Do you drug-test your friends that help you? J/K! :-)

Wow! That's a pretty big mess! I've seen places like that myself, and usually the person is incapable of cleaning/organizing due to mental or physical disabilities.

Stinkyattic: you're right, family should intervene before it gets that bad. Not everyone has close family, though. I know I'd never let my parents or grandparents get that bad. It's really sad how some people have no one to watch out for them.