Dro Princess, sorry I'm just now chiming in on this. I've had this thread in my mind to reply to since it first appeared. Just as an FYI, when people are in circumstances like your sister's neighbor, you can call your county's Adult Protective Services unit. Your police or fire departments can nearly always provide you with the number, and you can generally also find it in country phone listings because APS, like Child Protective Services, is administered through counties. (That may not be its exact name in your part of the country but it'll be something similar.) Anyway, APS offices have social workers and people who can make a visit and evaluate situations like this. If need be, they can even go to court if the person's a danger to himself or his home environment has become that way. Often case investigations play out just this way--the people in question don't want help but others can clearly see there are problems. Anyway, just for future reference, APS is an adult safety/welfare office that helps make sure particularly vulnerable adults are OK like the elderly, the disabled, etc. Your county MH/MR office is a good place to call, too, if the person is disabled. When I used to work as a paramedic, we ran into situations that needed referrals to these agencies all the time. Cops see them all the time, too. They definitely break your heart. I admire your concern and caring for this poor soul.