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My dad has heart disease - heart fraction 10-15% very weak heart, dementia, and diabetes type 2. His sodium is always low too. He is in and out of hospitals and leaves AMA every time. Last week he left ICU AMA. He recently got into a car accident and no longer has transportation. He refuses to listen and is currently not talking to anyone in the family. He is often very very mean. Even threatened his brother. When will the state come in? Or do they just let the person become homeless? - Louisville KY

This question was asked by a Kcase1005 back in September. Is that you?

You may need to call APS again and tell them that putting a brochure in the door is not going to help. That you suspect Dementia and that he isn't taking his meds. Someone needs to intervene or he will die. The state won't take over until an agency says Dad cannot take care of himself and there is no one willing to take over his care.

Are there any health violations. This is what an agency just did for a special needs man I know. They had taken his Mom out of the home for an infected foot and left him. TG someone checked up on him. APS had been called by neighbors because of the smell, but APS said he could live like that. They had no idea he was special needs. Called my nephew's caseworker. She had worked with him at one point and she called the health department. He is now in a nursing home with his Mom and seems happy.
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Krspalding Oct 8, 2018
Yes, this kcase1005, I could remember my password and everyone I did forgot password it wouldn’t work.

I will call APS again. The problem is I don’t know where he is right now. He left the hospital AMA again and I just found out that he doesn’t have his truck anymore because he was in a accident. I told the hospital that APS had been called on him but again no one did anything and let a man with a sodium level of 124 leave. He might already be homeless. Thanks for the reply.
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He can speak but it’s obvious that something is wrong with his brain. This man would die if he knew what he was doing to not only himself but his family. He is making really bad decisions and is almost homeless because of the decisions he is making. I don’t want to lock him up but currently he is a danger to others. What if he has an accident and kills someone. On top of that he has threatened to kill his brother. He could go get a gun and easily hurt someone. I now understand homeless and gun shooting. Mental health issues are overlooked in our system. It’s really sad. I don’t feel safe petitioning for guardianship. Getting a doctors note would be no problem. I asked the question about homelessness because I don’t want him to be homeless, but your right it’s his decision. It’s just hard to take in because this is not him. Thanks
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BarbBrooklyn Oct 8, 2018
KR, have YOU called APS and reported him as an elder who is a danger to himself and others?

Does he have firearms? If so, I would alert his local law enforcement to that fact.

I'm so sorry that you're going through this! ((((hugs)))))
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The state will step in when the hospital he keeps getting admitted to has had enough. THEY will call Adult Protective Services.

You could also call APS and tell them that you think he is in need of help/assistance/supervision. But as long as hes legally competent, he is allowed to make his own bad decisions.
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Krspalding Oct 8, 2018
APS was called by a nurse two months ago. All they did was place a brochure on the front door that said to call. Of course he isn’t going to call. I feel like no professional will help him. Hopefully the hospital will eventually call. He should already have a case open with APS. Our system is so messed up for these kinds of situations. He is going to end up homeless and not know anything. It’s so sad. Thanks
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As long as he speaks for himself, he can sign out AMA. You can petition to be his guardian, but if he is able to appear and contest it is useless. You would also need a doctor's note. Currently he gets to choose how to manage his health.
You seem to have a part 2 question of homelessness. He is doing this job on his own. How do you expect him to stay in one place? Lock him up? Read my first paragraph.
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