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My mother is 86 and suffers from paranoid schizophrenia for over three decades. Although she has been on injection and oral medication, her condition has been on the decline. Her "open and loud discussions on conspiracy plots against her" is impossible to endure. Her continual accusations of her husband and daughters cheating her and plotting to kill her is HURTFUL and UNBEARABLE. We do not know if any facilities exist that would place AND accommodate someone with my mother's mental conditions and/or limitations. She is, however, physically mobile with a few complaints of aches and pains. Mother is currently living with my father and my sister, who is THEIR primary caregiver. I visit once a week and help in any which way I can. Thank you kindly for any advice or suggestions for my mom as well as for the sanity of my dad and sister.

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Excuse me, did I read that wrong, or misunderstand?
Your very ill mother is THEIR primary caregiver??? (your father and sister?)

Or they are caregiver to your mother?
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@sendhelp. It is my sister who is my parents' primary care giver. Sorry for the confusion.
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It sounds as though the proper level of care for your mom is a psychiatric facility. Has this ever been tried?
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@BarbBrooklyn: We will certainly look into it. Thank you very much!!!
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Yes, many psychiatric facilities have a geriatric unit where she could be assessed, meds adjusted, etc. I would have her screened for dementia as well. I'm learning in this process with my mom (also diagnosed paranoid schizophrenic) that some antipsychotic meds can make dementia worse in some cases. Maybe a social worker could help with placement into a memory care or AL facility as well. It sounds like her worsening condition is making it overwhelming to continue caring for her at home. She might need a higher level of care.
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Thank you, @FrazzledMama! My mom was screened for dementia as well. It is the financial cost of a memory care or AL facility that is preventing us from going further.
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Emely,
What has worked before in your mother's care over 3 decades?
It is common to have need of medication adjustments over time.
Keep her away from the news, re-direct her, and try more supervision, not less.
She could be having a toxic buildup of her current meds.

There are day-care programs, and Board & Care placements for the mentally ill.
Is she on Medicaid? Some financial planning may be in order so as not to leave your father the impoverished spouse. Spending some money on an attorney now can save more money than you know for the future of your father, and the care of your mother.
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