During the second hospitalization they told her she either went on the Invega shot voluntarily or they would go to court to get it mandated. She eventually agreed.
At the same time we were seeking temporary (we did get permanent eventually) guardianship which we got. She was given the initial shots and then discharged to us. The day she came home she had a tantrum and started trashing our home. We called police who came and talked to her. The next three months were still rough but she was sleeping a lot which minimized problems. The longer she was on the shot the more normalized she became. We made it very clear that we would take what ever action was necessary to get the shot administered. She was also on probation for one year because we had her arrested for stealing from us (minor value but the act was still illegal). After a year of good behavior the whole issue would disappear and she would have no record. That was also a big motivator for her too. Her whole recovery hinged on the monthly Invega Sustenna shot…which virtually eliminated the Anosognosia. Even now she doesn’t like the shot but we have told her we will always advocate on her behalf and we have along with her doctor methodically reduced the dosage down twice. We constantly reinforce her current success in life is due to the shot and her illness is lifelong. She is now currently working a good job and a productive contributing person. She cares about friends, family and co-workers.