let the state appoint someone and they will because then that person will be responsible.
Granted, doing an 'ER Dump' sounds harsh and is usually the last resort. In your case it will probably be the only way you're going to get any services for your mother and keep yourself off the hook being held responsible for her.
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"there are laws against abandonment and neglect."

These laws are applied people (and other living creatures) who are not able to care for themselves, be it due to age, mental incapacity, etc. They DO NOT apply to people are able to care for themselves but, for whatever reason, choose not to.

They have the right to *choose* to not take care of themselves; that DOESN'T obligate family members to become their de facto caregivers.

You're already in a prison of sorts, aren't you? Except here, the cell door is wide open, all you have to do is walk through it.

You are only as stuck as you allow yourself to be going forward.
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If I read everything correctly she is living on her own but refuses to pay for care. If that is the case, walk away.

My Dad refused to get care for my mother who required a lift from the fire department every time she fell. It happened so many times (6-7 times per week), they refused to come out.

I believe the only way sometimes to get action is to force the action. She will not change if there isn't a reason to change and if you are helping her (even reluctantly), things will continue.
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I haven't read all the replies yet (soz).. but to summerise: Mother lives alone?
Does not have dx Dementia? Is deemed competent?

Then Mother is deemed able to live how she chooses.
Make her own decisions. These include good & bad.
Take risks.
Eat poorly.
Refuse to bathe. And so much more.

So I am trying to gauge how her lifestyle is affecting you?

Is it the mental worry of her situation? As she is a falls risk? Taking other risks etc?

Or is there a massive list of daily chores you are doing for her (because she won't hire help?)
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No she does not live with me, but in a fully independent duplex (against my advice); no I never agreed to take care of her, she decided I would. She does not qualify for APP (guardianship - I wish!) or state social services because she is still mentally cognizant and not on medicaid. However, because she is home bound and a fall risk (a fall was how we got here) she is considered "endangered" and so is on the radar as am I now. I can't abandon or neglect her. But I also can't find any help. She won't pay for home health or transportations services, so it falls on me.
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Beatty Jun 2022
"She won't pay for home health or transportations services, so it falls on me".

I've re-written by just one word;

"She won't pay for home health or transportations services, so it *fell* on me".

Then adding;
I gave her the numbers for home services, a meals service, a cleaner, a yard person, a taxi number.
Then I gave her 1 week's notice I was no longer 'the help'.

What happens next is up to Mom. She will either make those calls or not.
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Thanks for all the responses!
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Check out the website AVVO.com. See what legal advice you might find there.
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If mother is living with you, unfortunately the only way to end it is often to wait for a crisis that admits her to hospital, then refuse to take her back. There are many many articles, threads and discussions about this on the site. Click on Care Topics on the top right of the screen, look through the alphabet options to access them.

However from your post, it seems that mother may not be living with you. If so, no-one can force you to go around and care for her. You have been asking for permission to stop from lawyers, when it’s really up to you. Your care is making it possible for her to continue at home. Stop the care, wait a while, then call APS to say that her living conditions are now unsafe because you cannot continue care. It’s possible that they will start the guardianship process. It’s more likely in the short term that the change will force your mother to change her approach to doing the things that you feel sure she is capable of.

Even if mother will continue living with you, you still have the opportunity to stop helping her with so much. As I’ve said before, two days without food or nappy changes are not life threatening, but they certainly can be life changing. Speaking as a lawyer, the law doesn’t have magic wands to solve personal problems that really require personal action.

I do not know the laws of Arkansas, but there are usually few laws about ‘abandonment and neglect’, other than for a child, animal, or adult with disabilities. They relate to circumstances where the ‘abandoner’ has legal responsibility for a child, is abusing an animal, or is mistreating a person for whom they have taken on responsibility. NOT just refusing to follow the preferences of parents, or going on holiday for a while.
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If mother is living with you, unfortunately the only way to end it is often to wait for a crisis that admits her to hospital, then refuse to take her back. There are many many articles, threads and discussions about this on the site. Click on Care Topics on the top right of the screen, look through the alphabet options to access them.

However from your post, it seems that mother may not be living with you. If so, no-one can force you to go around and care for her. You have been asking for permission to stop from lawyers, when it’s really up to you. Your care is making it possible for her to continue at home. Stop the care, wait a while, then call APS to say that her living conditions are now unsafe because you cannot continue care. It’s possible that they will start the guardianship process. It’s more likely in the short term that the change will force your mother to change her approach to doing the things that you feel sure she is capable of.

