So, treatment and intervention can be court ordered. Go to the county court where he lives and ask for the legal professional that handles the “gravely disabled” seriously mentally ill cases. Step up an appointment with that person and go over the legal actions according to the county and state statutes. Next, ask to start the process of guardianship and conservatorship.
We spent too many years thinking my brother could function at a higher level than he ever capable of. He barely graduated from college when he became ill his last semester. The longer he does not get adequate treatment for his disease process, the more his brain and function will deteriorate.
Once his treatment is court ordered, mental health professionals will intervene based on the appropriate statutes. He will be picked up and taken to their offices by the police. It is not punitive but a necessary situation. He also needs someone to help get him on Medicaid so he can potentially live in a skilled nursing facility. If he is on SSDI he should be getting Medicaid. He can only have $2000.00 in his bank account which is absurd but that is the rule. My brother only gets $4500.00/year from SSID. I then pay the skilled nursing facility 3600.00/year for his care. Medicaid covers the rest. In Colorado, Medicaid pays $285.00/day for each recipient in long term care/skilled nursing facility (SNF). This leaves about $75.00 per month for all of his other needs.
He is medicated, safe, and receives the care he requires. I actually feel guilty that I did not get this type of treatment and care for him at a younger age. The medical community now knows that untreated schizophrenia is the more detrimental to the brain than if the disease is treated appropriately. The standard of care is to maintain the affected person on antipsychotics at the lowest effective dose.
My brother had all the same barriers for 30 years. I recently was able to teach/coach him how to use a smart phone in a very limited capacity. Phone calls only. He did try to take a picture with his phone today but he needed assistance. I let him direct the learning process and consistently provide the assistance and reinforcement he needs. Schizophrenia decreases a person’s IQ.
I also am the one who has had all the responsibility. No one else in our family has or had the capacity to deal with his illness and disability. It has been a long haul. I do not know how old your brother is but if he is still fairly young then a recovery type program is also an option but they are self pay and expensive.
My brother like yours would never have agreed to any of these things based on his own free will. I had to be strong and take the hard steps. I reinforce that he suffers from a disease process that can be treated just like any other chronic disease. I have repeated over and over again that he needs medication to treat illness and stay well just like me with my chronic diseases. I pray that someday we find a cure for this disease. Sooner than later.
Now that these things are in place, I think he is relieved that the day to day stressors of life are not haunting him. Stressors are hard for all of us but multiply that by 100 for someone with a serious mental illness. He seems to be a lot less restless.
Anyway, I hope this feedback is helpful. The process takes legal professionals in addition to the medical/psych professionals.