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Welcome to CareNotes. In this special section we will feature a reader's letter and provide an opportunity for an interactive exchange that will help find some answers and possible solutions to concerns. If you wish to respond to this letter, simple follow the link provided at the end of the letter and add your comments and thoughts to our CareNotes Board.

This Week's Carenote - 05/28/08
My 40 year old brother has been diagnosed with schizophrenia, and has been living with the condition for some time now.  He lives with my mother, who is finding it increasingly difficult to deal with him.  He refuses to take his meds and she fears for him as he gets really out of hand.

Do you have any suggestions on what to do with him?  He cannot live with us as we have no space in the house to accommodate him.
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Date: 05/28/2008
Time: 02:36 PM


I would say seek guardianship and case management services at your local human service center. There can be orders for him by a judge to take his meds and he may need injectables to be sure he is taking them.

Location: memphis, tn
Date: 05/30/2008
Time: 03:05 AM


Contact your local chapter of the National Association for the Mentally Ill (NAMI). They are a wonderful family and peer support group and can give pointers on safety issues and community resources to help your family.

Location: georgia
Date: 05/30/2008
Time: 10:12 AM


There are some very good books that may be helpful for your family, in terms of understanding your brother's experience, setting boundaries, and keeping everyone safe. Try "When Someone You Love Has a Mental Illness" (can't think of the author offhand) and "I Am Not Sick, I Don't Need Help", by Xavier Amador. Without knowing whether or not he agrees with his diagnosis, it's hard to suggest more. The Amador book might be helpful in moving beyond medication "compliance" to getting into more productive conversations about what he doesn't like about the medications and ways to negotiate a compromise.


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