Even if mother is living with you, you still have the opportunity to stop helping her with so much. As I’ve said before, two days without food or nappy changes are not life threatening, but they certainly can be life changing. Speaking as a lawyer, the law doesn’t have magic wands to solve personal problems that really require personal action.
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MargaretMcKen Jun 2022
Sorry about the double post, I'm quite puzzled how? why?
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It's trickier to give suggestions without knowing where she lives: with you? or do you live with her ? or does she live by herself (or with a roommate who is not you)?
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Isthisrealyreal Jun 2022
Arkansas
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More info would be helpful here. How and why did you become her caregiver? Did you agree to take her into your home, or did you move into hers? Or do you share a rent? You can avoid abandonment and neglect accusations by you yourself taking proactive actions. Contact your state's elder protective services and get a social worker involved. Tell them you are unable to be there anymore for your mother. They can take guardianship of her if necessary. Your mother's money needs to be spent for her caregiving needs, so if the state assumes guardianship, the state will also control all of her money.
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BurntCaregiver Jun 2022
The mother has a duplex two-family house. The OP thought it was a bad idea. The OP not live in the side of the duplex the
mother occupies.
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In hindsight, you could have refused to care for her. The State would have stepped in and appointed a guardian if she could not take care of herself.

Are you living with her or her with you? If she lands in the hospital, Rehab even better, tell the SW you will no longer care for her. That she can afford care but refuses to pay for it. That she needs to be evaluated for 24/7 care and if found she needs it, placed in LTC. Hopefully you do not have POA, if not tell them you will not be seeking POA or guardianship. That the State needs to take over. Believe me the State will cut thru that red tape to get her placed.

You tell them exactly what you said here " I could go on for days as to what this has cost me financially, physically, emotionally and mentally." If she is a safe place, don't think that is considered abandoning. Just walk away and block the facilities phone no. Don't be available. If you can, move. Your siblings were the smart ones.

I wonder if its abandonment if you call APS and tell them there is a vulnerable woman. That you refuse to care for her and you are leaving. I know a hired aide who did this because she hadn't been paid. APS swooped in and removed the woman from her home and placed her in a NH.
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If you are not POA and not guardian you are not responsible, PERIOD and end of sentence. Report your Mother to APS as a senior at risk. Let them do wellness checks. Tell them you are not MENTALLY, EMOTIONALLY, PHYSICALLY, INTELLECTUALLY capable of caring for any senior, including this one. Filial law has ZERO to do with this unless your mother is indigent and you are filthy with money, rolling in it. Then dependent on state the law may ask you to contribute to care costs.
The State will take care of your Mother if you refuse to do so.
Again, in a court (and there will likely be no court) you simply say you are not mentally, emotionally, physically or intellectually able to care for your mother.
What do you suppose happens to those without children?
Guess what, the State assumes guardianship.
Do know however that at the point the state steps in as guardian and they appoint a fiduciary you will have ZERO to say about what happens to your mother. You will not be her POA, guardian, MPOA. You will not have a thing to say about whether she is placed or WHERE she is placed. It will be as though you do not live.
Your attorney is right. You cannot be forced to care for your Mother. You don't live with your Mother. You won't be abandoning anyone.
As to siblings, take a page out of THEIR books. What makes you think that YOU can be help to care for your mother and THEY are not? That doesn't make any sense, does it. And it isn't true.
Walk away. In fact, consider a move to another state.
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SnoopyLove Jun 2022
Good point that the OP’s siblings are living their lives free and clear without mandatory caregiving. They haven’t been arrested, jailed etc. for not giving up their lives to care for narcissistic mom.

It is sad to see how abused adult children so often find themselves back with their abuser. I hope the OP does get the help she or he deserves.
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What are her needs? She is homebound, but can she maneuver around in her home to attend to her ADLs (activities of daily living)? Is she mentally “with it” enough to in theory call someone for help in an emergency if you weren’t there?

More info will help us all troubleshoot with you better. 😊
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If you need legal assistance, consult an elder law specialist. Go to NELF. org for a referral in your area. This is a caregiver support forum not legal experts.
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MargaretMcKen Jun 2022
Becky, OP doesn't really need legal advice, and it hasn't helped anyway. I've explained in my answer. My guess is that lawyers have only made vague comments about abandonment etc, to cover their own backs in case OP says "My lawyer said I could".
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